High Alternative Health Eating Index-Taiwan Scores Are Associated With Prevention of Graft Dysfunction in Taiwanese Renal Transplant Recipients |
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| Affiliation: | 1. Department of Medical Nutrition Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan;2. School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan;3. Department of Urology, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan;4. Research Center of Geriatric Nutrition, College of Nutrition, Taipei Medical University, Taipei, Taiwan;5. Nutrition Research Center, Taipei Medical University Hospital, Taipei, Taiwan;6. Department of Nutrition and Health Sciences, Chinese Culture University, Taipei, Taiwan;1. Division of Transplantation Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;2. Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan;3. School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;4. Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;1. Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan;2. Department of Pathology, China Medical University Hsinchu Hospital, Hsinchu City, Taiwan;3. Department of Life Science, Tunghai University, Taichung City, Taiwan;4. Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung City, Taiwan;5. School of Medicine, China Medical University, Taichung, Taiwan;1. Department of Surgery, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea;2. Department of Surgery, Seoul Medical Center, Seoul, Republic of Korea;3. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;4. Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;5. Statistics and Data Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Republic of Korea;6. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea |
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| Abstract: | ![]()
BackgroundVarious dietary quality indices demonstrate that a higher dietary quality score is associated with a reduced risk of several chronic diseases. However, creating an index tailored to the national population is crucial. The study investigated the association between the Alternative Healthy Eating Index-Taiwan (AHEI-Taiwan) and graft dysfunction in Taiwanese renal transplant recipients (RTRs).MethodsA prospective cohort study recruited 102 RTRs with a functioning allograft without acute rejection in the last 3 months from September 2016 to June 2018. Laboratory data were obtained from the medical records of patients. Graft dysfunction was indicated by an estimated glomerular filtration rate (eGFR) <60 mL/min per 1.73 m2 in accordance with the Kidney Disease Outcomes Quality Initiative guideline. The dietary quality index AHEI-Taiwan was adapted from the AHEI based on Taiwanese dietary recommendations.ResultsMean age, renal transplant time, and eGFR were 48.9 ± 12.8 years, 8.5 ± 5.8 years, and 54.9 ± 17.8 mL/min per 1.73 m2, respectively, in 102 RTRs. The RTRs with the highest quartile of AHEI-Taiwan scores were older and had a higher eGFR. Logistic regression analysis adjusted for age, sex, calories, Charlson comorbidity index, transplant time, and dialysis time showed that the highest quartile of the AHEI-Taiwan was associated with an 88% (odds ratio, 0.12; 95% CI, 0.03-0.59, P < .01) lower risk of graft dysfunction.ConclusionA high AHEI-Taiwan score was associated with a reduced risk of graft dysfunction in Taiwanese RTRs. |
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