Metabolic syndrome after liver transplantation

Short-term prevalence and pre- and post-operative risk factors

Maria Elena Lunati, Valeria Grancini, Francesca Agnelli, Stefano Gatti, Benedetta Masserini, Dario Zimbalatti, Giuseppe Pugliese, Giorgio Rossi, Maria Francesca Donato, Massimo Colombo, Paolo Beck-Peccoz, Emanuela Orsi

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: The metabolic syndrome is a common condition among liver transplanted patients and contributes to morbidity and mortality by favouring the development of cardiovascular diseases. Aims: This prospective study assessed the prevalence of metabolic syndrome in the first year after orthotopic liver transplantation, the associated pre-operative and post-operative risk factors and the influence of nutritional factors. Methods: 84 cirrhotic patients (75% male, mean age 53.9 ± 9.3 years) were evaluated at baseline and after liver transplantation. Metabolic syndrome was defined according to 2004 Adult Treatment Panel-III criteria. Nutritional habits were assessed using 3-day food records. Results: Prevalence of metabolic syndrome before orthotopic liver transplantation was 14/84 (16.6%); at 3, 6 and 12 months post-orthotopic liver transplantation it was 27/84 (32.1%), 30/84 (35.7%), and 32/81 (39.5%), respectively. Diabetes, family history of diabetes, and excess body weight at baseline independently correlated with incidence of metabolic syndrome. After orthotopic liver transplantation, patients with metabolic syndrome showed a higher increase in the intake of total energy and saturated fats and a higher prevalence of complications, especially cardiovascular events, than subjects without metabolic syndrome. Conclusion: Occurrence of metabolic syndrome is an early phenomenon after liver transplantation. Pre-operative and post-operative factors predispose patients to metabolic syndrome, which may be reduced by controlling modifiable risk factors, such as body weight and dietary intake.

Original languageEnglish
Pages (from-to)833-839
Number of pages7
JournalDigestive and Liver Disease
Volume45
Issue number10
DOIs
Publication statusPublished - Oct 2013

Fingerprint

Liver Transplantation
Body Weight
Energy Intake
Habits
Cardiovascular Diseases
Fats
Prospective Studies
Morbidity
Food
Mortality
Liver
Incidence

Keywords

  • Hypertension
  • New-onset diabetes after transplantation
  • Obesity
  • Orthotopic liver transplantation
  • Post-transplantation metabolic syndrome

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Metabolic syndrome after liver transplantation : Short-term prevalence and pre- and post-operative risk factors. / Lunati, Maria Elena; Grancini, Valeria; Agnelli, Francesca; Gatti, Stefano; Masserini, Benedetta; Zimbalatti, Dario; Pugliese, Giuseppe; Rossi, Giorgio; Donato, Maria Francesca; Colombo, Massimo; Beck-Peccoz, Paolo; Orsi, Emanuela.

In: Digestive and Liver Disease, Vol. 45, No. 10, 10.2013, p. 833-839.

Research output: Contribution to journalArticle

Lunati, Maria Elena ; Grancini, Valeria ; Agnelli, Francesca ; Gatti, Stefano ; Masserini, Benedetta ; Zimbalatti, Dario ; Pugliese, Giuseppe ; Rossi, Giorgio ; Donato, Maria Francesca ; Colombo, Massimo ; Beck-Peccoz, Paolo ; Orsi, Emanuela. / Metabolic syndrome after liver transplantation : Short-term prevalence and pre- and post-operative risk factors. In: Digestive and Liver Disease. 2013 ; Vol. 45, No. 10. pp. 833-839.
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abstract = "Background: The metabolic syndrome is a common condition among liver transplanted patients and contributes to morbidity and mortality by favouring the development of cardiovascular diseases. Aims: This prospective study assessed the prevalence of metabolic syndrome in the first year after orthotopic liver transplantation, the associated pre-operative and post-operative risk factors and the influence of nutritional factors. Methods: 84 cirrhotic patients (75{\%} male, mean age 53.9 ± 9.3 years) were evaluated at baseline and after liver transplantation. Metabolic syndrome was defined according to 2004 Adult Treatment Panel-III criteria. Nutritional habits were assessed using 3-day food records. Results: Prevalence of metabolic syndrome before orthotopic liver transplantation was 14/84 (16.6{\%}); at 3, 6 and 12 months post-orthotopic liver transplantation it was 27/84 (32.1{\%}), 30/84 (35.7{\%}), and 32/81 (39.5{\%}), respectively. Diabetes, family history of diabetes, and excess body weight at baseline independently correlated with incidence of metabolic syndrome. After orthotopic liver transplantation, patients with metabolic syndrome showed a higher increase in the intake of total energy and saturated fats and a higher prevalence of complications, especially cardiovascular events, than subjects without metabolic syndrome. Conclusion: Occurrence of metabolic syndrome is an early phenomenon after liver transplantation. Pre-operative and post-operative factors predispose patients to metabolic syndrome, which may be reduced by controlling modifiable risk factors, such as body weight and dietary intake.",
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AU - Lunati, Maria Elena

AU - Grancini, Valeria

AU - Agnelli, Francesca

AU - Gatti, Stefano

AU - Masserini, Benedetta

AU - Zimbalatti, Dario

AU - Pugliese, Giuseppe

AU - Rossi, Giorgio

AU - Donato, Maria Francesca

AU - Colombo, Massimo

AU - Beck-Peccoz, Paolo

AU - Orsi, Emanuela

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N2 - Background: The metabolic syndrome is a common condition among liver transplanted patients and contributes to morbidity and mortality by favouring the development of cardiovascular diseases. Aims: This prospective study assessed the prevalence of metabolic syndrome in the first year after orthotopic liver transplantation, the associated pre-operative and post-operative risk factors and the influence of nutritional factors. Methods: 84 cirrhotic patients (75% male, mean age 53.9 ± 9.3 years) were evaluated at baseline and after liver transplantation. Metabolic syndrome was defined according to 2004 Adult Treatment Panel-III criteria. Nutritional habits were assessed using 3-day food records. Results: Prevalence of metabolic syndrome before orthotopic liver transplantation was 14/84 (16.6%); at 3, 6 and 12 months post-orthotopic liver transplantation it was 27/84 (32.1%), 30/84 (35.7%), and 32/81 (39.5%), respectively. Diabetes, family history of diabetes, and excess body weight at baseline independently correlated with incidence of metabolic syndrome. After orthotopic liver transplantation, patients with metabolic syndrome showed a higher increase in the intake of total energy and saturated fats and a higher prevalence of complications, especially cardiovascular events, than subjects without metabolic syndrome. Conclusion: Occurrence of metabolic syndrome is an early phenomenon after liver transplantation. Pre-operative and post-operative factors predispose patients to metabolic syndrome, which may be reduced by controlling modifiable risk factors, such as body weight and dietary intake.

AB - Background: The metabolic syndrome is a common condition among liver transplanted patients and contributes to morbidity and mortality by favouring the development of cardiovascular diseases. Aims: This prospective study assessed the prevalence of metabolic syndrome in the first year after orthotopic liver transplantation, the associated pre-operative and post-operative risk factors and the influence of nutritional factors. Methods: 84 cirrhotic patients (75% male, mean age 53.9 ± 9.3 years) were evaluated at baseline and after liver transplantation. Metabolic syndrome was defined according to 2004 Adult Treatment Panel-III criteria. Nutritional habits were assessed using 3-day food records. Results: Prevalence of metabolic syndrome before orthotopic liver transplantation was 14/84 (16.6%); at 3, 6 and 12 months post-orthotopic liver transplantation it was 27/84 (32.1%), 30/84 (35.7%), and 32/81 (39.5%), respectively. Diabetes, family history of diabetes, and excess body weight at baseline independently correlated with incidence of metabolic syndrome. After orthotopic liver transplantation, patients with metabolic syndrome showed a higher increase in the intake of total energy and saturated fats and a higher prevalence of complications, especially cardiovascular events, than subjects without metabolic syndrome. Conclusion: Occurrence of metabolic syndrome is an early phenomenon after liver transplantation. Pre-operative and post-operative factors predispose patients to metabolic syndrome, which may be reduced by controlling modifiable risk factors, such as body weight and dietary intake.

KW - Hypertension

KW - New-onset diabetes after transplantation

KW - Obesity

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