Influencia de la ganancia de peso durante el primer año del trasplante renal en la sobrevida de injertos y pacientes

• Jorge Vega ^[1] ; Juan Pablo Huidobro E ^[2] ; Sofía De La Barra ^[1] ; Danissa Haro ^[1]
  1. [1] Universidad de Valparaíso

     Universidad de Valparaíso

     Valparaíso, Chile

     
  2. [2] Hospital Naval A. Nef Servicio de Medicina Sección Nefrología
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 143, Nº. 8, 2015, págs. 961-970
• Idioma: español
• Títulos paralelos:
  • Influence of weight gain during the first year after kidney transplantation in the survival of grafts and patients
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• Resumen

  • Background: After receiving a kidney allograft, patients tend to gain weight acquiring the risk associated with overweight and obesity. Aim: To compare the evolution during 10 years after transplantation of patients who gained more than 15% of their initial weight during the first year after receiving the graft with those who did not experience this increase. Material and Methods: Cohort study of 182 patients transplanted in a single hospital between 1981 and 2003. Demographic data, weight gain during the first year, drugs used, complications and evolution of patients and grafts were recorded. Results: Seventy two patients gained more than 15% of their weight during the first year. These were discharged after receiving the graft with a lower serum creatinine than their counterparts (1.46 ± 0.71 and 1.97 ± 1.74 mg/dl respectively, p = 0.02). Ten years mortality with a functioning kidney was higher among weight gainers (25 and 12.7% respectively, p = 0.03). No other differences were observed between groups. Conclusions: Patients who gained more than 15% of their initial weight during the first year after receiving a kidney graft have a higher 10 years mortality with a functioning kidney.