Dietary Diversity Score: Implications for Obesity Prevention and Nutrient Adequacy in Renal Transplant Recipients

I-Hsin Lin, Tuyen Van Duong, Shih-Wei Nien, I-Hsin Tseng, Hsu-Han Wang, Yang-Jen Chiang, Chia-Yen Chen and Te-Chih Wong
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I-Hsin Lin: Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
Tuyen Van Duong: School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan
Shih-Wei Nien: Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
I-Hsin Tseng: Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
Hsu-Han Wang: Department of Urology, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
Yang-Jen Chiang: Department of Urology, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
Chia-Yen Chen: Department of Nutrition and Health Sciences, Chinese Culture University, Taipei 11114, Taiwan
Te-Chih Wong: Department of Nutrition and Health Sciences, Chinese Culture University, Taipei 11114, Taiwan

IJERPH, 2020, vol. 17, issue 14, 1-11

Abstract: Obesity affects both medical and surgical outcomes in renal transplant recipients (RTRs). Dietary diversity, an important component of a healthy diet, might be a useful nutritional strategy for monitoring patients with obesity. In this cross-sectional study, the data of 85 eligible RTRs were analyzed. Demographic data, routine laboratory data, and 3-day dietary data were collected. Participants were grouped into nonobesity and obesity groups based on body mass index (BMI) (for Asian adults, the cutoff point is 27 kg/m 2 ). Dietary diversity score (DDS) was computed by estimating scores for the six food groups emphasized in the Food Guide. The mean age and BMI of participants were 49.7 ± 12.6 years and 24.0 ± 3.8 kg/m 2 , respectively. In the study population, 20.0% (n = 17) were obese. DDS was significantly lower in obese participants than in those who were not obese (1.53 ± 0.87 vs. 2.13 ± 0.98; p = 0.029). In addition, DDS was correlated with nutrition adequacy of the diet. Multivariate analysis showed that the odds of obesity decreased with each unit increase in DDS (odds ratio, 0.278; 95% confidence interval, 0.101–0.766; p = 0.013). We conclude that patients with higher dietary diversity have a lower prevalence of obesity.

Keywords: renal transplant recipients; obesity; dietary diversity; nutrient adequacy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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