Metabolic syndrome in kidney transplant recipients


Authors: Karol Graňák 1;  Matej Vnučák 1;  Monika Beliančinová 1;  Margaréta Pytliaková 2;  Ivana Dedinská 1
Authors‘ workplace: Chirurgická klinika a transplantačné centrum JLF UK a UNM, Martin 1;  Centrum péče o zažívací trakt, Nemocnice AGEL Ostrava-Vítkovice a. s. 2
Published in: Forum Diab 2021; 10(3): 187-192
Category:

Overview

Metabolic syndrome in kidney transplant recipients shares many common characteristics with the general population, but the presence of transplant-specific aspects (particularly the use of chronic immunosuppressive therapy) ranks this group of patients at high risk for its development. According to a previous analysis of the Transplant Center in Martin in 2016, its prevalence was found to be 44.4 %. The onset of metabolic syndrome in the post-transplant period is associated with impaired graft function and graft loss. Number of these patients suffer from metabolic syndrome, or its components, before transplantation, and even then it represents a significant risk factor for post-transplant diabetes mellitus, which is a serious metabolic complication with an impact on overall and cardiovascular morbidity and mortality. The most important step is prevention be selecting high-risk patients before transplantation and, in case of metabolic syndrome detection, active modification of lifestyle and treatment of its components in order to eliminate negative effects on the patient and the transplanted kidney.

Keywords:

kidney transplantation – metabolic syndrome – immunosuppression


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Labels
Diabetology Endocrinology Internal medicine
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