Weber Gulling, M.; Schaefer, M.; Bishop-Simo, L.; Keller, B.C. Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices. Nutrients2019, 11, 2884.
Weber Gulling, M.; Schaefer, M.; Bishop-Simo, L.; Keller, B.C. Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices. Nutrients 2019, 11, 2884.
Weber Gulling, M.; Schaefer, M.; Bishop-Simo, L.; Keller, B.C. Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices. Nutrients2019, 11, 2884.
Weber Gulling, M.; Schaefer, M.; Bishop-Simo, L.; Keller, B.C. Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices. Nutrients 2019, 11, 2884.
Abstract
Lung transplantation offers patients with end stage lung disease an opportunity for a better quality of life, but with limited organ availability it is paramount that selected patients have the best opportunity for successful outcomes. Nutrition plays a central role in post-surgical outcomes and historically, body mass index (BMI) has been used as the de facto method of assessing a lung transplant candidate’s nutritional status. Here we review the historical origins of BMI in lung transplantation, summarize the current BMI literature, and review studies of alternative/complementary body composition assessment tools, including lean psoas area, creatinine-height index, leptin, and dual x-ray absorptometry. These body composition measures quantify lean body mass versus fat mass and may provide a more comprehensive analysis of a patient’s nutritional state than BMI alone.
Keywords
lung transplantation; body mass index; nutrition; body composition; lean body mass; muscle mass; leptin; sarcopenia; creatinine-height index
Subject
Medicine and Pharmacology, Clinical Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
