Preprint Review Version 1 This version is not peer-reviewed

Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices

Version 1 : Received: 31 October 2019 / Approved: 1 November 2019 / Online: 1 November 2019 (13:02:51 CET)

How to cite: 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. Preprints 2019, 2019110013 (doi: 10.20944/preprints201911.0013.v1). 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. Preprints 2019, 2019110013 (doi: 10.20944/preprints201911.0013.v1).

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.

Subject Areas

lung transplantation; body mass index; nutrition; body composition; lean body mass; muscle mass; leptin; sarcopenia; creatinine-height index

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