Next Article in Journal
Interaction between an ADCY3 Genetic Variant and Two Weight-Lowering Diets Affecting Body Fatness and Body Composition Outcomes Depending on Macronutrient Distribution: A Randomized Trial
Next Article in Special Issue
Potential Micronutrients and Phytochemicals against the Pathogenesis of Chronic Obstructive Pulmonary Disease and Lung Cancer
Previous Article in Journal
Fatty Acids and Calcium Regulation in Prostate Cancer
Previous Article in Special Issue
Donor Human Milk Protects against Bronchopulmonary Dysplasia: A Systematic Review and Meta-Analysis
Open AccessReview

Nutritional Requirements of Lung Transplant Recipients: Challenges and Considerations

1
Lung Transplant Program, Centre Hospitalier de l’Université de Montréal, 900 Saint-Denis Street, Montreal, QC H2X 0A9, Canada
2
Department of Pediatrics, Montreal Children’s Hospital—McGill University Health Centre, 1001 Décarie Boulevard, Montreal, QC H4A 3J1, Canada
3
Meakins Christie Laboratories, Research Institute of the McGill University Health Centre, 1001 Décarie Boulevard, Montreal, QC H4A 3J1, Canada
4
Department of Nutrition, Faculty of Medicine, Université de Montreal, 2405 Cote Sainte-Catherine Rd., Montreal, QC H3T 1A8, Canada
5
Research Centre, CHU Sainte-Justine, 3175 Cote Sainte-Catherine Rd., Montreal, QC H3T 1C5, Canada
*
Author to whom correspondence should be addressed.
Nutrients 2018, 10(6), 790; https://doi.org/10.3390/nu10060790
Received: 5 June 2018 / Accepted: 15 June 2018 / Published: 19 June 2018
(This article belongs to the Special Issue Relationship between Nutrition and Respiratory Disease)
An optimal nutritional status is associated with better post-transplant outcomes and survival. Post-lung transplant nutrition management is however particularly challenging as lung recipients represent a very heterogeneous group of patients in terms of age, underlying diseases, weight status and presence of comorbidities. Furthermore, the post-transplant period encompasses several stages characterized by physiological and pathophysiological changes that affect nutritional status of patients and necessitate tailored nutrition management. We provide an overview of the current state of knowledge regarding nutritional requirements in the post-lung transplant period from the immediate post-operative phase to long-term follow-up. In the immediate post-transplantation phase, the high doses of immunosuppressants and corticosteroids, the goal of maintaining hemodynamic stability, the presence of a catabolic state, and the wound healing process increase nutritional demands and lead to metabolic perturbations that necessitate nutritional interventions. As time from transplantation increases, complications such as obesity, osteoporosis, cancer, diabetes, and kidney disease, may develop and require adjustments to nutrition management. Until specific nutritional guidelines for lung recipients are elaborated, recommendations regarding nutrient requirements are formulated to provide guidance for clinicians caring for these patients. Finally, the management of recipients with special considerations is also briefly addressed. View Full-Text
Keywords: lung transplantation; nutritional status; nutrient requirements; nutrition management; nutritional recommendations; macronutrients; micronutrients lung transplantation; nutritional status; nutrient requirements; nutrition management; nutritional recommendations; macronutrients; micronutrients
MDPI and ACS Style

Jomphe, V.; Lands, L.C.; Mailhot, G. Nutritional Requirements of Lung Transplant Recipients: Challenges and Considerations. Nutrients 2018, 10, 790.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop