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Urinary Taurine Excretion and Risk of Late Graft Failure in Renal Transplant Recipients
 
 
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Nutrients
Volume 11
Issue 10
10.3390/nu11102427
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Article
Peer-Review Record

Barriers and Facilitators of Fruit and Vegetable Consumption in Renal Transplant Recipients, Family Members and Healthcare Professionals—A Focus Group Study

Nutrients 2019, 11(10), 2427; https://doi.org/10.3390/nu11102427
by Karin Boslooper-Meulenbelt 1,*, Olga Patijn 2, Marieke C. E. Battjes-Fries 2, Hinke Haisma 3, Gerda K. Pot 2 and Gerjan J. Navis 1
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Reviewer 3: Anonymous
Nutrients 2019, 11(10), 2427; https://doi.org/10.3390/nu11102427
Submission received: 16 September 2019 / Revised: 4 October 2019 / Accepted: 8 October 2019 / Published: 11 October 2019
(This article belongs to the Special Issue Nutrition and Chronic Kidney Disease (CKD))

Round 1

Reviewer 1 Report

Dear Authors,

Although, the current research study is qualitative one, it addresses very important question about the barriers and facilitators in general, of poor fruit and vegetables consumption after renal transplantation, and if certain barriers and facilitators are more transplant-related. Conclusions made by the authors are in congruent with the research objectives, however, methodology lacks some pertinent details that deserves authors attention such as -  

Please specify, if any training was conducted/imparted to the interviewer(s) for conducting this FGDs? How questionnaire was developed for this semi-structured interview? Was it based of some literature review or expert opinions? There is inconsistency in gender distribution and number of participants in each focus group. Was there any specific reason for this inconsistency since your sample selection was purposive? Please specify which health care professionals (MD, nurses, etc.) with their professional credentials participated in FGD? and how long are they involved in caring for RTR? How data saturation was determined, when there was only one focus group with 5 health care professionals? Was there any cognitive debriefing provided to participants immediately after the FGDs?

 

Author Response

Please see the attachment.

Author Response File: Author Response.docx

Reviewer 2 Report

The main problem connected with diet after transplantation is an excessive weight gain. One of  the patient told during conversation "I gained a lot of weight, about 20 kg". The issue of balance fat and carbohydrate consumption with the energy expenditure is - in my view - even more important than insufficient fruit and vegetable intake. Obesity becomes crucial driver of diabetes post transplantation. These matters should be discussed with patients or at least mentioned in the discussion of the results.

Author Response

Please see the attachment

Author Response File: Author Response.docx

Reviewer 3 Report

This manuscript is worth to publish with the current form.

I have nothing to comment or edit. 

Author Response

Please see the attachment

Author Response File: Author Response.docx

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