Oral papers in program order

Abstract

Obesity and cardio-metabolic complications are common in liver transplant recipients (LTR) and Mediterranean diet (MedDIet) is proposed as a protective dietary approach to lifestyle advice. The aim of this study is to characterise usual dietary pattern of LTR relative to MedDiet patterns and to identify key targets relevant for lifestyle intervention. The MedLIFE questionnaire, which captures diet (MedDiet score; MDS) and beneficial lifestyle factors (e.g. home food preparation, social interaction), was completed by LTR (>6months post-transplant). Predetermined intake cut offs of 13 key components of MedDiet such as high legumes, vegetables, olive oil, nuts and fish and low red meat were used to score responses as 1 (met requirements) or 0 (did not meet requirements) (score ranges 0 to 13; higher score indicates closer alignment with a traditional MedDiet). Enjoyment of food preparation was rated out of 10 (10 = highest level of enjoyment). 28 LTR (males 64%; mean age 50) completed the questionnaire. Mean MDS was 6 (range 4-9). Only 7% (2/28) LTR consumed adequate olive oil, 18% (5/28) adequate fish and 36% (10/28) adequate nut intake. 60% (17/28) LTR reported participating in evening meal preparation > 3 days per week with average enjoyment rating 5 out of 10. Of those preparing meals, 64% reported others assisting them < 3 days per week. Queensland LTR do not naturally follow a MedDiet pattern. Key components of MDS would be ideal targets to shift LTR to a cardioprotective eating pattern. Strategies to increase social interaction and enjoyment around food preparation are needed. © 2018 Dietitians Association of Australia.