PMID- 31002178 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20200804 IS - 1399-0012 (Electronic) IS - 0902-0063 (Linking) VI - 33 IP - 6 DP - 2019 Jun TI - Nutrition-related factors associated with waiting list mortality in patients with interstitial lung disease: A retrospective cohort study. PG - e13566 LID - 10.1111/ctr.13566 [doi] AB - Japanese patients with interstitial lung disease (ILD) sometimes die waiting for lung transplantation (LTx) because it takes about 2 years to receive it in Japan. We evaluated nutrition-related factors associated with waiting list mortality. Seventy-six ILD patients were hospitalized in Kyoto University Hospital at registration for LTx from 2013 to 2015. Among them, 40 patients were included and analyzed. Patient background was as follows: female, 30%; age, 50.3 +/- 6.9 years; body mass index, 21.1 +/- 4.0 kg/m(2) ; 6-minute walk distance (6MWD), 356 +/- 172 m; serum albumin, 3.8 +/- 0.4 g/dL; serum transthyretin (TTR), 25.3 +/- 7.5 mg/dL; and C-reactive protein, 0.5 +/- 0.5 mg/dL. Median observational period was 497 (range 97-1015) days, and median survival time was 550 (95% CI 414-686) days. Survival rate was 47.5%, and mortality rate was 38.7/100 person-years. Cox analyses showed that TTR (HR 0.791, 95% CI 0.633-0.988) and 6MWD (HR 0.795, 95% CI 0.674-0.938) were independently correlated with mortality and were influenced by body fat mass and leg skeletal muscle mass, respectively. It is suggested that nutritional markers and exercise capacity are important prognostic markers in waitlisted patients, but further study is needed to determine whether nutritional intervention or exercise can change outcomes. CI - (c) 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Oshima, Ayako AU - Oshima A AUID- ORCID: 0000-0002-5946-6150 AD - Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan. FAU - Nishimura, Akiko AU - Nishimura A AUID- ORCID: 0000-0003-3670-9954 AD - Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Chen-Yoshikawa, Toyofumi F AU - Chen-Yoshikawa TF AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Harashima, Shin-Ichi AU - Harashima SI AUID- ORCID: 0000-0003-4813-0085 AD - Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan. AD - Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. AD - Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Komatsu, Teruya AU - Komatsu T AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Handa, Tomohiro AU - Handa T AD - Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Aoyama, Akihiro AU - Aoyama A AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Takahashi, Koji AU - Takahashi K AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Ikeda, Masaki AU - Ikeda M AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Oshima, Yohei AU - Oshima Y AD - Rehabilitation Unit, Kyoto University Hospital, Kyoto, Japan. FAU - Ikezoe, Kohei AU - Ikezoe K AD - Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Sato, Susumu AU - Sato S AD - Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Isomi, Maki AU - Isomi M AD - Nursing Department, Kyoto University Hospital, Kyoto, Japan. FAU - Shide, Kenichiro AU - Shide K AD - Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan. FAU - Date, Hiroshi AU - Date H AD - Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Inagaki, Nobuya AU - Inagaki N AD - Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan. AD - Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine, Kyoto University, Kyoto, Japan. LA - eng PT - Journal Article DEP - 20190512 PL - Denmark TA - Clin Transplant JT - Clinical transplantation JID - 8710240 SB - IM MH - Female MH - Follow-Up Studies MH - Humans MH - Lung Diseases, Interstitial/*mortality/physiopathology/surgery MH - Lung Transplantation/*mortality MH - Male MH - Middle Aged MH - *Nutritional Status MH - Prognosis MH - Retrospective Studies MH - Survival Rate MH - Waiting Lists/*mortality OTO - NOTNLM OT - 6-minute walk distance OT - body composition OT - interstitial lung disease OT - lung transplantation OT - transthyretin EDAT- 2019/04/20 06:00 MHDA- 2020/08/05 06:00 CRDT- 2019/04/20 06:00 PHST- 2018/09/19 00:00 [received] PHST- 2019/02/22 00:00 [revised] PHST- 2019/04/01 00:00 [accepted] PHST- 2019/04/20 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PHST- 2019/04/20 06:00 [entrez] AID - 10.1111/ctr.13566 [doi] PST - ppublish SO - Clin Transplant. 2019 Jun;33(6):e13566. doi: 10.1111/ctr.13566. Epub 2019 May 12.