Weight Loss Success Before Transplant



Weight No More !

Why is weight loss important?

Being overweight or obese can put you at an increased risk for the following conditions:

|Diabetes |Certain types of cancer |

|High blood pressure |Arthritis and degenerative joint disease |

|Heart disease |Sleep apnea |

|Stroke | |

If you are waiting for a kidney transplant, maintaining a healthy weight before transplant is required for many reasons including lowering your risk for complications during or after the transplant surgery. Prior to your transplant, your body mass index (BMI) will be evaluated. Most transplant centers have a BMI limit in order to qualify for a kidney transplant.*

BMI is based on your height and weight. Use the chart to determine your current BMI.

|BMI (kg/m2) |19 |

|58 |91 |96 |100 |

|08/10 7:30 am |1 c corn flakes |hungry | |

| |½ c nonfat milk | | |

| |1 c coffee | | |

| |1 tsp sugar | | |

|08/10 11:00 am |2 slices white bread |bored |Took a 20 minute walk outside |

| |2 slices lean turkey | | |

| |1 Tbsp honey mustard | | |

| |1 small apple | | |

1. Become more physically active.

Always talk with your doctor before starting an exercise program. Exercise burns calories, can help to control weight, and increases your strength and energy. Also, exercise can help control blood sugars, blood pressure, and reduce the risk of heart disease.

• Aim for 30-60 minutes per day most days of the week.

• Include aerobic exercises (such as running, walking, swimming), stretching, and strength training (such as weight-lifting).

• If you are unable to walk, there are many stretching and strengthening exercises that can be done in a chair. Moving the arms (and legs, if possible) can help strengthen the heart. Using hand weights can build muscle.

2. Eat breakfast everyday and do not skip meals.

Skipping meals can lead to extreme hunger, overeating, and poor food choices. Plan your meals and eat around the same time everyday.

3. Eat protein foods first to help you feel full sooner.

Choose lean meats and use low-fat cooking methods such as baking, grilling, and boiling.

In addition, season foods with spices, lemon, or low-fat dressings. Avoid salt, sauces, and gravies.

4. Eat less high-fat foods.

These are often not limited on a renal diet, but fat is high in calories and can cause weight gain. Choose lean meats and nonfat or low-fat foods. Read food labels to find lower-fat choices.

5. Eat less sugar and concentrated sweets.

Like fats, these are “empty” calories that provide few nutrients and can add a lot of extra calories.

6. Limit portion sizes.

The easiest way to lose weight is to cut the portion size of all the foods you eat and drink. Measure your portions and compare with the nutrition information on the food label. Use smaller plates, bowls, and cups to serve your foods.

7. Eat slowly.

Take 30 minutes for a meal. Turn off the TV and/or computer during meals and snacks. Pick an eating area at home and/or work.

8. Don’t keep problem foods around the house.

A problem food is food that you are likely to eat too much of or too often if readily available.

9. Reduce sodium in your diet.

High sodium intake can make you thirsty and cause you to increase your fluid intake. For many people with kidney disease, high fluid gains will make it more difficult to exercise and lose weight. Follow your doctor’s recommendations on fluid restrictions, a low sodium diet, and dialysis treatment.

Discuss your nutrition goals with your dialysis dietitian.

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