{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T18:48:45Z","timestamp":1768416525015,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Unintentional weight gain, overweight and obesity following solid organ transplantation (SOT) are well\u2010established and linked to morbidity and mortality risk factors. No interventional studies aimed at prevention have been undertaken among lung transplant (LTx) recipients. The combination of group education and telephone coaching is effective in the general population but is untested among SOT cohorts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A non\u2010randomized, interventional pilot study was conducted among new LTx recipients. The control group received standard care. In addition to standard care, the intervention involved four group education and four individual, telephone coaching sessions over 12\u2010months. Data collection occurred at 2\u00a0weeks, 3\u2010 and 12 months post\u2010LTx. Measurements included weight, BMI, fat mass (FM), fat mass index (FMI), fat\u2010free mass (FFM), fat\u2010free mass index (FFMI), waist circumference (WC), visceral adipose tissue (VAT), nutrition knowledge, diet, physical activity, lipid profile, HbA<jats:sub>1C<\/jats:sub>, FEV<jats:sub>1<\/jats:sub>, six\u2010minute walk distance and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifteen LTx recipients were recruited into each group. One control participant died 120 days post\u2010LTx, unrelated to the study. There were trends towards lower increases in weight (6.7\u00b17.2\u00a0kg vs. 9.8\u00b111.3\u00a0kg), BMI (9.6% of baseline vs. 13%), FM (19.7%\u00a0vs. 40%), FMI, VAT (7.1%\u00a0vs. 30.8%) and WC (5.5%\u00a0vs. 9.5%), and greater increases in FFM and FFMI (all <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05), among the intervention group by 12 months. The intervention was well\u2010accepted by participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This feasible intervention demonstrated non\u2010significant, but clinically meaningful, favorable weight and body composition trends among LTx recipients over 12 months compared to standard care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14763","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T04:53:05Z","timestamp":1656391985000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Can we HALT obesity following lung transplant? A Dietitian\u2010 and Physiotherapy\u2010directed pilot intervention"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0560-3500","authenticated-orcid":false,"given":"Christie","family":"Emsley","sequence":"first","affiliation":[{"name":"Nutrition Department The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Snell","sequence":"additional","affiliation":[{"name":"Lung Transplant Service The Alfred Hospital  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eldho","family":"Paul","sequence":"additional","affiliation":[{"name":"Australian and New Zealand Intensive Care Research Centre School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"},{"name":"Department of Clinical Haematology The Alfred Hospital  Melbourne Victoria 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