Causes and consequences of interdialytic weight gain
| Autor: | Ralf Westerhuis, Cees P. van der Schans, Carlo A. J. M. Gaillard, Casper F. M. Franssen, Johanna Kuipers, Karin J. R. Ipema, Wim P. Krijnen |
|---|---|
| Přispěvatelé: | Healthy Ageing, Allied Health Care and Nursing, Statistical Techniques for Applied Research, Groningen Kidney Center (GKC), Extremities Pain and Disability (EXPAND), Health Psychology Research (HPR) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system DIALYSATE SODIUM CONCENTRATION 030232 urology & nephrology Hemodynamics BLOOD-PRESSURE 030204 cardiovascular system & hematology lcsh:RC870-923 SERUM-ALBUMIN MAINTENANCE HEMODIALYSIS-PATIENTS 0302 clinical medicine Interdialytic weight gain Nutritional status Bayesian multivariate linear regression lcsh:Dermatology Aged 80 and over ULTRAFILTRATION RATE blood pressure weight gain General Medicine ASSOCIATION Middle Aged haemodialysis Haemodialysis leeftijdsfactoren Nephrology gewichtstoename Blood pressure Female medicine.symptom Cardiology and Cardiovascular Medicine Adult medicine.medical_specialty NUTRITIONAL-STATUS age factors Diastole Diuresis Body weight 03 medical and health sciences Renal Dialysis Diabetes mellitus Internal medicine medicine Journal Article Humans Aged business.industry MORTALITY Body Weight Sodium lcsh:RL1-803 medicine.disease lcsh:Diseases of the genitourinary system. Urology Body Height voedingstoestand nutritional status Endocrinology lcsh:RC666-701 VOLUME hemodialyse business CENTER NOCTURNAL HEMODIALYSIS Weight gain bloeddruk |
| Zdroj: | Kidney & blood pressure research, 41(5), 710-720. Karger Medical and Scientific Publishers Kidney & Blood Pressure Research, 41(5), 710 Kidney & Blood Pressure Research, 41(5), 710-720. KARGER Kidney & Blood Pressure Research, Vol 41, Iss 5, Pp 710-720 (2016) |
| ISSN: | 1420-4096 |
| Popis: | Background/Aims: Higher interdialytic weight gain (IDWG) is associated with higher predialysis blood pressure and increased mortality. IDWG is also increasingly being recognized as an indicator of nutritional status. We studied in detail the associations of various patient factors and nutritional parameters with IDWG. Methods: We collected data during one week for IDWG and hemodynamic parameters in 138 prevalent adult haemodialysis patients on a thrice-weekly haemodialysis schedule. A multivariate linear regression analysis was employed to identify factors that are associated with IDWG. Results: The mean (±SD) age was 62.5 (±18.2) years, 36% were female, 36% had diuresis, and 23% had diabetes. Patients in the highest IDWG tertile were significantly younger, more frequently male, and had a significantly higher subjective global assessment score (SGA). A higher IDWG as a percentage of body weight (%IDWG) was associated with a younger age, greater height and weight, absence of diuresis, and lower postdialysis plasma sodium levels. The model with these five parameters explained 37% of the variance of %IDWG. Predialysis, intradialysis, and postdialysis diastolic blood pressure was significantly higher in the highest tertile of IDWG. Conclusion: The most important associations of %IDWG are age, height, weight, diuresis, and postdialysis sodium. Patients with the highest IDWG have significantly higher diastolic blood pressures. |
| Databáze: | OpenAIRE |
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