Evaluation of Body Composition and Fluid Volume Using a Body Composition Monitor: Does Intraperitoneal Fluid Matter?
| Autor: | Carlos Eduardo Poli-de-Figueiredo, Cristina F. Bombardelli, Alessandra Campani Pizzato, Bartira Ercília Pinheiro da Costa, Alessandra Conti, Rafaela Siviero Caron-Lienert, Ana Elizabeth Figueiredo |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Population Volume control Peritoneal dialysis Peritoneal cavity Short Reports Dialysis Solutions medicine Ascitic Fluid Humans education Hydration status Monitoring Physiologic education.field_of_study business.industry General Medicine Middle Aged Surgery Body Fluids medicine.anatomical_structure Blood pressure Cross-Sectional Studies Nephrology Anesthesia Dielectric Spectroscopy Body Composition Female Hemodialysis Peritoneum business Fluid volume |
| Popis: | Fluid overload is a common finding in patients on peritoneal dialysis (PD) and this condition has been linked to adverse cardiovascular effects and increased mortality (1). The variation of body weight and blood pressure, usually used for clinical evaluation of volume, may not be sufficient for the adjustment of volemia; therefore, regular and precise measurement of hydration and body composition is needed (2). It is believed that volume control in PD patients is harder to achieve compared to hemodialysis patients, as they receive home treatment with monthly monitoring only, and have greater autonomy in their care (3). Bioimpedance spectroscopy (BIS) is a tool for detecting longitudinal changes in the hydration status of this population. The body composition monitor (BCM) (Fresenius Medical Care, Germany) is a validated and non-invasive method that combines BIS with a physiological tissue model developed for dialysis patients (4). Describing the body composition and hydration profile of PD patients is essential for clinical evaluation; however, the possible interference of dialysate in the intraperitoneal cavity on BCM results is an underexplored question in the literature. Therefore, the aim of this study was to compare body composition and volume variables with the dialysis fluid in the peritoneal cavity and also after its drainage, using BCM methodology. |
| Databáze: | OpenAIRE |
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