Evaluation of demographic and clinical risk factors for high interdialytic weight gain

Abstract

Xerostomia and hyposalivation are highly prevalent in hemodialysis (HD) patients and this is effective in increased fluid intake. The aim of this study is to determine the demographic and clinical risk factors associated with high interdialytic weight gain (IDWG) in nondiabetic HD patients. In total, 52 eligible HD patients were recruited in this cross‐sectional study. Patients were divided into two groups according to % IDWG: Group 1: High IDWG (≥3%) and Group 2: normal IDWG (<3%). Plasma osmolarity (POsm), unstimulated salivary flow rate (USFR), xerostomia inventory (XI), and dialysis thirst inventory (DTI) were evaluated. The mean age of the patients was 53.7 ± 15.7 years. The prevalence of xerostomia was 53.8%, and hyposalivation was in 40.3% in the patients. High IDWG was positively correlated with XI and DTI while it was negatively correlated with POsm and USFR. The area under the receiver‐operating characteristics curve for POsm for high IDWG was 0.661, with sensitivity of 63.8% and specificity of 72.7% for a cut‐off point of 297.4 mOsm/L. Logistic regression analysis showed that advanced age odds ratio (OR: 1.215, p = 0.019), pill burden (OR: 1.162, p = 0.031), C‐reactive protein (CRP; OR: 1.308, p = 0.042), and low POsm (OR: 0.768, p = 0.046) were independently related to high IDWG. The prevalence of xerostomia and thirst was higher in HD patients with high IDWG compared to the normal IDWG group. Age, CRP, low POsm, and pill burden were independently associated with high IDWG.

The reliability and validity of the Turkish version of the Shortened Xerostomia Inventory in hemodialysis patients

“…There are many causes of xerostomia in HD patients. It has been reported that the development of xerostomia among HD patients can cause oral and gingival diseases, interdialytic weight gain due to increased fluid consumption, anxiety, depression, and difficulty in compliance with fluid control [5, 6]. It also affects clinical parameters such as xerostomia, kt/V, and urea reduction ratio in dialysis patients [7].…”

“…All these factors reduce the quality of life. HD treatment causes a decrease in salivary flow rate and changes in salivary composition [6, 9, 10]. Therefore, it is very important to evaluate xerostomia in HD patients.…”

Pengaruh Pemberian Cairan Berdasarkan Urin Output Terhadap Inter-Dialytic Weight Gain Pasien Hemodialisis Reguler

“…Penambahan IDWG dipengaruhi oleh beberapa faktor seperti ketidakpatuhan terhadap asupan cairan dan garam (19). Selain itu, berbagai faktor dapat mempengaruhi kenaikan IDWG, diantaranya intake cairan, rasa haus, dukungan sosial dan keluarga, self-efficacy, stres dan lama HD (20,28).…”