Evaluation of fluid status related parameters in hemodialysis and peritoneal dialysis patients: Clinical usefulness of bioimpedance analysis

Yılmaz, Zülfükar; Yildirim, Y.; Aydin, Fatma; Aydın, Emre; Kadiroglu, Ali Kemal; Yılmaz, Mehmet Emin; Acet, Halit

doi:10.1016/j.medici.2014.10.007

Cited by 32 publications

(32 citation statements)

References 29 publications

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“…[26][27][28][29] Most studies conducted such evaluations before the hemodialysis session, although Yilmaz et al 29 conducted them after the session, which is consistent with our approach. [26][27][28][29] Most studies conducted such evaluations before the hemodialysis session, although Yilmaz et al 29 conducted them after the session, which is consistent with our approach.…”

Section: Discussionsupporting

confidence: 80%

Relationship of serum magnesium level with body composition and survival in hemodialysis patients

Mizuiri¹,

Nishizawa²,

Yamashita³

et al. 2019

Hemodialysis International

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Introduction: A relationship between serum magnesium (Mg) and body composition parameters has not been reported in hemodialysis (HD) patients. We aimed to clarify whether serum Mg has any association with body composition parameters, or survival in HD patients.Methods: This study included 215 consecutive maintenance HD patients. Laboratory data collection and postdialysis body composition analysis were performed at baseline. The patients were divided based on baseline serum Mg level tertiles (low, medium, and high Mg groups). Kaplan-Meier survival, logistic regression analyses and Cox proportional hazard analyses were conducted.Findings: Among all patients, the median age and dialysis vintage were 73 (65-81) years and 44 (8-96) months, respectively. The serum Mg levels were < 2.3, 2.3-2.5, and > 2.5 mg/dL for the low (n = 67), middle (n = 76), and high (n = 72) Mg groups, respectively. Compared to other groups, low Mg group showed significantly higher age and C-reactive protein levels, but lower serum albumin, normalized protein catabolic rates and frequency of on-line hemodiafiltration. The low, middle, and high Mg groups differed significantly regarding body cell mass (fat-free mass without bone mineral mass and extracellular water) index (BCMI): [5.6 (4.2-6.8), 6.0 (4.8-8.1), 6.7 (4.9-7.5) kg/m 2 , respectively] and overhydration/extracellular water ratio (OH/ECW) [11.7 (4.5-21.9), 4.8 (1.0-14.1), 8.5 (−0.5-15.0) %, respectively] but not regarding body mass index, lean tissue index, fat tissue index. Hypomagnesemia was significantly associated with BCMI [odds ratio (OR) [95% confidence interval (CI)]: 0.85 [0.73-1.00] and OH/ECW (OR [95% CI]: 1.03 [1.01-1.05]), respectively. Kaplan-Meyer 3-year survival rates were 53.6%, 69.7%, and 71.7% in low, middle, and high Mg groups, respectively. However, hypomagnesemia was not significantly associated with 3-year allcause mortality independent of age, serum albumin and C-reactive protein.Discussion: Hypomagnesemia was associated with lower BCMI, more pronounced OH/ECW and poorer Kaplan-Meier 3-year cumulative survival, but was not an independent risk factor for mortality in HD patients.

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Section: Discussionsupporting

confidence: 80%

Relationship of serum magnesium level with body composition and survival in hemodialysis patients

Mizuiri¹,

Nishizawa²,

Yamashita³

et al. 2019

Hemodialysis International

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“…18,19 In our study, the NYHA result (a very simple scoring based on clinical evaluation) and IVC collapse index (a well-known marker of hypervolemia) were associated with lung congestion. We firmly believe that in a short time, routine evaluation of lung congestion by chest ultrasound will be incorporated in dialysis centers and will widely replace bioimpedance as the main guide for ultra-filtration prescription.…”

Section: Resultsmentioning

confidence: 56%

Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis

Santos¹,

Neto²,

Carneiro³

et al. 2017

Jornal Brasileiro De Nefrologia

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“…There is no standard to assess hemodialysis patients' adherence to diet and fluid restriction. Hemodialysis patients' adherence to fluid restriction is assessed by clinical manifestations such as blood pressure, urine volume, and weight gain between two dialysis sessions …”

Section: Discussionmentioning

confidence: 82%

The effect of a hemodialysis patient education program on fluid control and dietary compliance

Başer

Mollaoğlu

2019

Hemodialysis International

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Introduction: Some hemodialysis patients may experience problems in completing activities of daily living and adhering to diet and fluid restrictions due to a decrease in self‐care power and a loss of competence. Methods: The study was conducted with 78 people assigned to the intervention (N = 38) and control groups (N = 40). Data were collected using the sociodemographic characteristics questionnaire, dialysis diet and fluid nonadherence questionnaire (DDFQ), and fluid control in hemodialysis patients scale (FCHPS). The participants in the intervention group were given the “Nutrition Education Booklet for Dialysis Patients”. The participants in the intervention group were trained through four education sessions across 4 months, and the measurement tools were administered to them. The participants in the control group were interviewed twice, once at the onset of the study and once 2 months later and the measurement tools were administered to them. Findings: In the intervention group, a decrease was observed in the pre‐ and postdialysis interdialytic weight gain, ultrafiltration (UF) volume, and blood pressure values of the patients after the training. There was a statistically significant decrease in the mean scores for the frequency and degree of nonadherence to diet restriction, and for the frequency and degree of nonadherence to fluid restriction in the participants in the intervention group compared to the participants in the control group (P < 0.05). There was a statistically significant increase in the mean scores obtained from the FCHPS and its subscales by the participants in the intervention group compared to the participants in the control group (P < 0.05). Conclusion: The training given to the hemodialysis patients positively contributed to their adherence to diet and fluid restrictions. The patients' adherence to diet and fluid restriction increased.

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Evaluation of fluid status related parameters in hemodialysis and peritoneal dialysis patients: Clinical usefulness of bioimpedance analysis

Abstract: Fluid overload may be an even more prevalent and serious problem in PD patients. Overhydration is closely associated with increased blood pressure and LVMI. OH/ECW ratio, a derived parameter of fluid load measured by BIA, was a significant and independent determinant of SBP and LVMI.

Cited by 32 publications

References 29 publications

Relationship of serum magnesium level with body composition and survival in hemodialysis patients

Relationship of serum magnesium level with body composition and survival in hemodialysis patients

Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis

The effect of a hemodialysis patient education program on fluid control and dietary compliance

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