Initial body mass indexes have contrary effects on change in body weight and mortality of patients on maintenance hemodialysis treatment

Wiesholzer, Martin; Harm, Ferdinand; Schuster, Klaus; Putz, Dinah; Neuhäuser, Christian; Fiedler, Florian; Balcke, P

doi:10.1016/s1051-2276(03)00091-8

Cited by 20 publications

(21 citation statements)

References 31 publications

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“…While the death rate in low weight patients is high, the rate decreases in patients with normal weight and decreases further with those above the normal weight and the obese. [11] In this study, the rate of individuals with a BMI of 20 kg/m 2 or below were found 19.4%. The nutritional profiles of 27 patients suffering from chronic kidney dysfunction were investigated; the BMIs of 75.0% of the patients were in the normal range, and the remaining were obese.…”

Section: Discussionmentioning

confidence: 47%

Correlation of Dietary Intakes and Biochemical Determinates of Nutrition in Hemodialysis Patients

Şanlıer

Demircioğlu

2007

Renal Failure

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Section: Discussionmentioning

confidence: 47%

Correlation of Dietary Intakes and Biochemical Determinates of Nutrition in Hemodialysis Patients

Şanlıer

Demircioğlu

2007

Renal Failure

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“…BMI is considered to be an important marker for the nutritional status and, in some cases, behaves as if it were related to the survival of patients on HD [4,21,22]. In the patients we studied there was a strong positive correlation between IDWG% and BMI, although it lost its statistical significance when IDWG was adjusted to dry weight.…”

Section: Discussionmentioning

confidence: 86%

Interdialytic weight gain as a marker of blood pressure, nutrition, and survival in hemodialysis patients

López‐Gómez

Villaverde

Jofre

et al. 2005

Kidney International

118

133

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Our results show that a greater IDWG is directly associated with a better nutritional status, although it is also associated with higher predialysis blood pressure. The greater the IDWG%, the better the long-term prognosis of the patients. The beneficial effects of IDWG on the nutritional status and prognosis are greater than the negative aspects that depend on its effects on blood pressure. One must distinguish clearly between some isolated instances of not complying with a diet from those situations where a higher IDWG is merely a reflection of a good nutritional status, and one must be careful so that dietary recommendations will not have a negative influence on nutritional aspects. One must watch and correct the trend towards higher acidosis in patients with a greater IDWG.

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“…This survival advantage for obese individuals should be weighed against the risk of receiving inadequate dialysis or underdialysis. Weight loss in dialysis patients increases the risk of death compared to dialysis patients who gain or preserve their initial weight [70]. The risk of death from weight loss is highest in underweight patients, and decreases progressively with increasing BMI.…”

Section: Obesity and Dialysismentioning

confidence: 99%

Nondiabetic consequences of obesity on kidney

Srivastava

2006

Pediatr Nephrol

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There has been a major increase in obesity among children over the past twenty years. Obesity is associated with glomerular hyperperfusion and hyperfiltration from physiological (mal)adaptation resulting from afferent arteriolar vasodilatation. The renal injury from hyperfiltration in obesity is further exacerbated by concomitant presence of dyslipidemia, hyperglycemia and/or insulin resistance, inflammation and hypertension. The renal injury clinically manifests as microalbuminuria, proteinuria and/or poor renal function, and is histologically characterized by glomerulomegaly, mesangial expansion and/or sclerosis, which has been termed "obesity related glomerulopathy". Obesity portends a poor prognosis in subjects with chronic kidney diseases, IgA nephropathy and nephrectomy. Obese individuals on dialysis and renal transplant have mixed outcomes. The purpose of this review is to highlight the nondiabetic consequences of obesity on kidney for the pediatric nephrology community as we begin to address the obesity epidemic in children.

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Initial body mass indexes have contrary effects on change in body weight and mortality of patients on maintenance hemodialysis treatment

Cited by 20 publications

References 31 publications

Correlation of Dietary Intakes and Biochemical Determinates of Nutrition in Hemodialysis Patients

Correlation of Dietary Intakes and Biochemical Determinates of Nutrition in Hemodialysis Patients

Interdialytic weight gain as a marker of blood pressure, nutrition, and survival in hemodialysis patients

Nondiabetic consequences of obesity on kidney

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