The significance of volume overload in the development of pulmonary arterial hypertension in continuous ambulatory peritoneal dialysis patients

Nekooeian, Mohammad; Jahromi, Shahrokh Ezzatzadegan; Masjedi, Fatemeh; Sohooli, Maryam; Shekouhi, Ramin; Moaref, Alireza

doi:10.1111/1744-9987.13965

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…There are several ways of determining body composition, including the dual-energy X-ray absorptiometry (DXA) technique, which was suggested for determining the fat mass (FM) and fat-free mass (FFM) [16,17]. DXA uses photon absorption in tissues to calculate body composition and reports total body weight in FM, FFM, and bone minerals.…”

Section: Body Compositionmentioning

confidence: 99%

COVID-19 Induces Body Composition and Metabolic Alterations

Yazdanpanah¹,

Mardani²,

Osati³

et al. 2023

Cureus

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BackgroundIndividuals with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are highly susceptible to disease-related metabolic dysregulation given the hyperinflammatory immune response of coronavirus disease 2019 . These changes are remarkably involved in multiple steps in adipogenesis and lipolysis. This study aimed to elaborate on the significant relations of COVID-19 infection with body fat distribution, changes in serum insulin, and homeostasis model assessment-estimated insulin resistance (HOMA-IR) levels before and after the infection. MethodsIn this follow-up study, from July 2021 to September 2021, persons referred to a university-affiliated Nutrition Counselling Clinic were randomly selected for the study samples. Validated food frequency (FFQ) and physical activity questionnaires were completed. Body composition was assessed in this investigation. On the second visit, those who reported mild to moderate COVID-19 infection (without hospitalization) were selected as the case group and the asymptomatic individuals as the control group. All measurements were re-measured in the second visit. ResultsIn a total of 441 patients, the mean age was 38.82±4.63 years. There were 224 (50.79%) male subjects, and 217 (49.20%) were females. There was a statistically significant difference in the longitudinal change in total fat percentage between subjects with and without COVID-19. Also, the difference in HOMA-IR before and after COVID-19 in case groups (both males and females) was statistically significant (P-value < 0.001). Moreover, serum insulin levels were significantly increased in all cases (P-value < 0.001), while remaining stable in control groups. When compared to their initial visit, COVID-19 patients' total fat percentage rose significantly (almost 2%) following a hypocaloric diet. Participants who were not infected with COVID-19 had a lower total fat percentage than those who were. Serum insulin and HOMA-IR levels increased significantly after infection compared to the primary measurements. ConclusionIndividuals with COVID-19 infection may require tailored medical nutrition therapy to improve short and long-term COVID-19 outcomes such as muscle loss and fat accommodation.

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Section: Body Compositionmentioning

confidence: 99%

COVID-19 Induces Body Composition and Metabolic Alterations

Yazdanpanah¹,

Mardani²,

Osati³

et al. 2023

Cureus

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“…Recently, with bioimpedance spectroscopy (BIS) applications, our understanding of body fluid distribution has evolved in an unprecedented manner [19,20]. The BIS-derived volume-related parameters have been studied extensively, disclosing a link between these parameters and several items, including all-cause mortality, cardiovascular mortality, technique failure, and automated office blood pressure (AOBP) of patients on PD [21,22].…”

Section: Introductionmentioning

confidence: 99%

The superiority of bioimpedance vs. echocardiography and pitting edema in predicting automated office blood pressure in continuous ambulatory peritoneal dialysis patients

Nekooeian,

Roozbeh,

Ezzatzadegan Jahromi

et al. 2023

Ther Apher Dial

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IntroductionTo achieve optimal blood pressure control in continuous ambulatory peritoneal dialysis (CAPD) patients, identifying methods of volume assessment with the strongest correlation with blood pressure is essential.MethodsIn this cross‐sectional study, 52 CAPD patients were assigned to automated office blood pressure (AOBP) measurement, assessment of pedal pitting edema, bioimpedance analysis (BIA), and inferior vena cava collapsibility index (IVCCI%) measurement. Data were analyzed using STATA ver.17, and the significance level was p < 0.05.ResultsFifty‐two patients were divided based on their AOBP readings. 29 (55.8%) of patients had uncontrolled AOBP. Overhydration (OH) and the grade of pitting edema were significantly higher in the uncontrolled AOBP group. OH was identified as the best variable for predicting blood pressure (p ≤ 0.001) and detecting uncontrolled blood pressure (AUC = 0.832) using multivariate linear regression and ROC analysis, respectively.ConclusionBIA‐derived OH was the best variable for predicting systolic and diastolic AOBP, outperforming IVCCI% and pitting edema.

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