Prevalence and associated factors with abdominal obesity in hemodialysis patients in Goiânia - GO

“…In obese dialysis patients, the nutritional status may be better, and obesity provides, in the short term, some protection against malnutrition and the associated morbidity. However, some studies suggest that mortality in the long term is directly correlated with excess weight and obesity, which indicates that fat represents a risk factor also in uremia [1] [3]. Observational studies in CKD patients as well as dialysis patients, link abdominal fat with inflammation, insulin resistance, hyperadipokinemia, dyslipidemia, oxidative stress [6]- [9] and cardiovascular events and mortality [10]- [12].…”

Section: Discussionmentioning

confidence: 99%

“…A significant number of patients who undergo dialysis are overweight or obese [1] [2]. The presence of excess weight, especially visceral obesity contributes to the increased risk of metabolic and cardiovascular complications in patients with chronic kidney disease (CKD).…”

Section: Introductionmentioning

confidence: 99%

Obesity in Hemodialysis Patients

Gorsane¹,

Mahfoudhi²,

Euch³

et al. 2015

IJCM

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Obesity is a cardiovascular risk factor in the general population. However, obesity on hemodialysis is associated with better survival. The aim of this study is to determine the prevalence of obesity in our chronic hemodialysis population and to specify the different cardiovascular complications. It is a cross-sectional study with 120 patients older than 18 years on hemodialysis. Abdominal obesity was defined as waist circumference > 94 cm in men and > 80 cm in women. The following were analyzed: socioeconomic and demographic parameters, lifestyle, initial renal disease, duration of hemodialysis, food consumption and body mass index (BMI), biological parameters (C-reactive protein (CRP), albumin, lipid profiles, serum calcium, phosphorus, parathyroid hormone), comorbidities: Diabetes, hypertension, stroke, coronary artery disease. Twenty-four patients had a BMI> 25. The prevalence of abdominal obesity was 20%. The sex Ratio was 0.71. The average age of our patients was 55.97 years [23-78 years]. Reduced physical activity was observed in 75% of patients. Duration in hemodialysis was 79 months. Hemoglobin (Hb) average was 8.9 g/dl, serum calcium was 2.25 mmol/l, serum phosphorus was 1.7 mmol/l, parathyroid hormone (PTH) was 412 pg/ml, albuminemia was 30.7 g/l, total cholesterol was 3.75 mmol/l and CRP was 15 U/l. Coronary artery disease was found in 20.8% of cases, stroke in 8.3% of cases, diabetes in 58.33% of cases and hypertension in 75% of cases. There was a high prevalence of abdominal obesity in hemodialysis patients. Obesity is recognized by its association with increased risk of cardiovascular disease and mortality. However in the paradoxical epidemiology, obesity becomes in chronic hemodialysis, a protective factor and is associated with better survival. Our study has a small population and cannot reach such a conclusion; further studies with larger numbers are needed to support this concept.

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“…A considerable number of patients undergoing dialysis are obese or much more than obese [11], [12]. However, in some epidemiologic studies, dialysis patients have demonstrated a paradoxically inverse association between obesity and mortality [5], [13], [14], [15], [16], [17].…”

Section: Introductionmentioning

confidence: 99%

Profile of Obesity and Comorbidities and their Correlation among Hemodialysis Patients, Elbasan

Elezi

Topi

Abazaj

2022

Open Access Maced J Med Sci

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INTRODUCTION: Nowadays, obesity is an enormous problem in the public health of undeveloped countries and developing countries. Being overweight, especially obesity in internal organs contributes to increased risk of metabolic and cardiovascular complications in patients with chronic kidney disease. There is no complete data available in our country on the correlation between obesity and comorbidity diseases among persons undergoing dialysis. So we do not know how BMI affects Diabetic or Cardio Vascular Disease (CVD) patients among dialysis patients. We, therefore, undertook this study to evaluate the association of obesity with mobility in hemodialysis patients at the Elbasan dialysis center. METHODOLOGY: This cross-sectional study was performed in 160 patients who have undergone the dialysis process at Elbasan Dialysis Center for three years (2016-2018). A standardized questionnaire was adopted to obtain data from all patients. The subjects were divided a priory into 4 categories based on the body mass index (BMI) (underweight <19, normal 19-25, pre-obese 25-30 and obese ≥30 kg/m2). Software SPSS version 20.0 is used to analyze and evaluate the data. Kaplan-Meier estimate were used to find the correlation between BMI with their prognostic abilities like cardiovascular disease and Diabetes Mellitus Type 2. We have considered statistically significant every p value less than 0.05. RESULT: Over all 160 patients, the men presented the highest number of cases compared to female 73.1% and 26.9% respectively. The mean age resulted 52.7 ± 15.6 years and age groups 50-59 years old and 60-69 years old with 29.4% and 34.3% respectively were the most frequent in this study. About the category of BMI index 8.8% patients resulted underweight, 45% were in normal weight, 28.2% were pre-obese and 6.6% were obese. We observed significant correlations between BMI and some of the demographic data such as: gender, age, place of residence, educational level, smoking and alcohol consumption for p <0.05. Changes in patient survival rates between BMI with DMT2 and cardiovascular disease are not statistically significant (long range p> 0.05). In terms of mortality, a strong significant correlation was observed with the age of 50-69 years and with the index of hemoglobin, urea and creatinine after dialysis with p value <0.05. CONCLUSION: In the paradoxical epidemiology, the overweight becomes chronic on hemodialysis patients and serves as a protective factor which is associated with better survival, but we weren`t found significant association between the BMI and some of the variables analyzed. This study presents a small number of chronic patients on hemodialysis center in Elbasan city. There is a need to better understand the reverse epidemiological causes in individuals on dialysis, which can help us improve the poor outcome in this population.

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Prevalence and associated factors with abdominal obesity in hemodialysis patients in Goiânia - GO

Abstract: There was a high prevalence of abdominal obesity in hemodialysis patients. Age greater than 40 years, lower socioeconomic classes, below the recommended protein intake and overweight were associated with abdominal obesity.

Cited by 6 publications

References 20 publications

Effects of Two Types of Protein Supplementation in Patients on Peritoneal Dialysis

Effects of Two Types of Protein Supplementation in Patients on Peritoneal Dialysis

Obesity in Hemodialysis Patients

Profile of Obesity and Comorbidities and their Correlation among Hemodialysis Patients, Elbasan

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