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

López‐Gómez, Juan M.; Villaverde, Maite; Jofre, R.; Rodríguez-Benítez, Patrocinio; Pérez‐García, Rafael

doi:10.1111/j.1523-1755.2005.09314.x

Cited by 117 publications

(159 citation statements)

References 37 publications

(45 reference statements)

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“…A secondary goal of the project was to determine whether the intervention had positive effects on QOL and fluid compliance, which have been shown to be associated with survival. 29,30 …”

mentioning

confidence: 99%

Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis

Cukor¹,

Halen²,

Asher³

et al. 2014

Journal of the American Society of Nephrology

208

234

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Patients with ESRD have high rates of depression, which is associated with diminished quality of life and survival. We determined whether individual cognitive behavioral therapy (CBT) reduces depression in hemodialysis patients with elevated depressive affect in a randomized crossover trial. Of 65 participants enrolled from two dialysis centers in New York, 59 completed the study and were assigned to the treatment-first group (n=33) or the wait-list control group (n=26). In the intervention phase, CBT was administered chairside during dialysis treatments for 3 months; participants were assessed 3 and 6 months after randomization. Compared with the wait-list group, the treatment-first group achieved significantly larger reductions in Beck Depression Inventory II (self-reported, P=0.03) and Hamilton Depression Rating Scale (clinician-reported, P,0.001) scores after intervention. Mean scores for the treatment-first group did not change significantly at the 3-month follow-up. Among participants with depression diagnosed at baseline, 89% in the treatment-first group were not depressed at the end of treatment compared with 38% in the wait-list group (Fisher's exact test, P=0.01). Furthermore, the treatment-first group experienced greater improvements in quality of life, assessed with the Kidney Disease Quality of Life Short Form (P=0.04), and interdialytic weight gain (P=0.002) than the wait-list group, although no effect on compliance was evident at follow-up. In summary, CBT led to significant improvements in depression, quality of life, and prescription compliance in this trial, and studies should be undertaken to assess the long-term effects of CBT on morbidity and mortality in patients with ESRD.

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“…A secondary goal of the project was to determine whether the intervention had positive effects on QOL and fluid compliance, which have been shown to be associated with survival. 29,30 …”

mentioning

confidence: 99%

Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis

Cukor¹,

Halen²,

Asher³

et al. 2014

Journal of the American Society of Nephrology

208

234

View full text Add to dashboard Cite

show abstract

“…8,9,13 Os dados encontrados na literatura têm demonstrado que a presença de DM influencia no aumento do GPID, 10,14 porém nossos pacientes com DM apresentaram menor %GPID. Acreditamos que este achado pode ser explicado pelo fato destes pacientes terem idade mais avançada e por talvez estarem com o DM bem controlado, já que foi observado que o aumento do %GPID está relacionado ao mau controle deste distúrbio.…”

Section: Discussionunclassified

“…Esta relação inversa foi encontrada em diversos trabalhos. 9 Outros autores também encontraram relação inversa do GPID com IMC, 16 direta com a PAS pré-HD 9,10,16 e com tempo de HD. 16 O fato de pacientes com maior tempo em tratamento hemodialítico apresentarem maior GPID não foi bem elucidado.…”

Section: Discussionunclassified

“…Em um trabalho em que 134 pacientes em HD foram seguidos por 5 anos, pacientes com maior GPID apresentaram maior índice de massa corporal (IMC) e menor taxa de mortalidade. 9 Em contrapartida, um estudo 10 com 44.114 pacientes acompanhados por 1 ano, encontrou aumento da mortalidade relacionado ao GPID apenas em pacientes com IMC superior a 25,2 kg/m 2 .…”

Section: Introductionunclassified

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Fatores relacionados ao ganho de peso interdialítico em pacientes em hemodiálise

Nerbass¹,

Morais²,

Santos³

et al. 2011

J. Bras. Nefrol.

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“…Excessive fluid and salt intake lead to dyspnea, generalized edema, heart failure (HF), pulmonary edema and ultimately lead to weight gain. 2 IDWG will vary individually and it is 5% less than body weight usually seen in the range between 2 -3.5 kg. 3 Controlling IDWG is the main problem in patients undergoing maintenance HD.…”

Section: Introductionmentioning

confidence: 99%

Impact of Patient Education on Interdialytic Weight Gain and Blood Pressure in Patients Undergoing Hemodialysis

Veetil¹,

Kamath²,

Mateti³

2017

IJPER

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Objectives:To assess the impact of patient education on Interdialytic Weight Gain (IDWG) and Blood Pressure (DBP) in patients undergoing hemodialysis (HD). Materials and Methods: A Quasi experimental Pre and Post study design was conducted in an outpatient HD unit among 50 patients who were undergoing maintenance HD. The patients were educated by using validated educational material. The data on IDWG, Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) were collected at baseline, 4 th week, 10 th week and 16 th week. The paired sample t-test was applied to assess the mean change in difference from baseline to 16 th week with p value less than 0.05 was considered as statistically significant. Results: The mean SBP was significantly reduced from baseline (151.60 ± 19.99 mmHg) to 16 th week (144 ± 15.70 mmHg) with p value 0.021 in pre HD patients and also in post HD patients from baseline (157 ± 21.65 mmHg) to 16 th week (144.62 ± 16.03 mmHg) with p value 0.001. The mean Pre and Post IDWG was significantly reduced after the patient education from baseline (3.44 ± 1.36 kg) to the end of the study i.e. 16 th week (2.76 ± 0.90 kg) with p value 0.001 in the HD session patients. Conclusion: The small group education in patients undergoing HD leads to decrease in IDWG, SBP in Pre and Post-HD sessions patients and DBP in Post-HD session patients significantly from baseline to post education but DBP in Post-HD patients were not reduced significantly.

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

Cited by 117 publications

References 37 publications

Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis

Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis

Fatores relacionados ao ganho de peso interdialítico em pacientes em hemodiálise

Impact of Patient Education on Interdialytic Weight Gain and Blood Pressure in Patients Undergoing Hemodialysis

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