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Influence of inflammation on total energy expenditure in hemodialysis patients.
- Source :
-
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation [J Ren Nutr] 2011 Sep; Vol. 21 (5), pp. 387-93. Date of Electronic Publication: 2011 Jan 15. - Publication Year :
- 2011
-
Abstract
- Background and Objectives: Studies show that inflammation can contribute to an increase in resting energy expenditure in patients with chronic kidney disease; however, findings about total energy expenditure (TEE) have not been reported. The aim of this study was to evaluate the effects of inflammation on TEE and physical activity energy expenditure in hemodialysis (HD) patients.<br />Design: This was a cross-sectional study.<br />Setting: This study was conducted from Hôpital Edouard Herriot, Lyon, France.<br />Patients: This study included 24 HD patients and 18 healthy subjects.<br />Main Outcome Measure: TEE and step counts were measured over a 7-day period by the SenseWear Pro2 Armband in 24 HD patients (15 patients with C-reactive protein <5 mg/L, aged 67.0 ± 14.7 years, and 9 with C-reactive protein >5 mg/L, aged 69.0 ± 18.0 years) and compared with 18 healthy subjects (62.3 ± 15.3 years).<br />Results: Mean estimated TEE measured with SenseWear Pro2 Armband was significantly lower (25.5 ± 4.1 kcal/kg/day) in patients with inflammation when compared with those without inflammation (32.0 ± 6.7 kcal/kg/day) and with healthy subjects (31.8 ± 7.0 kcal/kg/day) (P = .012). There was a difference in the physical activity (step counts) between patient groups (P < .05). Healthy subjects and patients without inflammation walked more (8,107 ± 5,419 and 6,016 ± 3,752 steps/day, respectively) as compared with patients with inflammation (2,801 ± 2,754 steps/day, P = .001).<br />Conclusion: Our findings suggest that patients with inflammation have a lower TEE when compared with healthy subjects and patients without inflammation. TEE is influenced by physical activity because patients with inflammation appear to be less active.<br /> (Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
C-Reactive Protein analysis
Calorimetry, Indirect
Case-Control Studies
Cross-Sectional Studies
Female
France
Humans
Kidney Failure, Chronic complications
Male
Middle Aged
Nutrition Assessment
Rest
Energy Metabolism
Inflammation physiopathology
Kidney Failure, Chronic physiopathology
Motor Activity
Renal Dialysis
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8503
- Volume :
- 21
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
- Publication Type :
- Academic Journal
- Accession number :
- 21239181
- Full Text :
- https://doi.org/10.1053/j.jrn.2010.09.006