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Malnutrition in hemodialysis diabetic patients: evaluation and prognostic influence
- Source :
- Kidney International, Kidney International, Nature Publishing Group, 2002, 62 (2), pp.593-601. ⟨10.1046/j.1523-1755.2002.00457.x⟩, Kidney International, 2002, 62 (2), pp.593-601. ⟨10.1046/j.1523-1755.2002.00457.x⟩
- Publication Year :
- 2002
- Publisher :
- HAL CCSD, 2002.
-
Abstract
- Malnutrition in hemodialysis diabetic patients: Evaluation and prognostic influence.BackgroundThis work aimed to evaluate the role of malnutrition in the increased mortality rate of hemodialysis diabetic patients from a French cooperative series.MethodsBody mass index (BMI), serum albumin, prealbumin, cholesterol, and pre-dialysis creatinine, normalized protein catabolic rate and lean body mass (LBM) were measured in 734 diabetic and 6389 non-diabetic patients (aged 63.4 ± 12.2 and 62.0 ± 15.9 years; 1.01 male to 1.40 female ratio). The outcome of 1610 of these patients, including 170 diabetics, was assessed during a 30-month follow-up.ResultsDiabetic as compared to non-diabetic patients showed a significant (P < 10-4) increased BMI (25.9 ± 5.2 vs. 23.1 ± 4.3) and cholesterol (5.5 ± 1.6 vs. 5.3 ± 1.5 mmol/L), and decreased albumin (37.8 ± 5.4 vs. 38.9 ± 5.3 g/L), prealbumin (317 ± 91 vs. 340 ± 94 mg/L), creatinine (711 ± 184 vs. 816 ± 217 μmol/L) and LBM (76 ± 18 vs. 87 ± 21%). Normalized protein catabolic rate was similar in the two groups (1.11 ± 0.31 vs. 1.13 ± 0.32 g/kg/L). One and two-year survival was 83.7 ± 2.9% and 65.5 ± 3.8% in diabetic patients versus 90.3 ± 0.8% and 79.9 ± 1.1% in non-diabetics (relative risk 1.26, P < 0.01). Independent predictors of survival were age, albumin and prealbumin in non-diabetics and only age in diabetics.ConclusionDiabetic patients compared to non-diabetics were characterized by an increased incidence of protein malnutrition and decreased survival. However, the higher death risk associated with diabetes was not related to malnutrition.
- Subjects :
- Male
dialysis in France
protein status
medicine.medical_treatment
030232 urology & nephrology
030204 cardiovascular system & hematology
Gastroenterology
Body Mass Index
chemistry.chemical_compound
0302 clinical medicine
Diabetic Nephropathies
MESH: Renal Dialysis
Longitudinal Studies
Prospective Studies
MESH: Incidence
MESH: Longitudinal Studies
2. Zero hunger
MESH: Aged
MESH: Middle Aged
Mortality rate
Incidence
MESH: Follow-Up Studies
Middle Aged
Prognosis
MESH: Nutrition Assessment
3. Good health
Nephrology
MESH: Survival Analysis
diabetes mellitus
Female
Hemodialysis
medicine.medical_specialty
MESH: Diabetic Nephropathies
malnutrition
Protein-Energy Malnutrition
MESH: Prognosis
Nephropathy
MESH: Body Mass Index
03 medical and health sciences
MESH: Cross-Sectional Studies
Renal Dialysis
Diabetes mellitus
Internal medicine
diet and dialysis
medicine
[SDV.BBM] Life Sciences [q-bio]/Biochemistry, Molecular Biology
Humans
death and diabetes
[SDV.BBM]Life Sciences [q-bio]/Biochemistry, Molecular Biology
mortality and hemodialysis
Aged
Creatinine
MESH: Humans
business.industry
medicine.disease
Survival Analysis
MESH: Male
MESH: Prospective Studies
MESH: Protein-Energy Malnutrition
Endocrinology
Cross-Sectional Studies
Nutrition Assessment
chemistry
Lean body mass
business
Body mass index
MESH: Female
Kidney disease
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 00852538 and 15231755
- Database :
- OpenAIRE
- Journal :
- Kidney International, Kidney International, Nature Publishing Group, 2002, 62 (2), pp.593-601. ⟨10.1046/j.1523-1755.2002.00457.x⟩, Kidney International, 2002, 62 (2), pp.593-601. ⟨10.1046/j.1523-1755.2002.00457.x⟩
- Accession number :
- edsair.doi.dedup.....8e15d0328ef3db26f797f444ec4c291a