Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM)
Since 2 years all 265 incident patients in self-dialysis units were included in a prospective study. Every 6-months, clinical and biological nutritional evaluation was associated to a BCM measure. 205 pts have a complete set of data at start (age 60±16 years, BMI 25±5 kg/m2, albumin 37±4 g/L, prealb...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Nephrology
2012-06-01
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| Series: | Kidney Research and Clinical Practice |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211913212003877 |
| _version_ | 1818304813284196352 |
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| author | Stanislas Trolonge Philippe Chauveau Claude Desvergnes Nicole Larroumet Christian Combe |
| author_facet | Stanislas Trolonge Philippe Chauveau Claude Desvergnes Nicole Larroumet Christian Combe |
| author_sort | Stanislas Trolonge |
| collection | DOAJ |
| description | Since 2 years all 265 incident patients in self-dialysis units were included in a prospective study. Every 6-months, clinical and biological nutritional evaluation was associated to a BCM measure. 205 pts have a complete set of data at start (age 60±16 years, BMI 25±5 kg/m2, albumin 37±4 g/L, prealbumin 0.32±0.1 g/L, CRP median 5 mg/L), 135 pts at 6 mo and 56 pts at 2 years. Measures were performed before HD session to ensure stability and reproducibility of body fluid compartments by the same examiner. Lean and fat masses (lean tissue index: LTI, fat tissue index: FTI) were normalized by square body height and compared with a reference range derived from 2000 healthy controls, according to gender and age. 28% of pts had values of LTI below the 10th percentile. A linear correlation exists (p<0.001) between pre-dialysis creatinine level and LTI. Albumin or prealbumin were not predictive of sarcopenia. Prescribed post dialysis BW was underestimated in 25% of pts and 16% remain overhydrated. In stable patients repeated measures analysis reveal no significant variation of LTI even in case of reevaluation of BW and gain of BW is associated with fat mass increase. BCM is a simple tool in clinical practice to evaluate body composition and hydratation status and help to guide nutritional support. |
| first_indexed | 2024-12-13T06:16:39Z |
| format | Article |
| id | doaj.art-138597aaeff64c9cabe0da4c9f5a3ffd |
| institution | Directory Open Access Journal |
| issn | 2211-9132 |
| language | English |
| last_indexed | 2024-12-13T06:16:39Z |
| publishDate | 2012-06-01 |
| publisher | The Korean Society of Nephrology |
| record_format | Article |
| series | Kidney Research and Clinical Practice |
| spelling | doaj.art-138597aaeff64c9cabe0da4c9f5a3ffd2022-12-21T23:56:56ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322012-06-01312A2310.1016/j.krcp.2012.04.354Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM)Stanislas TrolongePhilippe ChauveauClaude DesvergnesNicole LarroumetChristian CombeSince 2 years all 265 incident patients in self-dialysis units were included in a prospective study. Every 6-months, clinical and biological nutritional evaluation was associated to a BCM measure. 205 pts have a complete set of data at start (age 60±16 years, BMI 25±5 kg/m2, albumin 37±4 g/L, prealbumin 0.32±0.1 g/L, CRP median 5 mg/L), 135 pts at 6 mo and 56 pts at 2 years. Measures were performed before HD session to ensure stability and reproducibility of body fluid compartments by the same examiner. Lean and fat masses (lean tissue index: LTI, fat tissue index: FTI) were normalized by square body height and compared with a reference range derived from 2000 healthy controls, according to gender and age. 28% of pts had values of LTI below the 10th percentile. A linear correlation exists (p<0.001) between pre-dialysis creatinine level and LTI. Albumin or prealbumin were not predictive of sarcopenia. Prescribed post dialysis BW was underestimated in 25% of pts and 16% remain overhydrated. In stable patients repeated measures analysis reveal no significant variation of LTI even in case of reevaluation of BW and gain of BW is associated with fat mass increase. BCM is a simple tool in clinical practice to evaluate body composition and hydratation status and help to guide nutritional support.http://www.sciencedirect.com/science/article/pii/S2211913212003877 |
| spellingShingle | Stanislas Trolonge Philippe Chauveau Claude Desvergnes Nicole Larroumet Christian Combe Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) Kidney Research and Clinical Practice |
| title | Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) |
| title_full | Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) |
| title_fullStr | Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) |
| title_full_unstemmed | Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) |
| title_short | Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM) |
| title_sort | long term survey of body composition in hemodialysis patients using the body composition monitor r bcm |
| url | http://www.sciencedirect.com/science/article/pii/S2211913212003877 |
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