Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis

Dyslipidemia has been suggested to be one of the factors that contribute to the high incidence of cardiovascular disease in hemodialysis patients. Previous studies suggest that end-stage renal disease may contribute to dyslipidemia. The aim of the study: to assess the prevalence of dyslipidemia in p...

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Main Authors: Mohammed Ghazi Abdulhadi, Mohammed Omer Mohammed, Fenk Bakir Maarouf
Format: Article
Language:English
Published: Sulaimani Polytechnic University 2018-07-01
Series:Kurdistan Journal of Applied Research
Subjects:
Online Access:http://kjar.spu.edu.iq/index.php/kjar/article/view/208
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author Mohammed Ghazi Abdulhadi
Mohammed Omer Mohammed
Fenk Bakir Maarouf
author_facet Mohammed Ghazi Abdulhadi
Mohammed Omer Mohammed
Fenk Bakir Maarouf
author_sort Mohammed Ghazi Abdulhadi
collection DOAJ
description Dyslipidemia has been suggested to be one of the factors that contribute to the high incidence of cardiovascular disease in hemodialysis patients. Previous studies suggest that end-stage renal disease may contribute to dyslipidemia. The aim of the study: to assess the prevalence of dyslipidemia in patients on maintenance hemodialysis. Patients and Methods: A case-control study was conducted from February 2015 until August 2015 in Ibn-Sena teaching hospital on 100 participants (52 males and 48 females), 50 were patients with end-stage renal disease on regular hemodialysis and 50 were age and gender-matched apparently healthy subjects as the control. Questioner used to collect data, a thorough examination was done including height and weight and BMI. A blood sample from all participants in fasting state was sent for the renal function test, complete blood picture, serum albumin, electrolytes, TG, total cholesterol, LDL and HDL measured by the enzymatic method, plasma atherogenic index calculated as [log (TG/HDL)].   Results: Age of the participants ranged between 18 - 70 years and the mean age was (44.45 ± 13.6) years. In HD group, the mean cholesterol  was  (3.29 + 0.73) mmol/l, serum TG (2.38 ± 0.56) mmol/l, LDL (1.91 ± 0.66) mmol/l, HDL (0.88 ± 0.2) mmol/l, atherogenic index (0.434 ± 0.16), while in control group, the mean cholesterol  was (4.17 ± 0.69) mmol/l, serum TG (1.6 ± 0.43) mmol/l, LDL (2.69 ± 0.63 ) mmol/l, HDL (1.066 ± 0.13) mmol/l, atherogenic index (0.177 ± 0.12).  The lipid abnormalities in hemodialysis group were high plasma atherogenic index in 84%, hypertriglyceridemia 50%, hypercholesterolemia 8% and high LDL  6% and low HDL in 48%, while in control group, high plasma atherogenic index in 34%, hypertriglyceridemia in 26%, hypercholesterolemia 14% high LDL 7% and low HDL in 16%. Conclusions: patients with end-stage renal disease on hemodialysis have significant dyslipidemia compared to control group characterized by hypertriglyceridemia, low HDL and high atherogenic index of plasma.
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spelling doaj.art-cd7cfcc641644b6c84e4c7b42beba24d2022-12-22T00:27:37ZengSulaimani Polytechnic UniversityKurdistan Journal of Applied Research2411-76842411-77062018-07-0112312810.24017/10.24017/science.2018.2.20208Dyslipidemia among Patients with End Stage Renal Disease on Maintenance HemodialysisMohammed Ghazi Abdulhadi0Mohammed Omer Mohammed1Fenk Bakir Maarouf2Dep. of Medicine, Ibn Sina Teaching Hospital, Mousel, IraqDep. of Medicine, College of Medicine, University of Sulaimani, Kurdistan, IraqDep. of Biochemistry, College of Medicine, University of Sulaimani, Kurdistan, IraqDyslipidemia has been suggested to be one of the factors that contribute to the high incidence of cardiovascular disease in hemodialysis patients. Previous studies suggest that end-stage renal disease may contribute to dyslipidemia. The aim of the study: to assess the prevalence of dyslipidemia in patients on maintenance hemodialysis. Patients and Methods: A case-control study was conducted from February 2015 until August 2015 in Ibn-Sena teaching hospital on 100 participants (52 males and 48 females), 50 were patients with end-stage renal disease on regular hemodialysis and 50 were age and gender-matched apparently healthy subjects as the control. Questioner used to collect data, a thorough examination was done including height and weight and BMI. A blood sample from all participants in fasting state was sent for the renal function test, complete blood picture, serum albumin, electrolytes, TG, total cholesterol, LDL and HDL measured by the enzymatic method, plasma atherogenic index calculated as [log (TG/HDL)].   Results: Age of the participants ranged between 18 - 70 years and the mean age was (44.45 ± 13.6) years. In HD group, the mean cholesterol  was  (3.29 + 0.73) mmol/l, serum TG (2.38 ± 0.56) mmol/l, LDL (1.91 ± 0.66) mmol/l, HDL (0.88 ± 0.2) mmol/l, atherogenic index (0.434 ± 0.16), while in control group, the mean cholesterol  was (4.17 ± 0.69) mmol/l, serum TG (1.6 ± 0.43) mmol/l, LDL (2.69 ± 0.63 ) mmol/l, HDL (1.066 ± 0.13) mmol/l, atherogenic index (0.177 ± 0.12).  The lipid abnormalities in hemodialysis group were high plasma atherogenic index in 84%, hypertriglyceridemia 50%, hypercholesterolemia 8% and high LDL  6% and low HDL in 48%, while in control group, high plasma atherogenic index in 34%, hypertriglyceridemia in 26%, hypercholesterolemia 14% high LDL 7% and low HDL in 16%. Conclusions: patients with end-stage renal disease on hemodialysis have significant dyslipidemia compared to control group characterized by hypertriglyceridemia, low HDL and high atherogenic index of plasma.http://kjar.spu.edu.iq/index.php/kjar/article/view/208dyslipidemia, end-stage renal disease, hemodialysis, atherogenic index of plasma.
spellingShingle Mohammed Ghazi Abdulhadi
Mohammed Omer Mohammed
Fenk Bakir Maarouf
Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
Kurdistan Journal of Applied Research
dyslipidemia, end-stage renal disease, hemodialysis, atherogenic index of plasma.
title Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
title_full Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
title_fullStr Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
title_full_unstemmed Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
title_short Dyslipidemia among Patients with End Stage Renal Disease on Maintenance Hemodialysis
title_sort dyslipidemia among patients with end stage renal disease on maintenance hemodialysis
topic dyslipidemia, end-stage renal disease, hemodialysis, atherogenic index of plasma.
url http://kjar.spu.edu.iq/index.php/kjar/article/view/208
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