Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients

Purpuse: It has been postulated that fluid overload and lipid metabolic derangement is more common in peritoneal dialysis (PD) patients than in hemodialysis (HD) patients. The purpose of this study was to evaluate the differences in body composition in HD and PD patients. Methods: We compared whole...

Full description

Bibliographic Details
Main Authors: M.H. Chang, E.A. Hwang, S.B., Park H.C.Kim
Format: Article
Language:English
Published: The Korean Society of Nephrology 2012-06-01
Series:Kidney Research and Clinical Practice
Online Access:http://www.sciencedirect.com/science/article/pii/S2211913212004408
_version_ 1818446259536527360
author M.H. Chang
E.A. Hwang, S.B.
Park H.C.Kim
author_facet M.H. Chang
E.A. Hwang, S.B.
Park H.C.Kim
author_sort M.H. Chang
collection DOAJ
description Purpuse: It has been postulated that fluid overload and lipid metabolic derangement is more common in peritoneal dialysis (PD) patients than in hemodialysis (HD) patients. The purpose of this study was to evaluate the differences in body composition in HD and PD patients. Methods: We compared whole body composition using bioimpedence analysis (BIA) in 14 hemodialysis patients and 14 peritoneal dialysis patients. BIA was performed at 1, 3, 6, and 12 months after initiation of HD or PD Results: Compared with HD patients, PD patients had a higher ratio of extracellular fluid/total body fluid at 12 months (0.39 vs 0.34, p<0.05) and a lower level of serum albumin (3.6 g/dL vs. 3.9 g/dL, p<0.05). There were no differences in skeletal muscle mass, body fat mass, visceral fat area or serum total cholesterol level between HD and PD patients. Conclusions: Extracellular fluid overload and hypoalbuminemia were more common in PD patients than in HD patients. Serial assessment and monitoring of nutrition and volume status are needed for early recognition and management in these patients
first_indexed 2024-12-14T19:44:53Z
format Article
id doaj.art-fa1f43604366448aaa80c92b92a32537
institution Directory Open Access Journal
issn 2211-9132
language English
last_indexed 2024-12-14T19:44:53Z
publishDate 2012-06-01
publisher The Korean Society of Nephrology
record_format Article
series Kidney Research and Clinical Practice
spelling doaj.art-fa1f43604366448aaa80c92b92a325372022-12-21T22:49:36ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322012-06-01312A3710.1016/j.krcp.2012.04.407Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis PatientsM.H. ChangE.A. Hwang, S.B.Park H.C.KimPurpuse: It has been postulated that fluid overload and lipid metabolic derangement is more common in peritoneal dialysis (PD) patients than in hemodialysis (HD) patients. The purpose of this study was to evaluate the differences in body composition in HD and PD patients. Methods: We compared whole body composition using bioimpedence analysis (BIA) in 14 hemodialysis patients and 14 peritoneal dialysis patients. BIA was performed at 1, 3, 6, and 12 months after initiation of HD or PD Results: Compared with HD patients, PD patients had a higher ratio of extracellular fluid/total body fluid at 12 months (0.39 vs 0.34, p<0.05) and a lower level of serum albumin (3.6 g/dL vs. 3.9 g/dL, p<0.05). There were no differences in skeletal muscle mass, body fat mass, visceral fat area or serum total cholesterol level between HD and PD patients. Conclusions: Extracellular fluid overload and hypoalbuminemia were more common in PD patients than in HD patients. Serial assessment and monitoring of nutrition and volume status are needed for early recognition and management in these patientshttp://www.sciencedirect.com/science/article/pii/S2211913212004408
spellingShingle M.H. Chang
E.A. Hwang, S.B.
Park H.C.Kim
Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
Kidney Research and Clinical Practice
title Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
title_full Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
title_fullStr Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
title_full_unstemmed Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
title_short Nutrition Status And Body Composition In Hemodialysis Versus Peritoneal Dialysis Patients
title_sort nutrition status and body composition in hemodialysis versus peritoneal dialysis patients
url http://www.sciencedirect.com/science/article/pii/S2211913212004408
work_keys_str_mv AT mhchang nutritionstatusandbodycompositioninhemodialysisversusperitonealdialysispatients
AT eahwangsb nutritionstatusandbodycompositioninhemodialysisversusperitonealdialysispatients
AT parkhckim nutritionstatusandbodycompositioninhemodialysisversusperitonealdialysispatients