Kidney Research and Clinical Practice

  • 제37권4호
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  • Pages.393-403
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  • 2018
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  • 2211-9132(pISSN)
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  • 2211-9140(eISSN)
대한신장학회 (Korean Society of Nephrology)
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Changes in bioimpedance analysis components before and after hemodialysis

  • Kim, Hyunsuk (Division of Nephrology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Gwang Ho (Division of Nephrology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Shim, Kwang Eon (Division of Nephrology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jung Hoon (Division of Nephrology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Heo, Nam Ju (Department of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center) ;
  • Joo, Kwon-Wook (Department of Internal Medicine, Seoul National University Hospital) ;
  • Yoon, Jong-Woo (Division of Nephrology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Oh, Yun Kyu (Department of Internal Medicine, Seoul National University Boramae Medical Center)
  • 투고 : 2018.04.23
  • 심사 : 2018.08.21
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Background: This study compared nutritional parameters in hemodialysis (HD) subjects and controls using bioimpedance analysis (BIA) and investigated how BIA components changed before and after HD. Methods: This cross-sectional study included 147 subjects on maintenance HD from two hospitals and 298 propensity score-matched controls from one healthcare center. BIA was performed pre- and post-HD at mid-week dialysis sessions. Results: Extracellular water/total body water (ECW/TBW) and waist-hip ratio were higher in the HD patients; the other variables were higher in the control group. The cardiothoracic ratio correlated best with overhydration (r = 0.425, P < 0.01) in HD subjects. Blood pressure, hemoglobin, creatinine, and uric acid positively correlated with the lean tissue index in controls; however, most of these nutritional markers did not show significant correlations in HD subjects. Normal hydrated weight was predicted to be higher in the pre-HD than post-HD measurements. Predicted ultrafiltration (UF) volume difference based on pre- and post-HD ECW/TBW and measured UF volume difference showed a close correlation ($r^2=0.924$, P < 0.01). Remarkably, the leg phase angle increased in the post-HD period. Conclusion: The estimated normal hydrated weight using ECW/TBW can be a good marker for determining dry weight. HD subjects had higher ECW/TBW but most nutritional indices were inferior to those of controls. It was possible to predict UF volume differences using BIA, but the post-HD increase in leg phase angle, a nutritional marker, must be interpreted with caution.

키워드

과제정보

연구 과제 주관 기관 : National Research Foundation

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  8. Body Composition Changes Following Dialysis Initiation and Cardiovascular and Mortality Outcomes in CRIC (Chronic Renal Insufficiency Cohort): A Bioimpedance Analysis Substudy vol.3, pp.3, 2018, https://doi.org/10.1016/j.xkme.2020.12.008