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The Influence of Glucose Exposure Load and Peritoneal Membrane Transport on Body Composition and Nutritional Status Changes after 1 Year on Peritoneal Dialysis.
Caron-Lienert, Rafaela Siviero; Poli-de-Figueiredo, Carlos Eduardo; Figueiredo, Ana Elizabeth Prado Lima; da Costa, Bartira Ercília Pinheiro; Crepaldi, Carlo; Pizzato, Alessandra Campani; Ferrari, Fiorenza; Giuliani, Anna; Ronco, Claudio.
Afiliação
  • Caron-Lienert RS; Pontifical Catholic University of Rio Grande do Sul, Rio Grande do Sul, Brazil rafaelacaron@terra.com.br.
  • Poli-de-Figueiredo CE; International Renal Research Institute of Vicenza, Italy.
  • Figueiredo AEPL; Pontifical Catholic University of Rio Grande do Sul, Rio Grande do Sul, Brazil.
  • da Costa BEP; Pontifical Catholic University of Rio Grande do Sul, Rio Grande do Sul, Brazil.
  • Crepaldi C; Pontifical Catholic University of Rio Grande do Sul, Rio Grande do Sul, Brazil.
  • Pizzato AC; International Renal Research Institute of Vicenza, Italy.
  • Ferrari F; Pontifical Catholic University of Rio Grande do Sul, Rio Grande do Sul, Brazil.
  • Giuliani A; International Renal Research Institute of Vicenza, Italy.
  • Ronco C; International Renal Research Institute of Vicenza, Italy.
Perit Dial Int ; 37(4): 458-463, 2017.
Article em En | MEDLINE | ID: mdl-28408713
BACKGROUND: The characteristics of peritoneal membrane transport differ among patients, affecting the prescription of peritoneal dialysis (PD) modality and glucose exposure in order to achieve an effective dialysis. This study aims to verify the influence of glucose exposure load and peritoneal membrane transport on body composition and nutritional status changes after the first year of PD. METHODS: We examined a cohort of 85 incident PD patients during the first year of treatment. We established a cut-off of 5% to define changes in dry weight (DW), lean tissue mass (LTM), and fat mass (FM). RESULTS: In total, 50.6% of the patients presented DW gain, 41.2% showed LTM loss, and 65.9% presented FM gain. Over the time (T0 - T12), we found significant differences in DW, body mass index (BMI), adipose tissue mass (ATM), FM and fat tissue index (FTI). Patients with lower dialysate-to-plasma creatinine ratio showed DW and FM gain. We observed a higher percentage of nonfast transporters in DW gain when comparing with DW no gain. As for glucose exposure load, no body composition changes were seen. CONCLUSIONS: Most patients presented DW gain, FM gain, and LTM loss. The characteristics of peritoneal membrane transport affected DW during the first year, changes being greater in nonfast than in fast transporters.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Peritônio / Composição Corporal / Soluções para Diálise / Diálise Peritoneal / Glucose / Falência Renal Crônica Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Perit Dial Int Assunto da revista: NEFROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Peritônio / Composição Corporal / Soluções para Diálise / Diálise Peritoneal / Glucose / Falência Renal Crônica Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Perit Dial Int Assunto da revista: NEFROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos