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[Heart failure and nutritional status in hemodialysis].
Recenti Prog Med. 2001 Nov; 92(11):655-9.RP

Abstract

Left ventricular function is impaired in long-term maintenance dialysis as a consequence of several inter-related conditions. Aim of the study was to assess if different degree of malnutrition can affect diastolic and systolic function of dialysis patients. Bio-electrical whole-body multifrequency impedance analysis (BIA) allows a dynamic assessment of body composition according to a multi-compartment model. This allows an assessment of lean (FFM) and fat mass (FAT), metabolically active cell mass (BCM) and a BIA Nutritional Index (NI). We studied 73 patients (53 M, 20 F), aged 54.41 +/- 3.1 yrs, on maintenance bicarbonate dialysis since 57.3 +/- 61.8 mths, by BIA, performed before and after a dialysis. I-PTH and serum albumin are correlated (r = -0.55, p < 0.001); the same trend is shown by I-PTH vs fat free mass (r = -0.47, p < 0.001) and vs NI (r = -0.51, p < 0.001). Ejection fraction (EF) is correlated with age (r = -0.50, p < 0.001) and with I-PTH (r = -0.59, p < 0.001). Moreover, albumin and EF are closely related (r = 0.36, p < 0.01), as well as EF vs FFM (r = 0.47, p < 0.001), and EF vs NI (r = 0.37, p < 0.01). A/E ratio, assumed as index of left ventricular diastolic function, shows a correlation vs albumin (r = -0.33, p < 0.01), BCM (r = -0.34, p < 0.01) and NI (r = -0.40, p < 0.01), but not with I-PTH. Malnutrition, defined both by BIA measurements and lower serum albumin, could exert unfavourable effects on left ventricular systolic and diastolic function of patients on long-term haemodialysis, even independently by hyperparathyroidism.

Authors+Show Affiliations

Istituto di Medicina Interna e Terapia Medica, Università, Catania. guglielmotrovato@mbox.unict.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ita

PubMed ID

11765656

Citation

Trovato, G M., et al. "[Heart Failure and Nutritional Status in Hemodialysis]." Recenti Progressi in Medicina, vol. 92, no. 11, 2001, pp. 655-9.
Trovato GM, Iannetti E, Catalano D, et al. [Heart failure and nutritional status in hemodialysis]. Recenti Prog Med. 2001;92(11):655-9.
Trovato, G. M., Iannetti, E., Catalano, D., Squatrito, R., Vitale, M., & Zuccalà, G. (2001). [Heart failure and nutritional status in hemodialysis]. Recenti Progressi in Medicina, 92(11), 655-9.
Trovato GM, et al. [Heart Failure and Nutritional Status in Hemodialysis]. Recenti Prog Med. 2001;92(11):655-9. PubMed PMID: 11765656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Heart failure and nutritional status in hemodialysis]. AU - Trovato,G M, AU - Iannetti,E, AU - Catalano,D, AU - Squatrito,R, AU - Vitale,M, AU - Zuccalà,G, PY - 2002/1/5/pubmed PY - 2002/8/1/medline PY - 2002/1/5/entrez SP - 655 EP - 9 JF - Recenti progressi in medicina JO - Recenti Prog Med VL - 92 IS - 11 N2 - Left ventricular function is impaired in long-term maintenance dialysis as a consequence of several inter-related conditions. Aim of the study was to assess if different degree of malnutrition can affect diastolic and systolic function of dialysis patients. Bio-electrical whole-body multifrequency impedance analysis (BIA) allows a dynamic assessment of body composition according to a multi-compartment model. This allows an assessment of lean (FFM) and fat mass (FAT), metabolically active cell mass (BCM) and a BIA Nutritional Index (NI). We studied 73 patients (53 M, 20 F), aged 54.41 +/- 3.1 yrs, on maintenance bicarbonate dialysis since 57.3 +/- 61.8 mths, by BIA, performed before and after a dialysis. I-PTH and serum albumin are correlated (r = -0.55, p < 0.001); the same trend is shown by I-PTH vs fat free mass (r = -0.47, p < 0.001) and vs NI (r = -0.51, p < 0.001). Ejection fraction (EF) is correlated with age (r = -0.50, p < 0.001) and with I-PTH (r = -0.59, p < 0.001). Moreover, albumin and EF are closely related (r = 0.36, p < 0.01), as well as EF vs FFM (r = 0.47, p < 0.001), and EF vs NI (r = 0.37, p < 0.01). A/E ratio, assumed as index of left ventricular diastolic function, shows a correlation vs albumin (r = -0.33, p < 0.01), BCM (r = -0.34, p < 0.01) and NI (r = -0.40, p < 0.01), but not with I-PTH. Malnutrition, defined both by BIA measurements and lower serum albumin, could exert unfavourable effects on left ventricular systolic and diastolic function of patients on long-term haemodialysis, even independently by hyperparathyroidism. SN - 0034-1193 UR - https://www.unboundmedicine.com/medline/citation/11765656/[Heart_failure_and_nutritional_status_in_hemodialysis]_ L2 - https://medlineplus.gov/heartfailure.html DB - PRIME DP - Unbound Medicine ER -