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Different pattern of fluid loss from the lower extremities in normohydrated and overhydrated stage 5 chronic-kidney-disease patients after haemodialysis.
Nephrology (Carlton). 2008 Apr; 13(2):109-15.N

Abstract

AIM

It is unclear whether fluid is lost from each body segment in a similar manner during haemodialysis (HD) in normohydrated (NH) and overhydrated (OH) patients.

METHODS

The authors measured changes in regional-body fluid compartments using segmental multifrequency bioelectrical impedance analysis before and after HD in 26 stage 5 chronic-kidney-disease patients. Patients were divided into NH and OH groups. Correlation between ultrafiltration (UF) amount and per cent changes in extracellular fluid (ECF)/total body water (TBW) ratios measured in five body segments were analysed in NH and OH groups.

RESULTS

No differences were found between the two groups with respect to per cent decreases in body weight, TBW, or intracellular fluid levels. Correlation coefficients between UF amounts and per cent decreases in TBW, intracellular fluid and ECF were higher in the NH group than in the OH group. UF amounts were found to be correlated with per cent ECF/TBW decreases in all body segments in the NH group but, to be only correlated with per cent decreases in ECF/TBW(Left arm) and ECF/TBW(Trunk) in the OH group. Positive correlations were found between UF amounts and per cent ECF/TBW(Right leg) decreases (r = 0.66, P = 0.01), regardless of age in the NH group only.

CONCLUSION

NH and OH patients show different patterns of fluid loss from regional-body fluid compartments. This may be useful for determining patient hydration status.

Authors+Show Affiliations

Division of Nephrology and Hypertension, Department of Internal Medicine, Kidney Disease Research Group, Inha University College of Medicine, Inchon, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

18275498

Citation

Lee, Seoung Woo, et al. "Different Pattern of Fluid Loss From the Lower Extremities in Normohydrated and Overhydrated Stage 5 Chronic-kidney-disease Patients After Haemodialysis." Nephrology (Carlton, Vic.), vol. 13, no. 2, 2008, pp. 109-15.
Lee SW, Park GH, Lee SW, et al. Different pattern of fluid loss from the lower extremities in normohydrated and overhydrated stage 5 chronic-kidney-disease patients after haemodialysis. Nephrology (Carlton). 2008;13(2):109-15.
Lee, S. W., Park, G. H., Lee, S. W., Um, W. H., Kwon, S. H., Song, J. H., & Kim, M. J. (2008). Different pattern of fluid loss from the lower extremities in normohydrated and overhydrated stage 5 chronic-kidney-disease patients after haemodialysis. Nephrology (Carlton, Vic.), 13(2), 109-15. https://doi.org/10.1111/j.1440-1797.2007.00832.x
Lee SW, et al. Different Pattern of Fluid Loss From the Lower Extremities in Normohydrated and Overhydrated Stage 5 Chronic-kidney-disease Patients After Haemodialysis. Nephrology (Carlton). 2008;13(2):109-15. PubMed PMID: 18275498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Different pattern of fluid loss from the lower extremities in normohydrated and overhydrated stage 5 chronic-kidney-disease patients after haemodialysis. AU - Lee,Seoung Woo, AU - Park,Geun Ho, AU - Lee,Seung Won, AU - Um,Wook Hyun, AU - Kwon,Su Hyun, AU - Song,Joon Ho, AU - Kim,Moon-Jae, PY - 2008/2/16/pubmed PY - 2008/3/28/medline PY - 2008/2/16/entrez SP - 109 EP - 15 JF - Nephrology (Carlton, Vic.) JO - Nephrology (Carlton) VL - 13 IS - 2 N2 - AIM: It is unclear whether fluid is lost from each body segment in a similar manner during haemodialysis (HD) in normohydrated (NH) and overhydrated (OH) patients. METHODS: The authors measured changes in regional-body fluid compartments using segmental multifrequency bioelectrical impedance analysis before and after HD in 26 stage 5 chronic-kidney-disease patients. Patients were divided into NH and OH groups. Correlation between ultrafiltration (UF) amount and per cent changes in extracellular fluid (ECF)/total body water (TBW) ratios measured in five body segments were analysed in NH and OH groups. RESULTS: No differences were found between the two groups with respect to per cent decreases in body weight, TBW, or intracellular fluid levels. Correlation coefficients between UF amounts and per cent decreases in TBW, intracellular fluid and ECF were higher in the NH group than in the OH group. UF amounts were found to be correlated with per cent ECF/TBW decreases in all body segments in the NH group but, to be only correlated with per cent decreases in ECF/TBW(Left arm) and ECF/TBW(Trunk) in the OH group. Positive correlations were found between UF amounts and per cent ECF/TBW(Right leg) decreases (r = 0.66, P = 0.01), regardless of age in the NH group only. CONCLUSION: NH and OH patients show different patterns of fluid loss from regional-body fluid compartments. This may be useful for determining patient hydration status. SN - 1440-1797 UR - https://www.unboundmedicine.com/medline/citation/18275498/Different_pattern_of_fluid_loss_from_the_lower_extremities_in_normohydrated_and_overhydrated_stage_5_chronic_kidney_disease_patients_after_haemodialysis_ L2 - https://doi.org/10.1111/j.1440-1797.2007.00832.x DB - PRIME DP - Unbound Medicine ER -