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Comparison of nutritional parameters among adult and elderly hemodialysis patients.

Çelik G, Oc B, Kara I, Yılmaz M, Yuceaktas A, Apiliogullari S - Int J Med Sci (2011)

Bottom Line: In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65).Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults.These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

View Article: PubMed Central - PubMed

Affiliation: Department Internal Medicine, Division of Nephrology, Faculty of Medicine, Selcuk University, Konya, Turkey. gulpericelik@gmail.com

ABSTRACT

Aim: The aim of this study was to compare the nutritional biochemical parameters, prealbumin levels, and bioimpedance analysis parameters of adult and elderly hemodialysis (HD) patients.

Methods: This prospective cross-sectional study included 50 adult HD patients (42.0 % female). Nutritional status was assessed by post-dialysis multifrequency bioimpedance analysis (BIA), serum prealbumin and other nutritional biochemical parameters.

Results: Mean age of patients was 57.4±15.1 years (range: 30-83 years) and mean dialysis duration was 68.3 ± 54.5 months (range: 3-240 months). When the patients were divided into two groups according to age of patients (<65 and ≥65), prealbumin (p=0.003), blood urea nitrogen (BUN) (p=0.000), serum creatinine (p=0.013), albumin (p=0.016), protein catabolic rate per normalized body weight (nPCR) (p=0.001), intracellular water (ICW)/total body weight (0.003) , body fat mass (p00.000), lean body mass (p=0.031), lean dry mass (p=0.001), illness marker (p=0.005), basal metabolism (p=0.007), body mass index (BMI) (p=0.028), body fat mass index (BFMI) (p=0.000), fat free mass index (FFMI) (p=0.040) values were significantly different between the groups. In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65). Additionally, in the elderly patients, prealbumin, BUN, creatinine, albumin, nPCR, ICW/ total body weight, lean body weight, lean dry weight, basal metabolism and FFMI were lower than adult patients.

Conclusions: Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults. These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

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The correlation between prealbumin levels and lean body mass
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Figure 1: The correlation between prealbumin levels and lean body mass

Mentions: The study included 50 HD patients (42.0 % female), with a mean of 57.4±15.1 years (range: 30-83 years) and a mean HD duration of 68.3 ± 54.5 months (range: 3-240 months). The patients divided into two groups according to age of patients (age<65 and age≥65), and demographic clinical characteristics of the groups were presented in Table 1. Prealbumin levels correlated with age (r=-0.510, p=0.000), nPCR (r=0.569, p=0.000), body fat mass (r=-0.289, p=0.042), lean body mass (r=0.399,p=0.004) (figure 1), lean dry mass (r=0.578, p=0.000), ICW (r=0.320, p=0.040), body cell mass (r=0.347, p=0.016) (figure 2), nutrition index (ECW/TBW ratio) (r=-0.477, p=0.001), illness marker (r=-0.387, p=0.007) and BFMI (r=-0.321, p=0.023).


Comparison of nutritional parameters among adult and elderly hemodialysis patients.

Çelik G, Oc B, Kara I, Yılmaz M, Yuceaktas A, Apiliogullari S - Int J Med Sci (2011)

The correlation between prealbumin levels and lean body mass
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3198259&req=5

Figure 1: The correlation between prealbumin levels and lean body mass
Mentions: The study included 50 HD patients (42.0 % female), with a mean of 57.4±15.1 years (range: 30-83 years) and a mean HD duration of 68.3 ± 54.5 months (range: 3-240 months). The patients divided into two groups according to age of patients (age<65 and age≥65), and demographic clinical characteristics of the groups were presented in Table 1. Prealbumin levels correlated with age (r=-0.510, p=0.000), nPCR (r=0.569, p=0.000), body fat mass (r=-0.289, p=0.042), lean body mass (r=0.399,p=0.004) (figure 1), lean dry mass (r=0.578, p=0.000), ICW (r=0.320, p=0.040), body cell mass (r=0.347, p=0.016) (figure 2), nutrition index (ECW/TBW ratio) (r=-0.477, p=0.001), illness marker (r=-0.387, p=0.007) and BFMI (r=-0.321, p=0.023).

Bottom Line: In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65).Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults.These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

View Article: PubMed Central - PubMed

Affiliation: Department Internal Medicine, Division of Nephrology, Faculty of Medicine, Selcuk University, Konya, Turkey. gulpericelik@gmail.com

ABSTRACT

Aim: The aim of this study was to compare the nutritional biochemical parameters, prealbumin levels, and bioimpedance analysis parameters of adult and elderly hemodialysis (HD) patients.

Methods: This prospective cross-sectional study included 50 adult HD patients (42.0 % female). Nutritional status was assessed by post-dialysis multifrequency bioimpedance analysis (BIA), serum prealbumin and other nutritional biochemical parameters.

Results: Mean age of patients was 57.4±15.1 years (range: 30-83 years) and mean dialysis duration was 68.3 ± 54.5 months (range: 3-240 months). When the patients were divided into two groups according to age of patients (<65 and ≥65), prealbumin (p=0.003), blood urea nitrogen (BUN) (p=0.000), serum creatinine (p=0.013), albumin (p=0.016), protein catabolic rate per normalized body weight (nPCR) (p=0.001), intracellular water (ICW)/total body weight (0.003) , body fat mass (p00.000), lean body mass (p=0.031), lean dry mass (p=0.001), illness marker (p=0.005), basal metabolism (p=0.007), body mass index (BMI) (p=0.028), body fat mass index (BFMI) (p=0.000), fat free mass index (FFMI) (p=0.040) values were significantly different between the groups. In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65). Additionally, in the elderly patients, prealbumin, BUN, creatinine, albumin, nPCR, ICW/ total body weight, lean body weight, lean dry weight, basal metabolism and FFMI were lower than adult patients.

Conclusions: Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults. These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

Show MeSH
Related in: MedlinePlus