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Interdialytic weight gain

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https://www.readbyqxmd.com/read/30297763/coffee-consumption-in-hemodialysis-patients-how-many
#1
Cristina Caetano, Ana Valente, Telma Oliveira, Cristina Garagarza
BACKGROUND AND AIMS: Coffee is one of the most widely consumed beverages worldwide. However, fluid intake restriction is an important and difficult challenge for hemodialysis (HD) patients. The aim of this study was to analyze the effect of coffee intake on hydration and nutritional parameters of HD patients. METHODS: This was an observational, cross-sectional, multicenter study where 373 HD patients from 8 dialysis centers in Portugal were enrolled. A face-to-face questionnaire was applied and patient's clinical and body composition parameters were analyzed...
October 8, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/30239837/all-cause-mortality-in-relation-to-changes-in-relative-blood-volume-during-hemodialysis
#2
Priscila Preciado, Hanjie Zhang, Stephan Thijssen, Jeroen P Kooman, Frank M van der Sande, Peter Kotanko
Background: Relative blood volume (RBV) monitoring is widely used in hemodialysis (HD) patients, yet the association between intradialytic RBV and mortality is unknown. Methods: Intradialytic RBV was recorded once/min during a 6-month baseline period; all-cause mortality was noted during follow-up. RBV at 1, 2 and 3 h into HD served as a predictor of all-cause mortality during follow-up. We employed Kaplan-Meier analysis, univariate and adjusted Cox proportional hazards models for survival analysis...
September 18, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/30237432/the-optimal-blood-pressure-target-in-different-dialysis-populations
#3
Jong Hyun Jhee, Jimin Park, Hyoungnae Kim, Youn Kyung Kee, Jung Tak Park, Seung Hyeok Han, Chul Woo Yang, Nam-Ho Kim, Yon Su Kim, Shin-Wook Kang, Yong-Lim Kim, Tae-Hyun Yoo
Hypertension is common and contributes to adverse outcomes in patients undergoing dialysis. However, the proper blood pressure (BP) target remains controversial and several factors make this difficult. This study aimed to investigate the adequate BP target in patients undergoing prevalent dialysis. Data were retrieved from the Clinical Research Center for End-Stage Renal Disease (2009-2014). 2,299 patients undergoing dialysis were evaluated. Patients were assigned into eight groups according to predialysis systolic blood pressure (SBP)...
September 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/30231860/inadequate-dietary-energy-intake-associates-with-higher-prevalence-of-metabolic-syndrome-in-different-groups-of-hemodialysis-patients-a-clinical-observational-study-in-multiple-dialysis-centers
#4
Tuyen Van Duong, Te-Chih Wong, Hsi-Hsien Chen, Tzen-Wen Chen, Tso-Hsiao Chen, Yung-Ho Hsu, Sheng-Jeng Peng, Ko-Lin Kuo, Hsiang-Chung Liu, En-Tzu Lin, Chi-Sin Wang, I-Hsin Tseng, Yi-Wei Feng, Tai-Yue Chang, Chien-Tien Su, Shwu-Huey Yang
BACKGROUND: Metabolic syndrome (MetS) has been established as a risk for cardiovascular diseases and mortality in hemodialysis patients. Energy intake (EI) is an important nutritional therapy for preventing MetS. We examined the association of self-reported dietary EI with metabolic abnormalities and MetS among hemodialysis patients. METHODS: A cross-sectional study design was carried out from September 2013 to April 2017 in seven hemodialysis centers. Data were collected from 228 hemodialysis patients with acceptable EI report, 20 years old and above, underwent three hemodialysis sessions a week for at least past 3 months...
September 19, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/30184172/the-association-of-interdialytic-blood-pressure-variability-with-cardiovascular-events-and-all-cause-mortality-in-haemodialysis-patients
#5
Pantelis A Sarafidis, Charalampos Loutradis, Antonios Karpetas, Georgios Tzanis, Athanasios Bikos, Vasilios Raptis, Christos Syrgkanis, Vasilios Liakopoulos, Aikaterini Papagianni, George Bakris, Gianfranco Parati
Background: Long-term pre-dialysis blood pressure variability (BPV) in haemodialysis patients is associated with increased cardiovascular risk. The association of the main haemodynamic culprit in dialysis, that is, short-term BPV, with outcomes has not been investigated. We examine the prognostic role of short-term BPV for mortality and cardiovascular events in this population. Methods: A total of 227 haemodialysis patients underwent 44-h ambulatory monitoring during a standard interval and were followed-up for 30...
September 3, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/30178237/interdialytic-weight-gain-and-vasculopathy-in-children-on-hemodialysis-a-single-center-study
#6
Vasiliki Karava, Cherine Benzouid, Theresa Kwon, Marie-Alice Macher, Georges Deschênes, Julien Hogan
BACKGROUND: Increased interdialytic weight gain (IDWG) has been associated with poor outcomes in adults, but its impact on hemodialysis vasculopathy in children is unknown. METHODS: Nineteen patients (age 9 to 19 years old) with a median hemodialysis duration of 10.4 months were enrolled. Cardiovascular evaluation included left ventricular mass index (LVMI), pulse wave velocity (PWV), and carotid intima-media thickness (cIMT) measurements. PWV and cIMT were expressed as z-scores based on reference values in healthy children...
September 3, 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/30152415/impact-of-pharmaceutical-care-on-clinical-outcomes-among-hemodialysis-patients-a-multicenter-randomized-controlled-study
#7
Uday Venkat Mateti, Anantha Naik Nagappa, Ravindra Prabhu Attur, Shankar Prasad Nagaraju, Dharshan Rangaswamy
The aim of this study is to assess the impact of pharmaceutical care on medication adherence, hemoglobin (Hb) levels, blood pressure (BP), and interdialytic weight gain (IDW) among hemodialysis (HD) patients. An open-label randomized controlled study has been conducted at three different hospitals of HD centers. The patients have been randomized into two groups [usual care group (UCG) and pharmaceutical care group (PCG)] by block design. The assessment has been carried out at baseline, 6th , and 12th months...
July 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/30109784/calcium-polystyrene-sulfonate-decreases-inter-dialytic-hyperkalemia-in-patients-undergoing-maintenance-hemodialysis-a-prospective-randomized-crossover-study
#8
Jing Wang, Meng-Meng Lv, Odeh Zach, Ling-Yu Wang, Meng-Ying Zhou, Gui-Rong Song, Xu Zhang, Hong-Li Lin
Hyperkalemia is a life-threatening emergency in maintenance hemodialysis (MHD) patients. This clinical trial investigated the efficacy and safety of calcium-polystyrene sulfonate (Ca-PS) in MHD patients with interdialytic hyperkalemia. A total of 58 hemodialysis patients with hyperkalemia (≥5.5 mol/L) were selected and administered either a 3-week Ca-PS (3 × 5 g/day) or a blank control following the model of a prospective, randomized, crossover clinical trial with a 1-week washout period. All patients were followed up for another 3 weeks for safety evaluations...
August 14, 2018: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/30029850/association-between-interdialytic-weight-gain-perception-about-dry-weight-and-dietary-and-fluid-behaviors-based-on-body-mass-index-among-patients-on-hemodialysis
#9
Yuki Tamaura, Masaaki Nishitani, Rie Akamatsu, Nobuyo Tsunoda, Fumiko Iwasawa, Keiko Fujiwara, Takuya Kinoshita, Masashi Sakai, Toru Sakai
OBJECTIVE: This study aimed to identify dietary and fluid behaviors associated with relative interdialytic weight gain (RIDWG) (divided by the respective dry weight [DW]) by stratifying the patients according to body mass index (BMI). DESIGN AND METHODS: This was a cross-sectional, multicenter investigation. Between July 2016 and March 2017, data were collected from 4 Japanese dialysis centers in 3 cities. The patients (n = 577) were asked to reply to a self-completed questionnaire, including questions on perception about DW and dietary and fluid behaviors...
July 17, 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29997771/resilience-and-therapeutic-regimen-compliance-in-patients-undergoing-hemodialysis-in-hospitals-of-hamedan-iran
#10
Nesa Noghan, Arash Akaberi, Sepideh Pournamdarian, Elham Borujerdi, Sima Sadat Hejazi
Background: The relationship between resilience, one of the important issues in mental health, and therapeutic regimen compliance, the key in the successful management of chronic disease such as chronic kidney disease, is unclear. Objective: The aim of this study was to determine the relationship between resilience and therapeutic regimen compliance in ESRD patients, undergoing hemodialysis. Methods: In this cross-sectional study, 107 hemodialysis patients referred to Besat and Shahid Beheshti Hospitals of Hamedan, Iran were selected through systematic sampling method from January to April 2013...
May 2018: Electronic Physician
https://www.readbyqxmd.com/read/29954331/once-weekly-hemodialysis-combined-with-low-protein-and-low-salt-dietary-treatment-as-a-favorable-therapeutic-modality-for-selected-patients-with-end-stage-renal-failure-a-prospective-observational-study-in-japanese-patients
#11
Toshiyuki Nakao, Yoshie Kanazawa, Toshimasa Takahashi
BACKGROUND: For patients with end-stage renal failure (ESFR), thrice-weekly hemodialysis is a standard care. Once-weekly hemodialysis combined with low-protein and low-salt dietary treatment (OWHD-DT) have been rarely studied. Therefore, here, we describe our experience on OWHD-DT, and assess its long-term effectiveness. METHODS: We instituted OWHD-DT therapy in 112 highly motivated patients with creatinine clearance below 5.0 mL/min. They received once-weekly hemodialysis on a diet of 0...
June 28, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29876972/dry-weight-targeting-the-art-and-science-of-conventional-hemodialysis
#12
Yasushi Ohashi, Ken Sakai, Hiroki Hase, Nobuhiko Joki
Fluid volume overload is common and is associated with adverse outcomes in hemodialysis patients. Practicing physicians individually manage fluid volume balance in their dialysis patients according to blood pressure, interdialytic weight gain, cardiac function, nutritional status, and other comorbidities. However, accurate assessment of fluid volume status remains a concern. Indicators of dry weight target have been explored further with newer concepts and technologies. In general, total body water comprises approximately 50%-60% of adult body weight (range, 45%-75%), and water comprises 73...
June 6, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29870977/association-of-intradialytic-hypertension-with-left-ventricular-mass-in-hypertensive-hemodialysis-patients-enrolled-in-the-blood-pressure-in-dialysis-bid-study
#13
Amith Roy Shamir, Ameet Karembelkar, Jonathan Yabes, Yi Yao, Dana Miskulin, Jennifer Gassman, David Ploth, Lavinia Negrea, Susan Paine, Mahboob Rahman, Raymond Y Kwong, Philip Zager, Manisha Jhamb
BACKGROUND/AIMS: Intradialytic hypertension (IDH), or paradoxical rise in blood pressure (BP) during hemodialysis (HD) is associated with increased morbidity and mortality. The association between IDH and increased left ventricular mass (LVM), a well-known risk factor for adverse cardiovascular outcomes in HD patients, has not been studied. The aim of our study is to evaluate the cross-sectional association of intradialytic change in BP with cardiac structure and function measured by cardiac MRI in hypertensive HD patients enrolled in the multi-center Blood Pressure in Dialysis (BID) clinical trial...
2018: Kidney & Blood Pressure Research
https://www.readbyqxmd.com/read/29861563/a-prospective-study-of-pulmonary-hypertension-in-patients-with-chronic-kidney-disease-a-new-and-pernicious-complication
#14
H Suresh, B S Arun, V Moger, P B Vijayalaxmi, K T K Murali Mohan
Pulmonary hypertension (PH) is a recently recognized complication of chronic kidney disease (CKD), especially in end-stage renal disease. It has prevalence estimates of 30%-50% and is an independent predictor of increased mortality in CKD patients. The aim of this study is to analyze the prevalence of PH in patients with CKD, its severity in different stages of CKD, and risk factors for it. One hundred and eight patients with CKD treated at Karnataka Institute of Medical Sciences, Hubli, Karnataka, between January 1, 2014, and June 30, 2015, were selected...
March 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/29742267/epoetin-alfa-resistance-in-hemodialysis-patients-with-chronic-kidney-disease-a-longitudinal-study
#15
E J F Santos, E V Hortegal, H O Serra, J S Lages, N Salgado-Filho, A M Dos Santos
Anemia is an inevitable complication of hemodialysis, and the primary cause is erythropoietin deficiency. After diagnosis, treatment begins with an erythropoiesis-stimulating agent (ESA). However, some patients remain anemic even after receiving this medication. This study aimed to investigate the factors associated with resistance to recombinant human erythropoietin therapy with epoetin alfa (αEPO). We performed a prospective, longitudinal study of hemodialysis patients receiving treatment with αEPO at our reference hospital from July 2015 to June 2016...
2018: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/29691160/the-frustrating-attempt-to-limit-the-interdialytic-weight-gain-in-patients-on-chronic-hemodialysis-new-insights-into-an-old-problem
#16
REVIEW
Maurizio Bossola, Gilda Pepe, Carlo Vulpio
A significant percentage of patients on chronic hemodialysis have an interdialytic weight gain (IDWG) above the recommended values. High IDWG has detrimental effects on survival, cardiovascular outcomes, and quality of life. High IDWG is secondary to poor adherence to fluid restriction and to excessive intake of fluids, due to thirst and xerostomia. Various strategies have been proposed to limit IDWG such as the reduction of dietary salt intake, behavioral interventions aimed at improving the adherence to fluid restriction, the improvement of xerostomia, and the use of lower dialysate sodium concentration...
September 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29688512/greater-fluid-overload-and-lower-interdialytic-weight-gain-are-independently-associated-with-mortality-in-a-large-international-hemodialysis-population
#17
Manfred Hecking, Ulrich Moissl, Bernd Genser, Hugh Rayner, Indranil Dasgupta, Stefano Stuard, Andrea Stopper, Charles Chazot, Franklin W Maddux, Bernard Canaud, Friedrich K Port, Carmine Zoccali, Peter Wabel
Background: Fluid overload and interdialytic weight gain (IDWG) are discrete components of the dynamic fluid balance in haemodialysis patients. We aimed to disentangle their relationship, and the prognostic importance of two clinically distinct, bioimpedance spectroscopy (BIS)-derived measures, pre-dialysis and post-dialysis fluid overload (FOpre and FOpost) versus IDWG. Methods: We conducted a retrospective cohort study on 38 614 incident patients with one or more BIS measurement within 90 days of haemodialysis initiation (1 October 2010 through 28 February 2015)...
October 1, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29657203/the-development-of-malnutrition-is-not-dependent-on-its-traditional-contributing-factors-in-patients-on-maintenance-hemodialysis-in-developing-countries
#18
Syed Rizwan Ali Bokhari, Mirza Ameer Faizan Ali, Syed Arsalan Khalid, Bushra Iftikhar, Hafiz Ijaz Ahmad, Ahlam Safdar Hussain, Usman Yaqoob
Malnutrition in dialysis population is associated with significant morbidity and mortality. Nutritional assessment is a neglected area in hemodialysis (HD) patients in developing countries. The aim of the study was to find out whether any traditional parameters have statistically significant correlation with malnutrition. All 58 end-stage renal disease patients on maintenance HD in our dialysis unit were enrolled in this cross-sectional study. The nutritional status was assessed by a predesigned questionnaire including subjective global assessment (SGA)...
March 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/29624853/impact-of-salt-reduction-in-meals-consumed-during-hemodialysis-sessions-on-interdialytic-weight-gain-and-hemodynamic-stability
#19
Arthur Colson, Anita Brinkley, Philippe Braconnier, Nadia Ammor, Michel Burnier, Menno Pruijm
INTRODUCTION: Patients on hemodialysis (HD) are advised to limit daily water- and salt intake to reduce interdialytic weight gain (IDWG). To counterbalance protein-losses, protein-rich meals are sometimes provided during HD sessions, but their salt content is not always taken into account. The aim of this study was to assess the influence of a lower salt content of meals provided during HD sessions on IDWG, blood pressure (BP), and hemodynamic stability during dialysis. METHODS: This monocentric, interventional study was proposed to all the patients treated with three weekly HD sessions...
April 6, 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29619872/association-of-short-term-blood-pressure-variability-with-cardiovascular-mortality-among-incident-hemodialysis-patients
#20
Yiduo Feng, Ziqian Li, Jing Liu, Fang Sun, Lijie Ma, Yang Shen, Yilun Zhou
OBJECTIVE: To investigate the association of short-term blood pressure variability (BPV) with cardiovascular mortality in hemodialysis (HD) patients, using a reliable index called average real variability (ARV), and to assess the factors associated with ARV in incident HD population. METHODS: A total of 103 HD patients were recruited, with 44-h ambulatory blood pressure monitoring performed after the midweek HD session. Systolic BPV was assessed by SD, coefficient of variation (CV), and ARV, respectively...
November 2018: Renal Failure
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