| 논문분류 | 춘계학술대회 초록집 |
|---|---|
| 제목 | Change in Body Composition in Accordance with Residual Renal Function in Patients on Peritoneal Dialysis |
| 저자 | Seok Hui Kang, Kyu Hyang Cho, Jong Won Park, Kyung Woo Yoon, Jun Young Do |
| 출판정보 | 2013; 2013(1): |
| 키워드 | 복막투석, 체성분, 잔여신기능/Peritoneal dialysis, Body composition, Residual renal function |
| 초록 | Background: The aim of this study is to evaluate changes in body composition in accordance with residual renal function (RRF). Patients and Methods: Two hundred-forty four patients with more than 1 year of follow-up were enrolled. The mean value of RRF at peritoneal dialysis (PD) initiation and 1 year after PD initiation was used as an indicator of the timeaveraged RRF (TA-RRF). The patients were divided into 3 groups with respect to the tertile of the TA-RRF level: low tertile (n=81), middle tertile (n=82), and high tertile (n=81). Body composition measurement was determined from dual-energy x-ray absorptiometry and bioimpedance analysis. This analysis was performed at PD initiation and 1 year after PD initiation. Results: Multivariate analysis showed that the high TA- RRF tertile was associated with an increase in lean mass index. Fat mass index in all tertiles and bone mineral content index in middle and high TA-RRF tertiles were increased, but no significant difference were observed in these changes among the 3 tertiles. The edema index decreased over the 1-year PD period. The high TA-RRF tertile was associated with a lower edema index. Although there was no statistical significance, the increase in fat mass/lean mass ratio (FM/LM) attenuated as the grade of TA-RRF tertile increased. The increase in fat mass index was similar to the trend in FM/LM. Conclusion: TA-RRF was associated with an increase in total lean mass and a decrease in edema index. |
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