Bioelectrical Impedance Analysis in the Assessment of Hydration Status in Peritoneal Dialysis Patients

被引：0
作者：
Haapio, Mikko [1 ,2 ]
Lentini, Paolo [2 ,3 ]
House, Andrew A. [2 ,4 ]
de Cal, Massimo [2 ]
Cruz, Dinna N. [2 ]
Gong, Dehua [2 ]
Rodighiero, Maria Pia [2 ]
Dell'Aquila, Roberto [2 ,3 ]
Ronco, Claudio [2 ]
机构：
[1] Univ Helsinki, Cent Hosp, Div Nephrol, FI-00029 Helsinki, Finland
[2] San Bortolo Hosp, Dept Nephrol, Int Renal Res Inst IRRIV, Vicenza, Italy
[3] San Bortolo Hosp, Dept Nephrol, Bassano Del Grappa, Italy
[4] London Hlth Sci Ctr, Div Nephrol, London, ON, Canada
来源：
PERITONEAL DIALYSIS - STATE-OF-THE-ART 2012 | 2012年 / 178卷
关键词：
BRAIN NATRIURETIC PEPTIDE; RESIDUAL RENAL-FUNCTION; LEFT-VENTRICULAR DYSFUNCTION; BODY-COMPOSITION; BLOOD-PRESSURE; VOLUME STATUS; EXTRACELLULAR WATER; VECTOR DISTRIBUTION; FLUID STATUS; NT-PROBNP;
D O I：
暂无
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Objective: Assessment of fluid status in chronic peritoneal dialysis (PD) patients is complex. Clinical evaluation based solely on body weight, blood pressure, volume of ultrafiltration (UF) and peripheral edema is insufficient. A non-invasive test, bioelectrical impedance analysis (BIA) might be of potential benefit. Aim: To test whether BIA correlates with other ancillary markers of extracellular fluid volume, namely B-type natriuretic peptide (BNP), residual renal function (RRF) and UF, and whether BIA provides complementary information in categorizing PD patients vis-a-vis hydration status. Methods: A cross-sectional study of 61 out-patients on chronic PD. Single-frequency BIA measurements of resistance/height were divided into tertiles (lowest: <253 Omega/m; middle: >= 253 Omega/m and <316 Omega/m; highest: >= 316 Omega/m). Results: Compared to patients in the highest tertile of BIA (least fluid), patients in the lowest tertile (most fluid) had highest BNP, RRF and UF (93.5 vs. 55.0 pg/ml, p = 0.029; 850 vs. 300 ml/day, p = 0.05; and 1.75 vs. 1.21 l/day, p = 0.023, respectively). Conclusions: BIA tertiles categorized PD patients who differed in BNP, RRF and UF in a stepwise pattern, suggesting BIA may better inform hydration status, and serve as an additional clinical tool in management of chronic PD patients. Copyright (c) 2012 S. Karger AG, Basel
引用
收藏
页码：238 / 245
页数：8
相关论文
共 46 条
  • [1] Asghar RB, 2004, PERITON DIALYSIS INT, V24, P231
  • [2] Ates K, 2008, PERITON DIALYSIS INT, V28, P224
  • [3] Bavbek N, 2007, PERITON DIALYSIS INT, V27, P663
  • [4] Patterns of bioelectrical impedance vector distribution by body mass index and age:: implications for body-composition analysis
    Bosy-Westphal, A
    Danielzik, S
    Dörhöfer, RP
    Piccoli, A
    Müller, MJ
    [J]. AMERICAN JOURNAL OF CLINICAL NUTRITION, 2005, 82 (01) : 60 - 68
  • [5] CAILLETTE A, 1994, NEPHROL DIAL TRANSPL, V9, P585, DOI 10.1093/ndt/9.5.585a
  • [6] Comparison of Extracellular Volume and Blood Pressure in Hemodialysis and Peritoneal Dialysis Patients
    Chen, Yi-Chou
    Lin, Cheng-Jui
    Wu, Chih-Jen
    Chen, Han-Hsiang
    Yeh, Jui-Chi
    [J]. NEPHRON CLINICAL PRACTICE, 2009, 113 (02): : C112 - C116
  • [7] Residual renal function and volume control in peritoneal dialysis patients
    Cheng, Li-Tao
    Chen, Wei
    Tang, Wen
    Wang, Tao
    [J]. NEPHRON CLINICAL PRACTICE, 2006, 104 (01): : C47 - C54
  • [8] Crepaldi C, 2009, CONTRIB NEPHROL, V163, P1, DOI 10.1159/000223772
  • [9] Diagnostic value of N-terminal pro-B-type natriuretic peptide (NT-proBNP) for left ventricular dysfunction in patients with chronic kidney disease stage 5 on haemodialysis
    David, Sascha
    Kuempers, Philipp
    Seidler, Vega
    Biertz, Frank
    Haller, Hermann
    Fliser, Danilo
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (04) : 1370 - 1377
  • [10] de Kerkhof JV, 2003, PERITON DIALYSIS INT, V23, P591
12345