Association Between Peritonitis and Low Muscle Mass in Peritoneal Dialysis Patients

被引:4
|
作者
Young, Jun Do [1 ]
Kang, Seok Hui [1 ]
机构
[1] Yeungnam Univ, Med Ctr, Dept Internal Med, Div Nephrol, Daegu, South Korea
基金
新加坡国家研究基金会;
关键词
X-RAY ABSORPTIOMETRY; BODY-COMPOSITION; BIOELECTRICAL-IMPEDANCE; BIOIMPEDANCE ANALYSIS; ELDERLY-PATIENTS; SARCOPENIA; MORTALITY; PREVALENCE; RECOMMENDATIONS;
D O I
10.1053/j.jrn.2019.09.003
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Objective: Peritoneal dialysis (PD) peritonitis is a common complication in PD patients. The remission of peritonitis is easily achieved, but its presence is associated with local/systemic inflammation in PD patients, which would lead to decreases in muscle mass. Here, we hypothesized that the history of PD peritonitis is associated with low muscle mass (LMM) in PD patients. Methods: We identified incident PD patients for whom body composition measurements at baseline and 1 year after PD initiation were available. Finally, we analyzed 230 incident PD patients. The PDP group was defined as patients with a PD peritonitis event during the period and the Non-PDP group was defined as patients without a PD peritonitis event during the period. Body compositions were calculated using bioimpedance and includes regional lean mass (LM), fat mass (FM), and sarcopenia index. Results: There were no significant intergroup differences in baseline limb LM, total LM, or total FM. Total FM and body mass index at follow-up (FU) increased in both groups compared to that at baseline. There was no significant difference in total LM between baseline and FU in either group. Limb LM at FU increased in only the Non-PDP group compared to that at baseline. Sarcopenia index at FU decreased in only the PDP group compared to that at baseline. The prevalence of LMM at FU was higher in the PDP group than in the Non-PDP group. Among the participants without LMM at baseline, those in the PDP group had a higher prevalence of LMM at FU. Logistic regression showed that the PDP group was associated with a higher odds ratio for LMM at FU in the multivariate analyses. Conclusion: LMM was found to be associated with the presence of PD peritonitis in incident PD patients. (C) 2019 by the National Kidney Foundation, Inc. All rights reserved.
引用
收藏
页码:341 / 346
页数:6
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