scholarly journals Association of Lean Body Mass Index and Peritoneal Protein Clearance in Peritoneal Dialysis Patients

2019 ◽  
Vol 44 (1) ◽  
pp. 94-102 ◽  
Author(s):  
Jinjin  Fan ◽  
Hongjian  Ye ◽  
Xiaodan  Zhang ◽  
Peiyi  Cao ◽  
Qunying  Guo ◽  
...  

Background/Aims: The relationship between peritoneal protein clearance (PPCl) and nutritional status in peritoneal dialysis (PD) population have not been clarified. This study aims to investigate the relationship between PPCl and nutritional status in PD population. Methods: Prevalent PD patients were enrolled in the cross-sectional survey in a single center from April to November 2013. The total amount of protein loss in the dialysate was calculated. PPCl reflects the individual differences of peritoneal protein loss, and is calculated by the formula, that PPCl (ml/day)=24-h dialysate protein loss / (albumin/0.4783). Nutritional status measured by lean body mass index (LBMI) was assessed by multi-frequency bioelectrical impedance analysis (BIA). Results: Totally 351 PD patients (55% male, 17.1% with diabetes, mean age 47.7±14.3 years) were included. The median PPC l was 58 ml/day. Patients were divided into four groups for comparison according to the PPC quartiles. Compared with lower PPCl quartiles, patients with higher PPCl had higher body mass index (BMI) (P< 0.001), body surface area (BSA) (P < 0 .001), LBMI (P<0.001), 4-hour D/P creatinine ratio (P< 0.001), and lower residual renal CCl (P<0.001). Compared with conventional body index (BMI and BSA) in ROC analysis, LBMI (area under curve: 0.71, 95% confidence interval [CI]: 0.66-0.77) had better performance in predicting higher PPCl. After adjustment in logistic regression models, each 1 kg/m2 increase of LBMI (odd ratio[OR] =1.37; 95% CI: 1.17-1.60), each 0.1 increase of 4-hour D/P creatinine ratio (OR =1.47; 95% CI: 1.11-1.93), and every 1 L/week/1.73m2 decrease of residual renal CCl (OR =0.98; 95% CI: 0.96-0.99) were independently associated with higher PPCl (> 58 ml/day). Conclusion: Higher LBMI was independently associated with higher , indicating that better nutritional status dominates peritoneal protein metabolism in PD patients.

2016 ◽  
Vol 36 (3) ◽  
pp. 269-276 ◽  
Author(s):  
Naohito Isoyama ◽  
Anna Machowska ◽  
Abdul Rashid Qureshi ◽  
Tae Yamamoto ◽  
Björn Anderstam ◽  
...  

Background The pro-inflammatory receptor of advanced glycation end-products (RAGE)-ligand S100A12 is thought to promote, whereas anti-inflammatory soluble RAGE (sRAGE) may protect against, vascular disease. We evaluated circulating S100A12 and sRAGE in relation to vascular disease, inflammation, nutritional status, and mortality risk in peritoneal dialysis (PD) patients. Methods Plasma S100A12 and sRAGE, biomarkers of inflammation, nutritional status, and comorbidities were analyzed in 82 prevalent PD patients (median age 65 years; 70% men; median vintage 12 months) and, for comparative analysis, also in 190 hemodialysis (HD) patients and 50 control subjects. Associations between mortality risk and concentrations of S100A12 and sRAGE were assessed in PD and HD patients after a mean follow-up period of 31 and 29 months respectively using a competing risk Cox regression model. Results In PD patients, median S100A12, sRAGE and S100A12/sRAGE were markedly higher than in controls, and S100A12 was 1.9 times higher and median sRAGE 14% lower compared with HD patients. In PD patients, S100A12 associated with C-reactive protein (ρ = 0.46; p < 0.001) and interleukin-6 (ρ = 0.38; p < 0.001), and, negatively, with s-albumin (ρ = -0.27; p < 0.05) whereas sRAGE associated negatively with body mass index (ρ = -0.37; p < 0.001), fat body mass index (ρ = -0.34; p < 0.001), and lean body mass index (ρ = -0.36; p < 0.001). Peripheral vascular disease or cerebrovascular disease (PCVD) was present in 28% of PD patients and, in multivariate analysis, associated mainly with high S100A12 (odds ratio [OR] 3.52, p = 0.04). In both PD and HD patients, the highest versus other tertiles of S100A12 associated with increased mortality. In contrast, sRAGE did not associate with PCVD or mortality in PD and HD patients. Conclusions Plasma S100A12 and sRAGE are markedly elevated in PD patients. Soluble RAGE was inversely related to body mass indices while S100A12 associated with increased inflammation, PCVD, and mortality, suggesting that S100A12 may identify PD patients at high risk for vascular disease and increased mortality.


2021 ◽  
Vol 2 (1) ◽  
pp. 19
Author(s):  
Suci Eka Putri ◽  
Adelina Irmayani Lubis

Body mass index (BMI) is to monitor nutritional status adults, especially those related to deficiency and overweight. Body fat percentage can describe the risk of degenerative diseases.This study was conducted to measure the relationship between BMI and body fat percentage. Methods An analytical study was conducted to 41 male and 51 female participant from Universitas Teuku Umar. The body weight was measured using scales, whereas the body height was measured using microtoise. The body fat percentage was measured using Karada Scan. The BMI was calculated by dividing the body weight in kilogram divided by body height in meter square. Data was collected from 16-18th February 2021 and analyzed by Pearson’s correlation test. The results showed BMI underweight, normal, and overweight were 10,9, 57,6, and 31,5. High body fat percentage in men were 75,6% and in women were 35,5%. There is a relationship between the nutritional status of the women group and the body fat percentage with p-value is obtained = 0.021. Furthermore, for men, there is no relationship between nutritional status in the men group and the body fat percentage. There is a relationship between nutritional status and body fat percentage in women. Among this population, BMI can still be used to determine body fat percentage


Author(s):  
Dr. Khushboo Patel ◽  
Dr. Smita Baheti

Worldwide, obesity is the prevalent, chronic medical condition (1). The rate of obesity in pregnant women is rising, increasing the significance of its impact on obesity-related pregnancy complications.(2) Maternal body mass index (BMI) is one of the predictors of the nutritional status of pregnant ladies. The problem of rising obesity is not unique to India. In earlier research, the relationship between maternal height and weight with pregnancy complications have been extensively explored, but in recent times, BMI is widely accepted as a better measure of over or underweight [3].


2021 ◽  
Vol 9 (1) ◽  
pp. 53-58
Author(s):  
Yudhi Adrianto ◽  
Diah Mulyawati Utari ◽  
Fitri Hudayani ◽  
Triyani Kresnawan

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.


2019 ◽  
Vol 7 (1) ◽  
pp. 13-16
Author(s):  
I G.A. Sri Dhyanaputri

Background Body mass index is the one of the marker of nutritional status related to obesity. Obesity is a multifactorial disease that can lead to an increase in triglycerides. This situation is one of the causes of cardiovascular disease. Objective This study aims to determine the relationship between body mass index in the levels of trigliycerides in weavers in Tenganan Village Karangasem. Methods Designed as study correlation study. The study was done to 26 respondents that were chosen by saturated sampling method. Data of body mass index were measured by anthropometric measurements and data of triglycerides level measured by using a dialab autolyser. The Results showed that 50,00% participants got obesity and 42,31% participants had increased triglycerides level, which six participants (23,08%) got a high limit and five participants (19,23%) in the high category. Based on the product moment test, a score is significant correlation between body mass index with triglycerides (p: 0,000) (α: 0,05). It was Concluded there is a relationship between body mass index with triglycerides level of weavers at Tenganan Village Karangasem.Keywords: body mass index, obesity, triglycerides


2020 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Laurensi Meity Sasube ◽  
Aldian Hein Luntungan

Children in urban area tend to abandon healthy diet, since there are a lot of fast food options available around. In general, children valued the importance of nutrition, but they did not concern the health benefit of foods in food selections. Their dietary quality was not satisfactory, and the diet of most children did not meet the recommended serving requirements for vegetable, fruit, cereal and milk. The purpose of this study was to understand the relationship among Nutrition knowledge, vegetables diet and Nutritional Status of Elementary Students at Don Bosco Catholic School Manado. This is a cross sectional study in which we explored the nutritional status of Don Bosco Elementary Students based on nutrition knowledge, vegetable diet and Body Mass Index with questionnaire instrument, anthropometric measurements from June to August 2019. The nutritional status of Don Bosco Elementary School students based on body mass index (BMI) shows that students with normal and overweight nutritional status share an equal comparison that is 1:1 (50%), while the level of student knowledge about nutrition was dominated by students with poor knowledge that is 67.7%. This is also in line with the pattern of vegetables consuming which is also poor at 56.3%. Based on the results of Chi-Square analysis there is no significant relationship between the levels of nutritional knowledge of students with vegetable consumption patterns. Conversely, there is no relationship between the levels of nutritional knowledge of students with nutritional status based on Body Mass Index (BMI).


2022 ◽  
Vol 10 (E) ◽  
pp. 50-52
Author(s):  
Nenni Dwi Aprianti Lubis ◽  
Fitriyani Nasution ◽  
Hidayat Hidayar ◽  
Sri Amelia ◽  
Ridwan Balatif

Overweight and obesity is one of the health problems in the world. This condition is associated with various health problems such as cardiovascular disease, stroke, osteoarthritis, chronic back pain, gallbladder disease, and cancer. Consuming adequate fluids can help you lose weight. This study aimed to determine the relationship between body fluid intake and body mass index (BMI) in Medical Faculty Universitas Sumatera Utara students. A cross-sectional study was conducted on USU Medical Faculty students from October 2020 to January 2021 with a sample of 99 people. Researchers obtained primary data obtained through reporting daily fluid intake for seven consecutive days and anthropometric measurements. Furthermore, the researchers conducted the Spearman test to determine the relationship between the two variables. Based on the characteristics of the sample, the researchers obtained 51 samples that were female (51.5%), and 48 were male (48.5%) with an average age of 20.05±1.08 years. The average fluid intake consumed was around 2070.07±654.93 mL per day, whereas 48 people in the study sample consumed less fluid below 2000 mL/day (45.5%). The classification of nutritional status of the sample based on BMI showed that 44 people had normal nutritional status (44.4%), 48 people were overweight (48.5%), and seven people were obese (7.1%). The test results showed a significant relationship between daily fluid intake and BMI (p-value = 0.007).


2020 ◽  
Vol 28 (3) ◽  
pp. 426-433
Author(s):  
Sheng H. Kioh ◽  
Sumaiyah Mat ◽  
Shahrul B. Kamaruzzaman ◽  
Fatimah Ibrahim ◽  
Mas S. Mokhtar ◽  
...  

The current evidence on the relationship between a higher body mass index (BMI) and falls in older adults is conflicting. This study, therefore, evaluated the relationship between BMI and falls and explored underlying mechanisms for this relationship. Data from 1,340 individuals from the Malaysian Elders Longitudinal Research study, obtained through home-based computer-assisted interviews and followed by hospital-based health checks, were utilized. A history of the presence of falls in the previous 12 months was obtained. The presence of at least one fall in the past 12 months was associated with a higher BMI (odds ratio = 1.03, 95% confidence interval [1.01, 1.06]). The relationship between a higher BMI and falls was, however, attenuated by a lower percentage of lean body mass, which accounted for 69% of the total effect of BMI on the risk of falls. Future studies should now investigate this aforementioned relationship prospectively.


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