Next Article in Journal
Chemopreventive Agents and Inhibitors of Cancer Hallmarks: May Citrus Offer New Perspectives?
Next Article in Special Issue
Cholecalciferol Additively Reduces Serum Parathyroid Hormone and Increases Vitamin D and Cathelicidin Levels in Paricalcitol-Treated Secondary Hyperparathyroid Hemodialysis Patients
Previous Article in Journal
The Effect of Serum 25-Hydroxyvitamin D Concentrations on Elevated Serum C-Reactive Protein Concentrations in Normal Weight, Overweight and Obese Participants of a Preventive Health Program
Previous Article in Special Issue
Association between Low Dietary Protein Intake and Geriatric Nutrition Risk Index in Patients with Chronic Kidney Disease: A Retrospective Single-Center Cohort Study
Article Menu

Export Article

Open AccessArticle
Nutrients 2016, 8(11), 702; doi:10.3390/nu8110702

Changes in Body Composition in the Two Years after Initiation of Haemodialysis: A Retrospective Cohort Study

1
Department of Renal Medicine, Leeds Teaching Hospitals NHS Trust, Leeds LS97TF, UK
2
Department of Medical Physics, Leeds Teaching Hospitals NHS Trust, Leeds LS97TF, UK
3
NIHR Devices for Dignity Healthcare Technology Co-operative, Sheffield Teaching Hospitals Trust, Sheffield S102JF, UK
4
Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds LS97TF, UK
5
Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich NR4 7UY, UK
*
Author to whom correspondence should be addressed.
Received: 31 August 2016 / Revised: 20 October 2016 / Accepted: 1 November 2016 / Published: 4 November 2016
(This article belongs to the Special Issue Nutrition and Chronic Kidney Disease)
View Full-Text   |   Download PDF [752 KB, uploaded 4 November 2016]   |  

Abstract

Malnutrition is common in haemodialysis (HD) and is linked to poor outcomes. This study aimed to describe changes in body composition after the initiation of HD and investigate whether any routinely collected parameters were associated with these changes. The study cohort came from the HD population of a single centre between 2009 and 2014. Body composition measurements were obtained from a database of bioimpedance results using the Body Composition Monitor (BCM), while demographics and laboratory values came from the renal unit database. Primary outcomes were changes in normohydration weight, lean tissue mass and adipose tissue mass over the two years after HD initiation. A total of 299 patients were included in the primary analyses, showing an increase in adipose tissue, loss of lean tissue and no significant change in normohydration weight. None of the routinely collected parameters were associated with the lean tissue changes. Loss of lean tissue over the first year of dialysis was associated with increased mortality. The results showing loss of lean tissue that is not limited to those traditionally assumed to be at high risk supports interventions to maintain or improve lean tissue as soon as possible after the initiation of HD. It highlights the importance of monitoring nutrition and the potential for routine use of bioimpedance. View Full-Text
Keywords: bioelectrical impedance; body composition; hemodialysis; nutrition assessment bioelectrical impedance; body composition; hemodialysis; nutrition assessment
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Keane, D.; Gardiner, C.; Lindley, E.; Lines, S.; Woodrow, G.; Wright, M. Changes in Body Composition in the Two Years after Initiation of Haemodialysis: A Retrospective Cohort Study. Nutrients 2016, 8, 702.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top