Abdominal Obesity and Mortality in Continuous Ambulatory Peritoneal Dialysis Patients
Electrolytes & Blood Pressure
;
: 22-29, 2015.
Article
in English
| WPRIM
| ID: wpr-16301
ABSTRACT
BACKGROUND:
The relationship between abdominal obesity (AO) and mortality in peritoneal dialysis (PD) patients is controversial.METHODS:
The prevalence of AO in 84 PD patients was assessed in a cross-section manner and followed up for 9 years at a single center. AO was defined as a waist circumference (WC) of more than 90 cm in males or more than 80 cm in females. The patients were classified as either with AO(AO group) or without AO(nAO group).RESULTS:
The AO group was older, contained more diabetics, more females, and had higher Charlson comorbidity index (aCCI) scores, BMI, and triglyceride and lower serum creatinine than the non-AO subjects. The follow-up duration was 53.2+/-34.4 months. At the end of the follow-up, eighteen patients (21.4%) were dead; 9 died of cardiovascular causes. The five year survival rate was 40.8%. Kaplan-Meier analysis revealed that both all-cause and cardiovascular-cause mortalities were similar in the AO and nAO groups. Multivariate analysis revealed the presence of AO not to be an independent risk factor of all-cause and cardiovascular-cause mortality.CONCLUSION:
AO itself might not be a risk factor for mortality in PD patients. Nevertheless, further prospective studies with a large number of patients will be needed to prove this.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Triglycerides
/
Comorbidity
/
Prevalence
/
Multivariate Analysis
/
Survival Rate
/
Risk Factors
/
Follow-Up Studies
/
Mortality
/
Peritoneal Dialysis
/
Peritoneal Dialysis, Continuous Ambulatory
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Electrolytes & Blood Pressure
Year:
2015
Type:
Article
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