ABSTRACT
Kidney transplantation is the best treatment received by an uremic patient. One of the major advantages of transplantation is restoring a hormonal profile as before the chronic kidney disease. However, the posttransplant state depends on several factors including the quality of the graft. In this study, we assessed the donor age in living donors-recipients as well as the exploration of their hormonal profile. This is a single-center follow-up study over a period of 3 years, including 90 kidney recipients transplanted by living donors. We performed blood measurements of parathyroid hormone, prolactin, follicle stimulating hormone, luteinizing hormone, testosterone, estradiol, blood glucose, urea, creatinine, total cholesterol, triglycerides, high density lipoprotein-cholesterol, uric acid, albumin, and 24-h proteinuria. Glomerular filtration rate, body mass index, and low-density cholesterol were calculated. To analyze the donor age effect on recipients, the patients were divided into two groups according to donors age (<40 years and ≥40 years). The hormonal profile was normal for almost the majority of patients. In addition, we noted a return to dialysis associated with certain metabolic abnormalities and a donor age >40 years. Exploring the hormonal profile of the recipient is recommended. The donor age significantly influences the recipient fate but not their hormonal profile.
Subject(s)
Living Donors , Quality of Life , Adult , Cholesterol , Counseling , Female , Follow-Up Studies , Glomerular Filtration Rate , Graft Survival , Humans , Male , Renal Dialysis/adverse effects , Retrospective Studies , Treatment Adherence and ComplianceABSTRACT
INTRODUCTION: The atherosclerosis process is highly accelerated in patients with chronic kidney disease (CKD). Oxidative stress is considered as one of the pro-atherogenic factors involved in accelerating the atherosclerosis process of the carotid artery. The aim of the present study was to determine the relationship between oxidative stress markers and the progression of carotid atherosclerosis in CKD patients. MATERIAL AND METHODS: The study was conducted on 162 patients with CKD and 40 controls, and the disease stage was scored between 2 and 5D. Blood samples were taken and advanced oxidative protein product, myeloperoxidases, malondialdehyde, nitric oxide, glutathione, and oxidised low-density lipoprotein were measured. Furthermore, we studied the correlations between these biomarkers and clinical and para-clinical cardiovascular complications. RESULTS: The average age of patients was 56.5 years. The oxidative stress markers average ± SD levels in CKD groups compared to the control were as follows: advanced oxidation protein product (61.89 ±1.4 vs. 26.65 ±1.05 µmol/l), myeloperoxidase (59.89 ±1.98 vs. 38.45 ±1.98 UI/ml), malondialdehyde (6.1 ±0.12 vs. 3.26 ±0.03 µmol/l), nitric oxide (65.82 ±1.06 vs. 52.19 ±2.1 µmol/l), glutathione (52.21 ±1.3 vs. 89.4 ±2.6 IU/ml), and oxLDL (15.57 ±1.07 vs. 1.72 ±0.82 µmol/l). While the glutathione level decreased significantly in advanced CKD stage (p < 0.05), the concentrations of all the other biomarkers increased significantly in accordance with CKD score (p < 0.05). CONCLUSIONS: Cardiovascular diseases, mainly atherosclerosis, can be diagnosed indirectly by measuring oxidative stress markers. Furthermore, theses markers can be used to predict the progression of CKD, for better management of the disease.
ABSTRACT
Introduction : La dénutrition est fréquente chez les patients en insuffisance rénale chronique. Elle affecte 35% des patients au début de la dialyse et représente une des causes de morbi-mortalité. L'objectif de ce travail est de déterminer la fréquence de la dénutrition chez des patients à différents stades d'Insuffisance rénale chronique Matériels et méthodes : Une étude longitudinale descriptive portant sur 162 patients en insuffisance rénale chronique à différents stades (2, 3,4, 5 et 5D) a été réalisée au service de Néphrologie du CHU Nafissa Hamoud à Alger. Nous avons étudié les paramètres nutritionnels biologiques et anthropométriques chez les patients en IRC à différents stades. Résultats : L'âge moyen des patients est de 56,5±17 ans avec un sex-ratio de 1,43. Les taux de l'indice de masse corporelle, de l'albumine et de la pré-albumine moyens sont respectivement : (21,98 ± 0,28), (37,84g/l ± 0,47) et (302, 93 mg/l ± 5,4). Les trois paramètres diminuent significativement (p<0,05) avec la dégradation de la fonction rénale (du stade 2 vers le stade 5D). Les patients les plus dénutris se retrouvent aux stades 5 et 5D. La dénutrition est plus importante chez les patients avec IRC grave et chez les hémodialysés. Conclusion : L'insuffisance rénale chronique représente un véritable problème de santé publique. La dénutrition est l'une des causes de morbi-mortalité chez ces patients surtout après l'épuration extra rénale notamment l'hémodialyse, ce qui nous incite à nous intéresser au statut nutritionnel des patients en IRC
