• Users Online: 152
  • Print this page
  • Email this page


 
 
Table of Contents
ABSTRACT
Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 116

Body mass index of stable maintenance hemodialysis patients


1 Paramedical Staff, Department of Nephrology, Global Hospital, Mumbai, Maharashtra, India
2 Director, Department of Nephrology, Global Hospital, Mumbai, Maharashtra, India

Date of Web Publication19-Sep-2019

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_30_19

Get Permissions


How to cite this article:
Gulhane H, Saldanha N, Parekh I, Wali M, Virani Z, Rajput P, Shah B. Body mass index of stable maintenance hemodialysis patients. J Renal Nutr Metab 2018;4:116

How to cite this URL:
Gulhane H, Saldanha N, Parekh I, Wali M, Virani Z, Rajput P, Shah B. Body mass index of stable maintenance hemodialysis patients. J Renal Nutr Metab [serial online] 2018 [cited 2019 Oct 21];4:116. Available from: http://www.jrnm.in/text.asp?2018/4/4/116/267200




  Background Top


Body mass index (BMI) is an anthropometric marker of nutrition accepted by the World Health Organization. It, by itself, is not an adequate marker of nutritional status in maintenance hemodialysis (HD) patients. However, its reverse epidemiology association in terms of mortality for HD patients makes it a simple, useful parameter to monitor in HD patients.


  Aim Top


The aim of the study is to determine the BMI in maintenance HD patients.


  Methods Top


A cross-sectional study of 72 patients with end-stage kidney disease on maintenance HD was carried out. Patients aged >18 years and stable on maintenance HD for >6 months were included. Patients with active infection and malignancy were excluded from the study. Dry weight, BMI (weight in kilograms divided by the square of the height in meters), and laboratory parameters were recorded. Overweight was considered as BMI 23–24.9 kg/m2, and obesity was considered as BMI >25 kg/m2 (as per the guidelines released by Health Ministry, ICMR, and other Indian health organizations). Underweight was considered as BMI <18.5 kg/m2.


  Results Top


The mean age (standard deviation [SD]) of the patients was 58 (13.6) years. 54% were male and 46% were female. The mean duration of HD was 35 months (range 6–144 months). Mean (SD) BMI was 25.6 (5.75) kg/m2. Thirty-four patients were obese, 15 overweight, 16 normal, and 7 underweight. Mean (SD) serum albumin was 3.48 (0.4) g/dl and mean (SD) Kt/v was 1.21 (0.2). Overweight and obese patients on maintenance HD tended to be nonvegetarian. They had better albumin. Kt/V tended to be lower in overweight and obese patients due to higher estimated V.


  Conclusion Top


Many patients on maintenance HD are overweight and obese, suggesting better nutritional status. Kt/V may underestimate dialysis dose in these patients because of higher estimated V.






 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Background
Aim
Methods
Results
Conclusion

 Article Access Statistics
    Viewed8    
    Printed0    
    Emailed0    
    PDF Downloaded5    
    Comments [Add]    

Recommend this journal