Postprandial Blood Pressure Changes During Hemodialysis.
- Author:
Hwa Jeong HONG
1
;
Yong Sun YOON
;
Sung Pyo HONG
;
Jae Hyeong AHN
;
Tae Won LEE
;
Chun Kyoo IHM
;
Myung Jae KIM
Author Information
1. Department of Internal Medicine, KyungHee University School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Postprandial BP;
Hypotension;
hemodialysis
- MeSH:
Blood Pressure*;
Eating;
Fasting;
Humans;
Hypotension;
Kidney Failure, Chronic;
Postprandial Period;
Renal Dialysis*;
Renal Insufficiency
- From:Korean Journal of Nephrology
1997;16(3):509-515
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The effect of food consumption on blood pressure during hemodialysis was examined in relatively younger 10 nondiabetic patients with end stage renal disease who were free from autonomic dysfunction. A balanced diet(300 Cal) was given after 1 hour of hemodialysis. Fed and fasting treatments were randomly assigned, three times respectively, in each patient. Systolic(p=0.006), diastolic(p=0.08) and mean blood pressures fell faster in the 30-minute postprandial period in the fed treatments compared with those of equivalent times in the fasting treatments. For each of these changes, two-way repeated measures analysis of variance revealed neither significant time effect, nor significant treatment effect, nor significant interaction between time(before vs. after meal) and treatment(fed vs. fasting). These results suggest that food ingestion during hemodialysis dose not cause significant hypotension in relatively younger patients with end stage renal failure on chronic hemodialysis in the absence of autonomic dysfunction.
