The analysis of correlation of body mass index and atherosclerosis blood pressure in patients with maintenance hemodialysis
10.3760/cma.j.issn.1008-6706.2012.09.008
- VernacularTitle:维持性血液透析患者体质量指数与动脉粥样硬化、血压的相关性分析
- Author:
Huamin WANG
- Publication Type:Journal Article
- Keywords:
Body mass index;
Blood pressure;
Dialysis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(9):1298-1299,后插1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship of body mass index ( BMI ) and atherosclerosis,blood pressure( BP) in patients with maintenance hemodialysis(MHD),to further elucidate the pathogenesis of cardiovascular disease in MHD patients.Methods The relationship between BP,intima-medial thickness (IMT) and BMI was analyzed in 101 patients with MHD.Results After dialysis,38％ patients had systolic blood pressure over 150mm Hg,21％ had diastolic blood pressure of more than 90mm Hg.Contrary to the general population,the correlation between BP and BMI were negatively (r =-0.13,P ＜ 0.01 ).Hypertension in patients with BMI ＜ 20 were more than that in patients with a normal body weight ( BMI 20.0 ～ 27.5 ) and overweight patients( BML ＞ 27.5 ),and the rate was 35％,29％ and 20％,respectively.Univariate analysis showed that BP and BMI were negatively correlated(r =-0.12,P ＜0.01),IMT was positively correlated with BMI(r=0.411,P ＜0.05).Conclusion In persistent hemodialysis patients,malnutrition was correlated with the occurrence and development of atherosclerosis and hypertension,and BMI decreasing was an independent risk factor,which could increase the morbidity and mortslity of cardiovascular disease.
