Abdominal Obesity and Mortality in Continuous Ambulatory Peritoneal Dialysis Patients.
- Author:
Haifeng JIN
1
;
Jun Young SHIN
;
Seung Ho LEE
;
Joon Ho SONG
;
Moon Jae KIM
;
Seoung Woo LEE
Author Information
- Publication Type:Original Article
- Keywords: Abdominal obesity; Continuous ambulatory peritoneal dialysis; Mortality; Risk factors; Chronic kidney failure
- MeSH: Comorbidity; Creatinine; Female; Follow-Up Studies; Humans; Kaplan-Meier Estimate; Kidney Failure, Chronic; Male; Mortality*; Multivariate Analysis; Obesity, Abdominal*; Peritoneal Dialysis; Peritoneal Dialysis, Continuous Ambulatory*; Prevalence; Risk Factors; Survival Rate; Triglycerides; Waist Circumference
- From:Electrolytes & Blood Pressure 2015;13(1):22-29
- CountryRepublic of Korea
- Language:English
- 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.
