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Comparison of nutritional status in hemodialysis patients with and without failed renal allografts

Yelken MB, Gorgulu N, Caliskan Y, Yazici H, Turkmen A, Yildiz A, Sever MS. Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
Clin Transplant 2010: 24: 481–487.
© 2009 John Wiley & Sons A/S. The survival of patients returning to hemodialysis (HD) follo... Full description

Journal Title: Clinical Transplantation July 2010, Vol.24(4), pp.481-487
Main Author: Yelken, B. M.
Other Authors: Gorgulu, N. , Caliskan, Y. , Yazici, H. , Turkmen, A. , Yildiz, A. , Sever, M. S.
Format: Electronic Article Electronic Article
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ID: ISSN: 0902-0063 ; E-ISSN: 1399-0012 ; DOI: 10.1111/j.1399-0012.2009.01097.x
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recordid: wj10.1111/j.1399-0012.2009.01097.x
title: Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
format: Article
creator:
  • Yelken, B. M.
  • Gorgulu, N.
  • Caliskan, Y.
  • Yazici, H.
  • Turkmen, A.
  • Yildiz, A.
  • Sever, M. S.
subjects:
  • Failed Renal Allografts
  • Malnutrition
  • Anthropometric Parameters
  • Inflammation
ispartof: Clinical Transplantation, July 2010, Vol.24(4), pp.481-487
description: Yelken MB, Gorgulu N, Caliskan Y, Yazici H, Turkmen A, Yildiz A, Sever MS. Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
Clin Transplant 2010: 24: 481–487.
© 2009 John Wiley & Sons A/S. The survival of patients returning to hemodialysis (HD) following kidney transplant failure is unfavorable. However, the factors responsible for this poor outcome are largely unknown; chronic inflammation due to failed allograft and malnutrition may contribute to morbidity and mortality. We aimed to compare the nutritional status and its relation with inflammation in patients on HD with and without previous kidney transplantation. Forty‐three patients with failed renal allografts (27 males; mean age 36 ± 9 yr) and 40 never transplanted HD patients (24 males; mean age 39 ± 9 yr) were included in the study. Body weight, triceps (TSF), biceps (BSF), subscapular (SSSF), and suprailiac skinfold thicknesses (SISF); mid‐arm, mid‐arm muscle, hip and waist circumferences; as well as body mass indices (BMIs) were determined as anthropometric parameters. Moreover, biochemical markers of nutritional status, including serum cholesterol and albumin as well as high‐sensitive C‐reactive protein (hs‐CRP), as a marker of inflammation, were measured. Associations among these variables were analyzed. There were no significant differences considering age, gender or duration of renal replacement therapy between the two groups. The TSF (p 
language:
source:
identifier: ISSN: 0902-0063 ; E-ISSN: 1399-0012 ; DOI: 10.1111/j.1399-0012.2009.01097.x
fulltext: fulltext
issn:
  • 0902-0063
  • 09020063
  • 1399-0012
  • 13990012
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titleComparison of nutritional status in hemodialysis patients with and without failed renal allografts
creatorYelken, B. M. ; Gorgulu, N. ; Caliskan, Y. ; Yazici, H. ; Turkmen, A. ; Yildiz, A. ; Sever, M. S.
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subjectFailed Renal Allografts ; Malnutrition ; Anthropometric Parameters ; Inflammation
descriptionYelken MB, Gorgulu N, Caliskan Y, Yazici H, Turkmen A, Yildiz A, Sever MS. Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
Clin Transplant 2010: 24: 481–487.
© 2009 John Wiley & Sons A/S. The survival of patients returning to hemodialysis (HD) following kidney transplant failure is unfavorable. However, the factors responsible for this poor outcome are largely unknown; chronic inflammation due to failed allograft and malnutrition may contribute to morbidity and mortality. We aimed to compare the nutritional status and its relation with inflammation in patients on HD with and without previous kidney transplantation. Forty‐three patients with failed renal allografts (27 males; mean age 36 ± 9 yr) and 40 never transplanted HD patients (24 males; mean age 39 ± 9 yr) were included in the study. Body weight, triceps (TSF), biceps (BSF), subscapular (SSSF), and suprailiac skinfold thicknesses (SISF); mid‐arm, mid‐arm muscle, hip and waist circumferences; as well as body mass indices (BMIs) were determined as anthropometric parameters. Moreover, biochemical markers of nutritional status, including serum cholesterol and albumin as well as high‐sensitive C‐reactive protein (hs‐CRP), as a marker of inflammation, were measured. Associations among these variables were analyzed. There were no significant differences considering age, gender or duration of renal replacement therapy between the two groups. The TSF (p <0.0001), BSF (p =0.005), SSSF (p =0.001), SISF (p <0.0001) skinfold thicknesses; mid‐arm (p =0.003) and mid‐arm muscle circumferences (p =0.037) and BMIs (p =0.001) of the patients with failed renal allografts were significantly lower than those of the never transplanted HD patients. Waist circumference was significantly lower as well (p =0.028). Patients with failed transplants were characterized by lower serum albumin (p <0.0001) and higher hs‐CRP levels (p =0.001) as compared with never transplanted HD patients. This study confirms the concept that retained failed allografts may induce chronic inflammation in chronic HD patients which may result in a worse nutritional status.
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titleComparison of nutritional status in hemodialysis patients with and without failed renal allografts
descriptionYelken MB, Gorgulu N, Caliskan Y, Yazici H, Turkmen A, Yildiz A, Sever MS. Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
Clin Transplant 2010: 24: 481–487.
© 2009 John Wiley & Sons A/S. The survival of patients returning to hemodialysis (HD) following kidney transplant failure is unfavorable. However, the factors responsible for this poor outcome are largely unknown; chronic inflammation due to failed allograft and malnutrition may contribute to morbidity and mortality. We aimed to compare the nutritional status and its relation with inflammation in patients on HD with and without previous kidney transplantation. Forty‐three patients with failed renal allografts (27 males; mean age 36 ± 9 yr) and 40 never transplanted HD patients (24 males; mean age 39 ± 9 yr) were included in the study. Body weight, triceps (TSF), biceps (BSF), subscapular (SSSF), and suprailiac skinfold thicknesses (SISF); mid‐arm, mid‐arm muscle, hip and waist circumferences; as well as body mass indices (BMIs) were determined as anthropometric parameters. Moreover, biochemical markers of nutritional status, including serum cholesterol and albumin as well as high‐sensitive C‐reactive protein (hs‐CRP), as a marker of inflammation, were measured. Associations among these variables were analyzed. There were no significant differences considering age, gender or duration of renal replacement therapy between the two groups. The TSF (p <0.0001), BSF (p =0.005), SSSF (p =0.001), SISF (p <0.0001) skinfold thicknesses; mid‐arm (p =0.003) and mid‐arm muscle circumferences (p =0.037) and BMIs (p =0.001) of the patients with failed renal allografts were significantly lower than those of the never transplanted HD patients. Waist circumference was significantly lower as well (p =0.028). Patients with failed transplants were characterized by lower serum albumin (p <0.0001) and higher hs‐CRP levels (p =0.001) as compared with never transplanted HD patients. This study confirms the concept that retained failed allografts may induce chronic inflammation in chronic HD patients which may result in a worse nutritional status.
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abstractYelken MB, Gorgulu N, Caliskan Y, Yazici H, Turkmen A, Yildiz A, Sever MS. Comparison of nutritional status in hemodialysis patients with and without failed renal allografts
Clin Transplant 2010: 24: 481–487.
© 2009 John Wiley & Sons A/S. The survival of patients returning to hemodialysis (HD) following kidney transplant failure is unfavorable. However, the factors responsible for this poor outcome are largely unknown; chronic inflammation due to failed allograft and malnutrition may contribute to morbidity and mortality. We aimed to compare the nutritional status and its relation with inflammation in patients on HD with and without previous kidney transplantation. Forty‐three patients with failed renal allografts (27 males; mean age 36 ± 9 yr) and 40 never transplanted HD patients (24 males; mean age 39 ± 9 yr) were included in the study. Body weight, triceps (TSF), biceps (BSF), subscapular (SSSF), and suprailiac skinfold thicknesses (SISF); mid‐arm, mid‐arm muscle, hip and waist circumferences; as well as body mass indices (BMIs) were determined as anthropometric parameters. Moreover, biochemical markers of nutritional status, including serum cholesterol and albumin as well as high‐sensitive C‐reactive protein (hs‐CRP), as a marker of inflammation, were measured. Associations among these variables were analyzed. There were no significant differences considering age, gender or duration of renal replacement therapy between the two groups. The TSF (p <0.0001), BSF (p =0.005), SSSF (p =0.001), SISF (p <0.0001) skinfold thicknesses; mid‐arm (p =0.003) and mid‐arm muscle circumferences (p =0.037) and BMIs (p =0.001) of the patients with failed renal allografts were significantly lower than those of the never transplanted HD patients. Waist circumference was significantly lower as well (p =0.028). Patients with failed transplants were characterized by lower serum albumin (p <0.0001) and higher hs‐CRP levels (p =0.001) as compared with never transplanted HD patients. This study confirms the concept that retained failed allografts may induce chronic inflammation in chronic HD patients which may result in a worse nutritional status.
copOxford, UK
pubBlackwell Publishing Ltd
doi10.1111/j.1399-0012.2009.01097.x
pages481-487
date2010-07