International Variation in Nutritional Processes of Care and Associations with Body Mass Index (BMI) among Hemodialysis (HD) Patients: Preliminary Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS)

2008 ◽  
Vol 18 (3) ◽  
pp. S17
2018 ◽  
Vol 47 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Keiichi Sumida ◽  
Shungo Yamamoto ◽  
Tadao Akizawa ◽  
Shunichi Fukuhara ◽  
Shingo Fukuma

Background: Short-term weight gains and losses are associated with a lower and higher mortality risk, respectively, in patients undergoing hemodialysis (HD). However, little is known about their association with the risk of subsequent hospitalization. Methods: In a prospective cohort of 1,804 HD patients aged ≥65 years enrolled in the Japanese Dialysis Outcomes and Practice Patterns Study phases 3 (2005–2008) and 4 (2009–2011), we examined the associations between changes in body mass index (BMI) over a 4-month baseline period (<–3%, –3 to <–1%, –1 to <1% [reference], 1 to <3%, and ≥3%) and subsequent risk of all-cause, cardiovascular, and noncardiovascular hospitalization using Cox models with adjustment for potential confounders. Results: During a median follow-up of 1.2 years, we noted 1,028 incident hospitalizations for any cause, including 275 and 753 hospitalizations for cardiovascular and noncardiovascular causes, respectively. An L-shaped association was observed between BMI change and all-cause hospitalization. The multivariable-adjusted hazard ratios (HRs; 95% CI) of all-cause hospitalization associated with BMI changes of <–3%, –3 to <–1%, 1 to <3%, and ≥3% (vs. –1 to <1%) were 1.29 (1.01–1.65), 1.22 (0.98–1.51), 1.04 (0.83–1.29), and 1.10 (0.83–1.45), respectively. Qualitatively similar associations were present for cardiovascular-related hospitalization (corresponding HRs [95% CI]: 1.58 [1.06–2.37], 1.09 [0.75–1.58], 0.99 [0.72–1.36], and 0.91 [0.51–1.64], respectively) but not for noncardiovascular-related hospitalization (corresponding HRs [95% CI]: 1.19 [0.90–1.57], 1.26 [0.99–1.59], 1.06 [0.84–1.35], and 1.18 [0.86–1.63], respectively). Conclusions: Decreases in BMI over a relatively short-term period were independently associated with higher risk of subsequent hospitalization, particularly cardiovascular-related hospitalization, among elderly HD patients.


2001 ◽  
Vol 16 (12) ◽  
pp. 2386-2394 ◽  
Author(s):  
Sean F. Leavey ◽  
Keith McCullough ◽  
Erwin Hecking ◽  
David Goodkin ◽  
Friedrich K. Port ◽  
...  

Author(s):  
Jerome Yesavage ◽  
Lisa Kinoshita ◽  
Art Noda ◽  
Laura Lazzeroni ◽  
Jennifer Fairchild ◽  
...  

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii71-iii71 ◽  
Author(s):  
Jeffrey Perl ◽  
Junhui Zhao ◽  
Brian Bieber ◽  
Keith McCullough ◽  
Yun Li ◽  
...  

2018 ◽  
Vol 72 (5) ◽  
pp. 634-643 ◽  
Author(s):  
Issa Al Salmi ◽  
Maria Larkina ◽  
Mia Wang ◽  
Lalita Subramanian ◽  
Hal Morgenstern ◽  
...  

2004 ◽  
Vol 44 (2) ◽  
pp. 293-299 ◽  
Author(s):  
Rachel B. Fissell ◽  
Jennifer L. Bragg-Gresham ◽  
Brenda W. Gillespie ◽  
David A. Goodkin ◽  
Juergen Bommer ◽  
...  

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