Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study

Bibliographic Details
Main Author: Fernandes, Natália Maria da Silva
Publication Date: 2013
Other Authors: Bastos, Marcus Gomes, Franco, Márcia Regina Gianotti, Chaoubah, Alfredo, Lima, Maria da Glória, Divino-Filho, José Carolino, Qureshi, Abdul Rashid
Format: Article
Language: eng
Source: Repositório Institucional da UFJF
Download full: http://dx.doi.org/10.6061/clinics/2013(01)OA08
https://repositorio.ufjf.br/jspui/handle/ufjf/8122
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spelling 2018-11-29T10:25:19Z2018-11-262018-11-29T10:25:19Z2013-016815158http://dx.doi.org/10.6061/clinics/2013(01)OA08https://repositorio.ufjf.br/jspui/handle/ufjf/8122-OBJECTIVES: To determine the roles of body size and longitudinal body weight changes in the survival of incident peritoneal dialysis patients. PATIENTS AND METHODS: Patients (n = 1911) older than 18 years of age recruited from 114 dialysis centers (Dec/ 2004-Oct/2007) and participating in the Brazilian Peritoneal Dialysis Multicenter Cohort Study were included. Clinical and laboratory data were collected monthly (except if the patient received a transplant, recovered renal function, was transferred to hemodialysis, or died). RESULTS: Survival analyses were performed using Kaplan-Meier survival curves and Cox proportional hazards. Total follow-up was 34 months. The mean age was 59 years (54% female). The weight category percentages were as follows: underweight: 8%; normal: 51%; overweight: 29%; and obese 12%. The multivariate model showed a higher risk of death for a body mass index <18.5 kg/m2, a neutral risk between 25 and 29.9 kg/m2 and a protective effect for an index >30 kg/m2. Patients were divided into five categories according to quintiles of body weight changes during the first year of dialysis: <-3.1%, -3.1 to+0.12%, +0.12 to <+3.1% (reference category), +3.1 to +7.1% and >+7.1%. Patients in the lowest quintile had significantly higher mortality, whereas no negative impact was observed in the other quintiles. CONCLUSION: These findings suggest that overweight/obesity and a positive body weight variation during the first year of peritoneal dialysis therapy do not increase mortality in incident dialysis patients in Brazil.eng--BrasilClinics-OverweightObesityIncidentPeritoneal dialysisSurvivalCohort studyBody size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFernandes, Natália Maria da SilvaBastos, Marcus GomesFranco, Márcia Regina GianottiChaoubah, AlfredoLima, Maria da GlóriaDivino-Filho, José CarolinoQureshi, Abdul Rashidinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFJFinstname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFTHUMBNAILBody size and longitudinal body weight changes.pdf.jpgBody size and longitudinal body weight changes.pdf.jpgGenerated Thumbnailimage/jpeg1919https://repositorio.ufjf.br/jspui/bitstream/ufjf/8122/4/Body%20size%20and%20longitudinal%20body%20weight%20changes.pdf.jpg499545712e54a7fe15a7d08a1867be10MD54ORIGINALBody size and longitudinal body weight changes.pdfBody size and longitudinal body weight changes.pdfapplication/pdf558264https://repositorio.ufjf.br/jspui/bitstream/ufjf/8122/1/Body%20size%20and%20longitudinal%20body%20weight%20changes.pdf1f7afac53d3778752f6e01800093389aMD51LICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
title Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
spellingShingle Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
Fernandes, Natália Maria da Silva
-
Overweight
Obesity
Incident
Peritoneal dialysis
Survival
Cohort study
title_short Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
title_full Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
title_fullStr Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
title_full_unstemmed Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
title_sort Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study
author Fernandes, Natália Maria da Silva
author_facet Fernandes, Natália Maria da Silva
Bastos, Marcus Gomes
Franco, Márcia Regina Gianotti
Chaoubah, Alfredo
Lima, Maria da Glória
Divino-Filho, José Carolino
Qureshi, Abdul Rashid
author_role author
author2 Bastos, Marcus Gomes
Franco, Márcia Regina Gianotti
Chaoubah, Alfredo
Lima, Maria da Glória
Divino-Filho, José Carolino
Qureshi, Abdul Rashid
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fernandes, Natália Maria da Silva
Bastos, Marcus Gomes
Franco, Márcia Regina Gianotti
Chaoubah, Alfredo
Lima, Maria da Glória
Divino-Filho, José Carolino
Qureshi, Abdul Rashid
dc.subject.cnpq.fl_str_mv -
topic -
Overweight
Obesity
Incident
Peritoneal dialysis
Survival
Cohort study
dc.subject.por.fl_str_mv Overweight
Obesity
Incident
Peritoneal dialysis
Survival
Cohort study
description -
publishDate 2013
dc.date.issued.fl_str_mv 2013-01
dc.date.accessioned.fl_str_mv 2018-11-29T10:25:19Z
dc.date.available.fl_str_mv 2018-11-26
2018-11-29T10:25:19Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://repositorio.ufjf.br/jspui/handle/ufjf/8122
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.6061/clinics/2013(01)OA08
url http://dx.doi.org/10.6061/clinics/2013(01)OA08
https://repositorio.ufjf.br/jspui/handle/ufjf/8122
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Clinics
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv -
dc.publisher.initials.fl_str_mv -
dc.publisher.country.fl_str_mv Brasil
publisher.none.fl_str_mv -
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFJF
instname:Universidade Federal de Juiz de Fora (UFJF)
instacron:UFJF
instname_str Universidade Federal de Juiz de Fora (UFJF)
instacron_str UFJF
institution UFJF
reponame_str Repositório Institucional da UFJF
collection Repositório Institucional da UFJF
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