Characteristics of body composition and nutritional status in patients receiving hemodialysis therapy for more than 30 years.
OBJECTIVE
We investigated the body composition and nutritional status of extremely long-term (more than 30 years) hemodialysis patients.


METHODS
Eighty outpatients receiving maintenance hemodialysis (including 18 for more than 30 years) were enrolled. We classified the patients according to the duration of hemodialysis therapy (less than 10 years, 10-20 years, 20-30 years, or over 30 years) and compared the laboratory and anthropometric data.


RESULTS
No significant differences in age or the total protein, albumin, total cholesterol, triglyceride or CRP levels were observed. The corrected body mass index (BMI) was significantly lower in the more than 30 years than in the less than 10 years group. The corrected arm muscle area (AMA) was significantly lower in the more than 30 years group than in the other groups.


CONCLUSIONS
In extremely long-term hemodialysis outpatients, the BMI and AMA were reduced, whereas nutritional markers were relatively preserved.
Ishihara
Miwa
M
Department of Medicine, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan.
Otsubo
Shigeru
S
Kimata
Naoki
N
Akiba
Takashi
T
Nitta
Kosaku
K
D000368:Aged; D000886:Anthropometry; D001132:Arm / Q000033:anatomy & histology; D001823:Body Composition; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000033:anatomy & histology; D009752:Nutritional Status; D006435:Renal Dialysis