Correlation of metabolic syndrome with residual renal function, solute transport rate and peritoneal solute clearance in chronic peritoneal dialysis patients
Journal
Blood Purification
Journal Volume
26
Journal Issue
2
Pages
138-144
Date Issued
2008
Author(s)
Abstract
Background: Metabolic syndrome (MetS) and insulin resistance (IR) strongly promote macrovascular complications and endothelial dysfunction. They accelerate the progression of renal dysfunction in chronic kidney disease patients. However, their correlation with residual renal function (RRF) and peritoneal characteristics have never been investigated. Methods: The inter-relationships of IR (homeostatic model assessment, HOMAIR), serum adiponectin level, body mass index (BMI), highly sensitive C-reactive protein (hs-CRP), RRF, peritoneal solute clearance (Kt/Vurea) and solute transport rate of 104 chronic peritoneal dialysis (PD) patients were examined. Results: Patients with (n = 57) and without (n = 47) clinically diagnosed MetS had the same degree of RRF, peritoneal Kt/Vurea, and solute transport rate. Higher HOMAIR (p = 0.011), BMI (p = 0.01) and hs-CRP (p = 0.032), as well as lower adiponectin (p = 0.019), were associated with lower peritoneal Kt/V urea. Serum adiponectin was negatively associated with solute transport rate (p = 0.02). In multiple regression analysis, higher HOMA IR (p = 0.005), BMI (p = 0.021) and hs-CRP (p < 0.001) correlated with lower peritoneal Kt/Vurea. Conclusions: MetS plays an important role in both macrovascular complications and endothelial dysfunction in chronic PD patients, which correlates with changes in peritoneal solute clearance and solute transport rate but not RRF. Copyright ? 2008 S. Karger AG.
SDGs
Other Subjects
adiponectin; C reactive protein; adult; article; body mass; clinical trial; correlation analysis; endothelial dysfunction; female; homeostasis; human; kidney function; major clinical study; male; metabolic syndrome X; multiple regression; peritoneal dialysis; priority journal; protein blood level; vascular disease; Adult; Biological Transport; Cross-Sectional Studies; Dialysis Solutions; Female; Humans; Insulin Resistance; Kidney Failure, Chronic; Male; Metabolic Syndrome X; Middle Aged; Peritoneal Dialysis; Predictive Value of Tests; Vascular Diseases
Type
journal article