Effects of nutritional parameters on nocturnal blood pressure in patients undergoing hemodialysis

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dc.authorid0000-0001-7306-5233en_US
dc.contributor.authorTekçe, Hikmet
dc.contributor.authorKürşat, Seyhun
dc.contributor.authorÇolak, Hülya Bahadır
dc.contributor.authorAktaş, Gülali
dc.date.accessioned2021-06-23T19:35:03Z
dc.date.available2021-06-23T19:35:03Z
dc.date.issued2013
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Malnutrition is a common problem in uremic patients. It is unclear whether there is an association between the degree of malnutrition and 24-h ambulatory blood pressure patterns in patients undergoing hemodialysis. In the present study, we observed the relationship between the degree of malnutrition and deterioration of the rhythm of diurnal blood pressure, which are both risk factors for cardiovascular morbidity-mortality and associated with hypervolemia. Method: We observed 148 patients undergoing hemodialysis in the Nephrology Department of Celal Bayar University Hospital. All cases were assessed for body weight alterations, dietary food intake, gastrointestinal symptoms, loss of subcutaneous fat and muscle tissue, presence and severity of comorbidities, functional capacity (subjective global assessment), and anthropometric indices. Ambulatory blood pressure measurements were performed for all cases on the day between the two hemodialysis sessions. Results: We found that the circadian blood pressure rhythm deteriorated in patients with a high-malnutrition score, and that malnutrition was more common and severe in those subjects with the non-dipper and reverse-dipper blood pressure patterns. Malnutrition score was positively correlated with the nighttime systolic and nighttime mean blood pressures and mean 24-h arterial blood pressure (all p <= 0.01). We identified a positive correlation between malnutrition score and the reduction in serum albumin and anthropometric indices. Conclusion: This is the first study to demonstrate an association between malnutrition and deterioration in the circadian blood pressure rhythm in a hemodialysis population. Nutritional disturbance is associated with an increase in night-time blood pressure. Low serum albumin levels and hypervolemia may contribute this situation.en_US
dc.identifier.doi10.3109/0886022X.2013.808144
dc.identifier.endpage950en_US
dc.identifier.issn0886-022X
dc.identifier.issn1525-6049
dc.identifier.issue7en_US
dc.identifier.pmid23815366en_US
dc.identifier.scopus2-s2.0-84880288015en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage946en_US
dc.identifier.urihttps://doi.org/10.3109/0886022X.2013.808144
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7697
dc.identifier.volume35en_US
dc.identifier.wosWOS:000321855200004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTekçe, Hikmet
dc.institutionauthorAktaş, Gülali
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofRenal Failureen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHemodialysisen_US
dc.subjectHypertensionen_US
dc.subjectHypervolemiaen_US
dc.subjectMalnutritionen_US
dc.subjectNocturnal Blood Pressureen_US
dc.titleEffects of nutritional parameters on nocturnal blood pressure in patients undergoing hemodialysisen_US
dc.typeArticleen_US

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