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学科主题临床医学
Seasonal variation in blood pressure of patients on continuous ambulatory peritoneal dialysis
Cheng, Li-Tao; Jiang, Hong-Ying; Tang, Li-Jun; Wang, Tao
关键词Meteorology Blood Pressure Peritoneal Dialysis Seasonal Variation In Diabetes Extracellular Water
刊名BLOOD PURIFICATION
2006
DOI10.1159/000096077
24期:5-6页:499-507
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Hematology ; Urology & Nephrology
研究领域[WOS]Hematology ; Urology & Nephrology
关键词[WOS]HEMODIALYSIS
英文摘要

Background: A seasonal variation in blood pressure (BP) has been observed in hemodialysis and renal transplant patients. However, this phenomenon in continuous ambulatory peritoneal dialysis (CAPD) patients, whose hemodynamics are different from hemodialysis patients, has not been reported before. In addition, the contribution of extracellular water (ECW) in the seasonal variation in BP is not clear. Methods: All stable CAPD patients (n = 122) dialyzed in a single center from January 1, 2003 to December 12, 2004 were studied. Systolic blood pressure (SBP), diastolic blood pressure (DBP), weight and ECW (by bioimpedance analysis) were measured in every patient. Climatic data were obtained from the Beijing Weather Bureau. These data were pooled together and grouped according to the calendar month. Results: In general, an apparent seasonal variation in BP was observed in CAPD patients. BP began to decrease from spring and reached the lowest level in summer, then increased from autumn and reached its peak in winter. The seasonal variation in BP in male patients was similar to that in female patients, but in comparison to non-diabetic patients there was no apparent seasonal variation in the BP of diabetic patients. SBP and DBP negatively correlated with the average atmospheric temperature (r = -0.768, p < 0.001 and r = -0.764, p < 0.001, respectively). BP also negatively correlated with rainfall and humidity, but this correlation disappeared when temperature was controlled in partial correlation analysis. Weight and ECW fluctuated throughout the year but showed no seasonal variation. Conclusion: On the whole there was an apparent seasonal variation in blood pressure in CAPD patients. As opposed to non-diabetic patients, there was no apparent seasonal variation in BP in diabetic patients. The seasonal variation in BP was influenced more by temperature than rainfall and humidity, and the change in ECW was not seasonal, suggesting that other mechanisms such as total peripheral resistance might play a more important role in this phenomenon. Copyright (c) 2006 S. Karger AG, Basel.

语种英语
WOS记录号WOS:000243063600051
引用统计
被引频次:13[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53930
专题北京大学第三临床医学院_肾内科
作者单位1.Peking Univ, Hosp 3, Div Nephrol, Beijing 100083, Haidian Distric, Peoples R China
2.Peking Univ, Hosp 1, Div Nephrol, Beijing 100083, Haidian Distric, Peoples R China
3.Kunming Med Coll, Affiliated Hosp 2, Div Nephrol, Kunming, Peoples R China
4.Shandong Univ, Qilu Hosp, Div Nephrol, Jinan 250100, Peoples R China
推荐引用方式
GB/T 7714
Cheng, Li-Tao,Jiang, Hong-Ying,Tang, Li-Jun,et al. Seasonal variation in blood pressure of patients on continuous ambulatory peritoneal dialysis[J]. BLOOD PURIFICATION,2006,24(5-6):499-507.
APA Cheng, Li-Tao,Jiang, Hong-Ying,Tang, Li-Jun,&Wang, Tao.(2006).Seasonal variation in blood pressure of patients on continuous ambulatory peritoneal dialysis.BLOOD PURIFICATION,24(5-6),499-507.
MLA Cheng, Li-Tao,et al."Seasonal variation in blood pressure of patients on continuous ambulatory peritoneal dialysis".BLOOD PURIFICATION 24.5-6(2006):499-507.
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