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Metabolic syndrome is associated with better nutritional status, but not with cardiovascular disease or all-cause mortality in patients on haemodialysis
Xie, Qian; Zhang, Ai-Hua; Chen, Shao-Yan; Lai, Xuan; Zhang, Feng; He, Lian; Zhuang, Zhen; Zhu, Ning; Fan, Min-Hua; Wang, Tao
关键词Metabolic syndrome Nutrition Risk factors All-cause mortality Cardiovascular disease
刊名ARCHIVES OF CARDIOVASCULAR DISEASES
2012-04-01
DOI10.1016/j.acvd.2012.01.012
105期:4页:211-217
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]MAINTENANCE HEMODIALYSIS ; BLOOD-PRESSURE ; RISK ; HOSPITALIZATION ; MALNUTRITION ; INFLAMMATION ; METAANALYSIS ; PREDICTOR ; MORBIDITY ; EVENTS
英文摘要

Background. - Metabolic syndrome increases the risk of cardiovascular disease (CVD) and all-cause mortality in the general population.

Aims. - To investigate whether metabolic syndrome affects CVD and all-cause mortality in chronic haemodialysis patients.

Methods. - This prospective, observational cohort study was carried out at Peking university third hospital from June 2006 to June 2010. Baseline anthropometric and laboratory parameters were evaluated, and causes and times of mortality were documented. Nutritional status of the patients was assessed using subject global assessment (SGA) and serum albumin levels.

Results. - Of 162 haemodialysis patients recruited, five were lost to follow-up, leaving 157 in the final cohort, who were followed for 36-42 months. Mean age was 62 +/- 11 years and 55.4% were men. F(o)rty-six patients (30%) had metabolic syndrome. In the metabolic syndrome versus the non-metabolic syndrome group, there were fewer patients with malnutrition (by SGA) (15.2% vs. 55.0%; P < 0.001), but there were no significant differences in CVD mortality (8.7% vs. 10.8%; P = 0.9) or all-cause mortality (15.2% vs. 22.5%; P = 0.39), nor in mean observed survival time (30.8 +/- 7.3 vs. 29.8 +/- 8.5 months; P = 0.49) or total survival time (67 +/- 43 vs. 78 +/- 48 months; P = 0.20). Cox regression analysis showed that independent mortality risk factors were pre-existing CVD, age more than or equal to 66 years and serum albumin less than 37 g/L (indicating malnutrition).

Conclusion. - Metabolic syndrome was associated with a better nutritional status, but not with CVD or all-cause mortality in the haemodialysis patients in this prospective cohort study. (C) 2012 Elsevier Masson SAS. All rights reserved.

语种英语
WOS记录号WOS:000305872000004
引用统计
被引频次:5[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/400002259/60987
专题北京大学第三临床医学院_老年内科
北京大学公共卫生学院_公共卫生学院
北京大学第三临床医学院_肾内科
作者单位Peking Univ, Hosp 3, Div Nephrol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Xie, Qian,Zhang, Ai-Hua,Chen, Shao-Yan,et al. Metabolic syndrome is associated with better nutritional status, but not with cardiovascular disease or all-cause mortality in patients on haemodialysis[J]. ARCHIVES OF CARDIOVASCULAR DISEASES,2012,105(4):211-217.
APA Xie, Qian.,Zhang, Ai-Hua.,Chen, Shao-Yan.,Lai, Xuan.,Zhang, Feng.,...&Wang, Tao.(2012).Metabolic syndrome is associated with better nutritional status, but not with cardiovascular disease or all-cause mortality in patients on haemodialysis.ARCHIVES OF CARDIOVASCULAR DISEASES,105(4),211-217.
MLA Xie, Qian,et al."Metabolic syndrome is associated with better nutritional status, but not with cardiovascular disease or all-cause mortality in patients on haemodialysis".ARCHIVES OF CARDIOVASCULAR DISEASES 105.4(2012):211-217.
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