Prehemodialysis hyponatremia and extracellular water: Is it simply too much water?
age
bioimpedance
diabetes
extracellular water
frailty
hemodialysis
sodium
Journal
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
ISSN: 1744-9987
Titre abrégé: Ther Apher Dial
Pays: Australia
ID NLM: 101181252
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
16
04
2021
received:
01
03
2021
accepted:
04
05
2021
pubmed:
8
5
2021
medline:
11
2
2022
entrez:
7
5
2021
Statut:
ppublish
Résumé
Observational hemodialysis (HD) studies report an association between hyponatremia and increased mortality. As volume overload is also associated with mortality, we wished to determine whether hyponatremia is linked to increased extracellular water (ECW). We measured ECW, total body water (TBW) and body composition predialysis with multifrequency bioimpedance, arm strength with pinch gauge and hand grip strength (PS, HGS), standard biochemistry profiles, comorbidity and clinical frailty scores (CFS). We reviewed 324 patients, 195 (60.2%) male, mean age 62.3 ± 15.6 years. Thirty-eight (11.7%) patients were hyponatremic (sodium ≤135 mmol/L), ECW/height
Identifiants
pubmed: 33960683
doi: 10.1111/1744-9987.13685
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
154-161Informations de copyright
© 2021 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.
Références
Asadollahi K, Beeching N, Gill N. Hyponatraemia as a risk factor for hospital mortality. Quart J Med. 2006;99:8677-80.
Horn EJ, Zietse R. Hyponatraemia revisited: translating physiology into practice. Nephron Physiol. 2008;108:46-59.
Sahin OZ, Asci G, Kircelli F. The impact of low serum sodium level on mortality depends on glycemic control. Eur J Clin Invest. 2012;42:534-40.
Waikar SS, Curhan GC, Brunelli SM. Mortality associated with low serum sodium concentration in maintenance hemodialysis. Am J Med. 2011;124:77-84.
Penne EL, Thijssen S, Raimann JG, Levin NW, Kotanko K. Correction of serum sodium for glucose concentration in hemodialysis patients with poor glucose control. Diabetes Care. 2010;33:e91. https://doi.org/10.2337/dc10-0557.
Fürstenberg A, Davenport A. Comparison of multifrequency bioelectrical impedance analysis and dual-energy X-ray absorptiometry assessments in outpatient haemodialysis patients. Am J Kidney Dis. 2010;57:123-9.
Persaud J, Thomas M, Davenport A. Indirect ion selective electrode methods potentially overestimate peritoneal dialysate sodium losses. Ther Apher Dial. 2014;18:321-5.
Booth J, Pinney J, Davenport A. N-terminal proBNP-marker of cardiac dysfunction, fluid overload, or malnutrition in hemodialysis patients? Clin J Am Soc Nephrol. 2010;5:1036-40.
Jaques DA, Davenport A. Serum β2-microglobulin as a predictor of residual kidney function in peritoneal dialysis patients. J Nephrol. 2020;34:473-81. https://doi.org/10.1007/s40620-020-00906-x.
Yoowannakul S, Tangvoraphonkchai K, Vongsanim S, Mohamed A, Davenport A. Differences in the prevalence of sarcopenia in haemodialysis patients: the effects of gender and ethnicity. J Hum Nutr Diet. 2018;31:689-96.
van Manen JG, Korevaar JC, Dekker FW, Boeschoten EW, Bossuyt PM, Krediet RT, et al. Netherlands co-operative Study on the Adequacy of Dialysis-2. How to adjust for comorbidity in survival studies in ESRD patients: a comparison of different indices. Am J Kidney Dis. 2002;40:82-9.
Davies SJ, Phillips L, Naish PF, Russell GI. Quantifying comorbidity in peritoneal dialysis patients and its relationship to other predictors of survival. Nephrol Dial Transplant. 2002;17:1085-92.
Maharjan SRS, Davenport A. The effects of supported shared-care and hemodialysis self-care on patient psychological well-being, interdialytic weight gain, and blood pressure control. Hemodial Int. 2020;24:29-35.
Camilleri S, Chong S, Tangvoraphonkchai K, Yoowannakul S, Davenport A. Effect of self-reported distress thermometer score on the maximal handgrip and pinch strength measurements in hemodialysis patients. Nutr Clin Pract. 2017;32:682-6.
Slee A, McKeaveney C, Adamson G, Davenport A, Farrington K, Fouque D, Kalanter-Zadeh K, Mallett J, Maxwell AP, Mullan R, Noble H, O'Donoghue D, Porter S, Seres DS, Sheilds J, Witham M, Reid J. Estimating the prevalence of muscle wasting, weakness, and sarcopenia in hemodialysis patients. J Ren Nutr. 2020;30:313-21. https://doi.org/10.1053/j.jrn.2019.09.004
Rockwood K, Song X, Mitnitski A. Changes in relative fitness and frailty across the adult lifespan: evidence from the Canadian National Population Health Survey. CMAJ. 2011;183:E487-94.
Rhee CM, Ravel VA, Ayus JC. Pre-dialysis serum sodium and mortality in a national incident hemodialysis cohort. Nephrol Dial Transplant. 2016;31:992-1001.
Al-Chidadi A, Nitsch D, Davenport A. The effect of serum sodium on survival in patients treated by peritoneal dialysis in the United Kingdom. Perit Dial Int. 2017;37:70-7.
Hecking M, Karaboyas A, Saran R. Predialysis serum sodium level, dialysate sodium, and mortality in maintenance hemodialysis patients: the dialysis outcomes and practice patterns study (DOPPS). Am J Kidney Dis. 2012;59:238-48.
Dekker MJ, Marcelli D, Canaud B. Unraveling the relationship between mortality, hyponatremia, inflammation and malnutrition in hemodialysis patients: results from the international MONDO initiative. Eur J Clin Nutr. 2016;70:779-84.
Rhee CM, Ayus JC, Kalantar-Zadeh K. Hyponatraemia in the dialysis population. Kidney Int Rep. 2019;4:769-80.
Davies SJ, Davenport A. The role of bioimpedance and biomarkers in helping to aid clinical decision-making of volume assessments in dialysis patients. Kidney Int. 2014;86:489-96.
Davenport A, Willicombe MK. Does diabetes mellitus predispose to increased fluid overload in peritoneal dialysis patients? Nephron Clin Pract. 2010;114:c60-6.
Gkza A, Davenport A. Estimated dietary sodium intake in haemodialysis patients using food frequency questionnaires. Clin Kidney J. 2017;10:715-20.
Vilar E, Farrington K. Emerging importance of residual renal function in end-stage renal failure. Semin Dial. 2011;24:487-94.
Amalia RI, Davenport A. Estimated dietary sodium intake in peritoneal dialysis patients using food frequency questionnaires and total urinary and peritoneal sodium losses and assessment of extracellular volumes. Eur J Clin Nutr. 2019;73:105-11.
Mc Causland FR, Waikar SS, Brunelli SM. The relevance of dietary sodium in hemodialysis. Nephrol Dial Transplant. 2013;28:797-802.