복막투석환자에서 복부비만과 사망과의 관계

초록

Several studies suggested that abdominal fat deposition is associated with an increased mortality riskin hemodialysis patients. However, there are few data about this issue in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: An observational study after the baseline nutritional assessment was performed to evaluate whether the abdominal obesity is associated with mortality in 130 CAPD patients. The conicity index(COID), waist circumference/[0.109×square root of (weight/height)], was used as a parameter of abdominal obesity. Patients were classified according to the percentile of COID [group 1 (n=35) <25th percentile; group 2 (n=65) between 25th and 75th percentile,group 3 (n=30) >75th percentile). After 9 years follow-up, all-cause and cardiovascular-cerebrovascular (CVCB) mortalities were evaluated.Results: Mean age was 51±12 years. Male to female ratio was 1:1.4. Thirty percent was diabetics. Previous durations Conclusion: The abdominal obesity seems to be a strong predictor of mortality in CAPD patients.