Central Obesity and Comorbidity Risk in Hemodialysis Patients

Shimaa Mohammed BahaaAbd El Latif;

Abstract


Obesity is a major public health problem. Being obese and overweight is associated with substantial increased risks of mortality and morbidity specially central obesity which means fat accumulation in the abdomen that leads to a deviation of body shape from a cylindrical to a double-cone shape. This abnormal deposition of fat in the abdomen has been described as the type of obesity that greatly threatens the individual’s health leading to metabolic derangements, coronary disease, increased mortality.
Visceral adiposity can be measured in a number of ways: by MRI scanning or CT scans of the abdomen or by dual X-ray absorptiometry (DEXA) with a specific abdominal window. Such techniques are expensive and difficult to apply
Other inexpensive and practical methods to accurately localize body fat distribution in humans include: Waist circumference, the waist to hip ratio and the conicity index.
Anthropometric measurements are widely used and these include weight, height, body mass index, waist circumference, hip circumference and waist-hip circumference ratio.
Our study is a cross-sectional study in a hemodialysis center at El Zaiton specialized hospital in Egypt on sixty regular hemodialysis patients.
Our study revealed that hypertension and diabetes were the most prevalent causes of ESRD in our study group.
The same interviewer has conducted a standardized, structured interview using a pre-tested questionnaire to collect information on demographics, socio-economic status (e.g. age, gender, education level, marital status, occupation), habitat location, financial status. Other variables recorded will be the global quality of life assessment (QoL), and Health status rated from 1 (very poor) to 5 (very good).
Each patient’s medical chart has been reviewed, and data on smoking, consanguinity, first dialysis, etiology, comorbidities, and results of the laboratory analysis were extracted. Levels of total albumin, hematocrit, Phosphorus, Potassium, triglycerides, Urea Reduction Ratio (URR%) were assessed.


Other data

Title Central Obesity and Comorbidity Risk in Hemodialysis Patients
Other Titles السمنة والمشاكل الصحية الناتجة عنها فى المرضى الخاضعين للاستصفاء الدموى المنتظم
Authors Shimaa Mohammed BahaaAbd El Latif
Issue Date 2015

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