geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Body mass index as a predictor of continued survival in older chronic dialysis patients


, : Body mass index as a predictor of continued survival in older chronic dialysis patients. International Urology and Nephrology 32(3): 441-448

Objective: To investigate the contribution of body mass index (BMI) to mortality over 11 years of follow-up in a prevalent sample of dialysis patients aged 60+. Design: Multivariate Cox proportional hazards regression analysis. Setting: Multicenter stratified random sample of black and white older chronic dialysis patients in a southeastern state. Subjects: 316 patients on hemodialysis (HD) and peritoneal dialysis (PD). Main outcome measure: Continued survival from baseline interview in 1988 to June 1999. Results: Adjusting for age, primary diagnosis of diabetes, cardiovascular comorbidity, HD/PD therapy, and patient-reported functional impairment, the interaction of baseline BMI with race and gender was associated with older patients' risk of mortality. Black females, black males, and white males with higher BMI had a reduced risk of mortality, while no protective effect of higher BMI was found for white females. Patients with cardiovascular comorbidity and greater functional impairment at baseline had increased mortality risk. BMI was not significantly correlated with serum albumin or functional impairment. Conclusion: BMI, a simple anthropometric measure that provides a marker of nutritional status, interacts with race and gender to predict long-term survival in older dialysis patients. The association of survival with dialysis adequacy, nutritional indicators, and cardiovascular status in black and white dialysis patients is an important area of study.

US$19.90

PMID: 11583369

DOI: 10.1023/a:1017581726362


Other references

Guller, U.; DeLong, E.R., 2004: Interpreting statistics in medical literature: a vade mecum for surgeons. Journal of the American College of Surgeons 198(3): 441-458

Hassan, A.E.; Andricevic, R.; Cvetkovic, V., 2002: Evaluation of analytical solute discharge moments using numerical modeling in absolute and relative dispersion frameworks. Two-dimensional numerical simulations were used to validate the analytical solutions for the solute discharge moments. In addition to the analysis of classical absolute dispersion, we also considered relative dispersion whereby plume meandering (d...

Cappa, F.; D'Alfonso, A.; Porzio, G.; Ferrara, P.; Luciani, S.; Paravano, A.; Pozzi, V., 1988: Statistical report on the births at the Obstetrical and Gynecologic Clinic of L'Aquila during the period 1979-1986. Minerva Ginecologica 40(9): 541-546

Kawauchi, T.; Sasaki, T.; Yoshida, K.; Matsumoto, H.; Chen, R.X.; Huang, M.Y.; Tsuchiya, K.S.; Otani, T., 1997: A new anthracycline antibiotic, IT-62-B, converts the morphology of ras-transformed cells back to normal: taxonomy, fermentation, isolation, structure elucidation and biological characterization. A new antibiotic, IT-62-B was isolated from the culture broth of Streptomyces sp. IT-62 by extraction with acetone and then with ethyl acetate, followed by conventional column chromatography using silica gel, Sephadex LH-20 and silica ODS. Its str...

Takashima, T.; Onoda, N.; Ishikawa, T.; Koyama, T.; Inaba, M.; Nishizawa, Y.; Nakatani, T.; Wakasa, K.; Hirakawa, K., 2004: Tumor-forming idiopathic retroperitoneal fibrosis: report of a case. Idiopathic retroperitoneal fibrosis (IRF) is characterized by the progressive proliferation of connective tissue, but it rarely results in the formation of a mass. Herein, we report a rare case of tumor-forming IRF. A 76-year-old woman was referre...

Tsymbal A.M.; Lysenko I.P.; Kovalenko V.T.; Serbinenko T.N.; Kurilev B.S.; Kotlyarov A.A., 1975: Simultaneous immunization of young pigs against plague aujeszkys disease and erysipelas. Veterinariya (Moscow) 2: 57-59

Bennett D.; Fitzgerald L.; Lis Y.; Bland M., 1987: Possible benefits of early isosorbide 5 mononitrate therapy in acute myocardial infarction. European Heart Journal 8(ABSTR SUPPL 1): 37

Seifert, H.S.; Porter, R.D., 1984: Enhanced recombination between lambda plac5 and F42lac: identification of cis- and trans-acting factors. Enhanced transductional recombination between specialized transducing phage lambda plac5 and plasmid F42lac depends on cis- and trans-acting factors. By constructing a series of recombinant molecules, the cis-acting site required for enhanced reco...

Ter Minassian, M.E., 1971: Non-palearctic connection of weevils in Central Asia and Kazakhstan. Int. Ent: 206.

Sarvala J., 1990: Complex and flexible life history of a freshwater benthic harpacticoid species. The life history of the benthic harpacticoid Paracamptus schmeili (Crustacea: Copepoda) in the oligotraphic lake Paajarvi, South Finland, was described from quantitative field data of all developmental stages. The generation time of P. schmeili wa...