Document Detail

Effect of peritoneal dialysis on abdominal circumference.
MedLine Citation:
PMID:  20150583     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Peritoneal dialysis (PD) is probably underused because of fears concerning the body image of patients. For the purposes of providing exact information for patients when choosing between PD and hemodialysis, we studied the extent of increase in waist circumference by infusing dialysate.
METHODS: The abdominal circumference of 44 PD patients was measured before and after infusion of dialysate. The change in circumference was compared to body mass index (BMI) and length of the abdominal cavity, defined by the distance between the processus xiphoideus and the os pubis.
RESULTS: Mean abdominal circumferences at the umbilicus and the iliac crest increased from 92.6 +/- 10.1 to 95.5 +/- 10.0 cm and from 95.2 +/- 8.5 to 96.2 +/- 6.3 cm, respectively, when dialysate was infused (p value for both < 0.01). A dialysate volume of 2000 mL increased the circumference only slightly more than the increase seen with 1500 mL. The change in circumference was not correlated with the circumference before the infusion, BMI, height of the patient, or length of the abdominal cavity.
CONCLUSIONS: This study shows that normal PD fill volumes increase the waist circumference only a little. This finding should ease the patient's presumption of PD changing the body image.
Jouni Nurmi; Maarit Korkeila; Eero Honkanen; Leena Lindgren; Maaret Castrén
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Publication Detail:
Type:  Journal Article     Date:  2010-02-11
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  30     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-04     Completed Date:  2011-07-29     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  215-7     Citation Subset:  IM    
Department of Anesthesiology and Intensive Care, Helsinki University Central Hospital, Helsinki, Finland.
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MeSH Terms
Hemodialysis Solutions
Peritoneal Dialysis*
Waist Circumference*
Reg. No./Substance:
0/Hemodialysis Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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