The effect of hemodialysis, peritoneal dialysis and renal transplantation on nutritional status and serum micronutrient levels in patients with end-stage renal disease; Multicenter, 6-month period, longitudinal study

dc.contributor.authorDizdar, Oğuzhan Sıtkı
dc.contributor.authorGül, Cuma Bülent
dc.contributor.authorGünal, Ali İhsan
dc.contributor.authorGundoğan, Kürşat
dc.contributor.buuauthorYıldız, Abdülmecit
dc.contributor.buuauthorErsoy, Alparslan
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Nefroloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-0710-0923tr_TR
dc.contributor.researcheridHIG-9032-2022tr_TR
dc.contributor.scopusid56256977500tr_TR
dc.contributor.scopusid35612977100tr_TR
dc.date.accessioned2023-01-02T13:46:30Z
dc.date.available2023-01-02T13:46:30Z
dc.date.issued2020-03-12
dc.description.abstractPurpose: Nutritional status and micronutrient levels of end stage renal disease (ESRD) patients may vary depending on the mode of renal replacement therapy (RRT). We aimed to compare the effects of hemodialysis, peritoneal dialysis (PD) and renal transplantation (RT) on micronutrient levels and nutritional status in ESRD patients. Patients and Methods: A total of 77 ESRD patients who had not received RRT were included in this prospective longitudinal study. All ESRD patients underwent a blood serum analysis that assessed the micronutrients such as selenium, copper, zinc, chromium, retinol, thiamine and vitamin B6 as well as a nutritional status assessment. After the baseline assessments and the initiation of RRT was accomplished, all patients were followed for 6 months. Results: The study showed significant improvements in subjective global assessment scores (percentage increases in score A were 26.6 and 36.6; p= 0.039 and p= 0.001; respectively), mid-arm circumference and the skin-fold thicknesses (p < 0.001, p < 0.001; respectively) in the RT and hemodialysis groups. The examinations at sixth month revealed a significant increase in body weight (4.8 kg; p= 0.002) and albumin levels (0.6 g/dL; p < 0.001) in only RT group. Zinc, thiamin and vitamin B6 were the most deficient micronutrients (44.1 %, 24.7 % and 35.1 %; respectively) in ESRD patients. There was a significant increase in selenium and retinol levels (p= 0.020 and p < 0.001; respectively) but a significant decrease in thiamin levels (p= 0.041) in RT patients. A significant increase in retinol levels (p= 0.028) and a significant decrease in thiamin levels (p= 0.022) was observed in the hemodialysis patients. However, no significant change in micronutrient levels was observed in the PD patients. Conclusion: The results support the recommendation that ESRD patients should be supplemented with watersoluble vitamins, especially thiamine and vitamin B6, and trace elements, especially zinc. RT appears to be superior to other modes of RRT when examining SGA score, anthropometric measurements, albumin and micronutrient levels.en_US
dc.identifier.citationDizdar, O. S. vd. (2020). "The effect of hemodialysis, peritoneal dialysis and renal transplantation on nutritional status and serum micronutrient levels in patients with end-stage renal disease; Multicenter, 6-month period, longitudinal study". Journal of Trace Elements in Medicine and Biology, 60.en_US
dc.identifier.issn0946-672X
dc.identifier.pubmed32220765tr_TR
dc.identifier.scopus2-s2.0-85082127421tr_TR
dc.identifier.urihttps://doi.org/10.1016/j.jtemb.2020.126498
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0946672X20300638
dc.identifier.urihttp://hdl.handle.net/11452/30226
dc.identifier.volume60tr_TR
dc.identifier.wos000524414400016tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.indexed.wosCPCISen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.collaborationSanayitr_TR
dc.relation.collaborationYurt içitr_TR
dc.relation.journalJournal of Trace Elements in Medicine and Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.relation.tubitak115S901tr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRenal replacement therapyen_US
dc.subjectVitaminen_US
dc.subjectMineralen_US
dc.subjectNutritional assessmenten_US
dc.subjectAlbuminen_US
dc.subjectQuality-of-lifeen_US
dc.subjectTrace-elementsen_US
dc.subjectOxidative stressen_US
dc.subjectVitaminsen_US
dc.subjectPlasmaen_US
dc.subjectInflammationen_US
dc.subjectParametersen_US
dc.subjectMortalityen_US
dc.subjectRisken_US
dc.subjectZincen_US
dc.subjectBiochemistry & molecular biologyen_US
dc.subjectEndocrinology & metabolismen_US
dc.subject.emtreeAlbuminen_US
dc.subject.emtreeAzathioprineen_US
dc.subject.emtreeC reactive proteinen_US
dc.subject.emtreeChromiumen_US
dc.subject.emtreeCopperen_US
dc.subject.emtreeCyclosporineen_US
dc.subject.emtreeEverolimusen_US
dc.subject.emtreeMycophenolate mofetilen_US
dc.subject.emtreePrednisoloneen_US
dc.subject.emtreePyridoxineen_US
dc.subject.emtreeRapamycinen_US
dc.subject.emtreeRetinolen_US
dc.subject.emtreeSeleniumen_US
dc.subject.emtreeTacrolimusen_US
dc.subject.emtreeThiamineen_US
dc.subject.emtreeTrace elementen_US
dc.subject.emtreeZincen_US
dc.subject.emtreeTrace elementen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAlbumin blood levelen_US
dc.subject.emtreeArm circumferenceen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBlood analysisen_US
dc.subject.emtreeBlood samplingen_US
dc.subject.emtreeBody weighten_US
dc.subject.emtreeChromium blood levelen_US
dc.subject.emtreeClinical effectivenessen_US
dc.subject.emtreeClinical trialen_US
dc.subject.emtreeCopper blood levelen_US
dc.subject.emtreeEnd stage renal diseaseen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHemodialysisen_US
dc.subject.emtreeHigh performance liquid chromatographyen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeImmunosuppressive treatmenten_US
dc.subject.emtreeKidney transplantationen_US
dc.subject.emtreeLongitudinal studyen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMulticenter studyen_US
dc.subject.emtreeNutritional assessmenten_US
dc.subject.emtreeNutritional statusen_US
dc.subject.emtreeNutritional valueen_US
dc.subject.emtreeObservational studyen_US
dc.subject.emtreePeritoneal dialysisen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeProspective studyen_US
dc.subject.emtreeProtein blood levelen_US
dc.subject.emtreeSelenium blood levelen_US
dc.subject.emtreeSkinfold thicknessen_US
dc.subject.emtreeTertiary care centeren_US
dc.subject.emtreeVitamin blood levelen_US
dc.subject.emtreeZinc blood levelen_US
dc.subject.emtreeBlooden_US
dc.subject.emtreeChronic kidney failureen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.meshAdulten_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney failure, chronicen_US
dc.subject.meshKidney transplantationen_US
dc.subject.meshLongitudinal studiesen_US
dc.subject.meshMaleen_US
dc.subject.meshMicronutrientsen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshNutritional statusen_US
dc.subject.meshProspective studiesen_US
dc.subject.meshRenal dialysisen_US
dc.subject.scopusHemodialysis; Oxidative Stress; Chronic Kidney Failureen_US
dc.subject.wosBiochemistry & molecular biologyen_US
dc.subject.wosEndocrinology & metabolismen_US
dc.titleThe effect of hemodialysis, peritoneal dialysis and renal transplantation on nutritional status and serum micronutrient levels in patients with end-stage renal disease; Multicenter, 6-month period, longitudinal studyen_US
dc.typeArticle
dc.wos.quartileQ3en_US

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