Serum albumin, body weight and inflammatory parameters in chronic hemodialysis patients: a three-year longitudinal study

Am J Nephrol. 2008;28(3):405-12. doi: 10.1159/000112597. Epub 2007 Dec 14.

Abstract

Backgrounds and aims: The present study aimed at making prospective longitudinal measurements of nutritional and inflammatory parameters to determine whether nutritional and inflammatory status decline or increase over time in a cohort of prevalent hemodialysis patients, and to evaluate which factors influence eventual changes.

Patients: 64 hemodialysis patients were followed at 0, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, and 36 months. At each follow-up visit, dry body weight, serum albumin, serum total cholesterol, total white blood cells, total lymphocyte count, serum glucose, C-reactive protein, ferritin, fibrinogen, hemoglobin, and weekly erythropoietin dose were assessed.

Main outcome measures: Changes in nutritional and inflammatory parameters over time.

Results: 43 patients completed the study at 36 months. Mean serum albumin levels (g/dl) improved significantly between baseline (3.76 +/- 0.24) and 36 months (3.93 +/- 0.27) (F = 4.005; p = 0.0009). Dialytic age was significantly associated with changes of serum albumin (F = 2.797; p = 0.028). The mean dry weight slightly remained stable over time (F = 1.473; p = 1.0) as well as the level of total cholesterol (p = 0.77) and lymphocyte count (F = 1.539; p = 0.186). Over time, the levels of C-reactive protein tended to decrease, although the differences were not statistically significant (F = 1.332; p = 0.19). Over time, the serum level of fibrinogen (F = 0.422; p = 0.17) and ferritin (F = 0.314; p = 0.52) remained stable. The number of white blood cells significantly decreased over time (F = 4.691; p = 0.0079) and dialytic age (F = 3.214; p = 0.015) was the variable significantly associated with such decline. The hemoglobin levels (F = 1.423; p = 0.14) and the weekly erythropoietin dose did not change significantly during the study (F = 1.019; p = 0.61), nor did the serum glucose levels (F = 1.231; p = 0.10).

Conclusion: These results support the hypothesis that end-stage renal disease and HD are not necessarily associated with deterioration of the nutritional status over time.

MeSH terms

  • Aged
  • Albumins / metabolism*
  • Body Weight / physiology*
  • C-Reactive Protein / metabolism
  • Cholesterol / blood
  • Female
  • Ferritins / blood
  • Fibrinogen / metabolism
  • Humans
  • Inflammation / physiopathology*
  • Kidney Failure, Chronic / blood
  • Kidney Failure, Chronic / physiopathology*
  • Longitudinal Studies
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Nutritional Status / physiology*
  • Prospective Studies
  • Time Factors

Substances

  • Albumins
  • Fibrinogen
  • C-Reactive Protein
  • Ferritins
  • Cholesterol