Inflammation

, Volume 36, Issue 3, pp 689–695

Association of Body Fat with Inflammation in Peritoneal Dialysis

  • Andresa Marques de Mattos
  • Paula Payão Ovidio
  • Alceu Afonso Jordão
  • José Abrão Cardeal da Costa
  • Paula Garcia Chiarello
Article

DOI: 10.1007/s10753-013-9593-3

Cite this article as:
de Mattos, A.M., Ovidio, P.P., Jordão, A.A. et al. Inflammation (2013) 36: 689. doi:10.1007/s10753-013-9593-3

Abstract

Peritoneal dialysis (PD) frequently leads to body weight gain, which appears to be a potential cause of the chronic inflammation frequently present in these patients. The consequences of this inflammation are impaired nutritional status, accelerated atherosclerosis, and increased mortality. To assess the association between inflammation and body fat in female patients treated with PD. Nineteen female patients on PD for at least 6 months with no infectious complications or malignant or acute inflammatory diseases. Nutritional status was determined by measuring weight, height, body mass index (BMI), waist (WC), and mid-arm circumferences (MAC), mid-arm muscle area, and tricipital fold (TCF). Bioelectrical impedance (BIA) was used to determine body composition. Biochemical evaluation included the determination of serum albumin, urea, creatinine, and C-reactive protein (CRP). The glucose absorbed from the dialysis solution was quantitated. According to BMI, two patients were classified as malnourished and ten as overweight/obese. Sixteen individuals had high WC measurements and 12 had excess body fat (BF) as measured by BIA. High CRP levels were observed in 12 patients, who had higher WC, MAC, BMI, TCF, and BF measurements compared to non-inflamed patients. Positive associations were detected between CRP and BMI, MAC, WC, and TCF. Associations between BF and CRP suggest that adiposity may be a potent exacerbating factor of inflammation in this population, especially visceral fat. Thus, obesity may be considered to be one more factor responsible for the early atherosclerosis and high cardiovascular mortality observed in these patients.

KEY WORDS

peritoneal dialysis body fat chronic inflammation obesity 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Andresa Marques de Mattos
    • 1
    • 2
  • Paula Payão Ovidio
    • 2
  • Alceu Afonso Jordão
    • 1
  • José Abrão Cardeal da Costa
    • 1
  • Paula Garcia Chiarello
    • 1
  1. 1.Department of Internal Medicine, Faculty of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil
  2. 2.Faculty of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil

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