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Fatigue Is Not Associated with Phase Angle in Hemodialysis Patients

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The journal of nutrition, health & aging

Abstract

Purpose

The aim of this study was to investigate the association between fatigue and phase angle (PA) in patients with chronic kidney disease (CKD) on hemodialysis (HD).

Methods

A cross-sectional study with older patients than 18 years diagnosed with CKD undergoing HD. From 160 (58.36±15.05 years) patients, (n=96; 60%) are men. Body mass and height were assessed using a portable scale and stadiometer, followed by body mass index (BMI) calculus. The bioimpedance electrical analysis was performed using the Bodystat QuadScan 4000. The sample size was dichotomized in two groups, using the median of our sample, either normal when PA ≥5.4°, or low when the PA <5.4°. The Chalder fatigue questionnaire was used the assess the fatigue. The multiple regression was applied to assess the association between fatigue questionnaire and PA.

Results

Were considered normal PA≥5.4° (n=78, 48.8%) and low PA<5.4° (n=82, 51.2%). The patients of the PA<5.4° group are older compared to the PA≥5.4° group (63.1±15.1 vs. 53.3±13.4 years, p<0.001). There was no association between PA and fatigue score in the crude model (OR: 1.02, 95%CI: 0.96–1.08, p=0.47) and after confounding variables (OR: 1.03, CI: 0.95–1.12, p=0.43).

Conclusions

In HD patients, we found that patients with lower PA values are older. In addition, we did not find association between fatigue and PA.

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References

  1. Delanaye P, Glassock RJ, Pottel H, Rule AD. An Age-Calibrated Definition of Chronic Kidney Disease: Rationale and Benefits. Clin Biochem Rev 2016;37:17–26.

    PubMed  PubMed Central  Google Scholar 

  2. Kidney disease. Improving global outcomes. KDIGO Clinical practice guideline for the management of blood pressure in chronic kidney disease. Kidney Int Rep KDIGO 2012;2:1–85. (Accessed May 1, 2021, at https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-Blood-Pressure-Guideline-English.pdf.)

  3. Thomé FS, Sesso RC, Lopes AA, Lugon JR, Martins CT. Brazilian chronic dialysis survey 2017. J Bras Nefrol 2019;41:208–14. https://doi.org/10.1590/2175-8239-JBN-2018-0178.

    Article  Google Scholar 

  4. McCann K, Boore JRP. Fatigue in persons with renal failure who require maintenance haemodialysis. J Adv Nurs 2000;32:1132–42. https://doi.org/10.1046/j.1365-2648.2000.01584.x.

    Article  CAS  Google Scholar 

  5. O’Sullivan D, McCarthy G. An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis. J Clin Nurs 2007;16:276–84. https://doi.org/10.1111/j.1365-2702.2007.01965.x.

    Article  Google Scholar 

  6. Koyama H, Fukuda S, Shoji T, Inaba M, Tsujimoto Y, Tabata T, et al. Fatigue is a predictor for cardiovascular outcomes in patients undergoing hemodialysis. Clin J Am Soc Nephrol 2010;5:659–66. https://doi.org/10.2215/CJN.08151109.

    Article  CAS  Google Scholar 

  7. Picariello F, Moss-Morris R, Macdougall IC, Chilcot J. Measuring fatigue in haemodialysis patients: The factor structure of the Chalder Fatigue Questionnaire (CFQ). J Psychosom Res 2016;84:81–3. https://doi.org/10.1016/j.jpsychores.2016.03.124.

    Article  Google Scholar 

  8. Lee JE, Jo IY, Lee SM, Kim WJ, Choi HY, Ha SK, et al. Comparison of hydration and nutritional status between young and elderly hemodialysis patients through bioimpedance analysis. Clin Interv Aging 2015;10:1327–34. https://doi.org/10.2147/CIA.S86229.

    Article  CAS  Google Scholar 

  9. Oliveira CMC, Kubrusly M, Mota RS, Silva CAB, Choukroun G, Oliveira VN. The Phase Angle and Mass Body Cell as Markers of Nutritional Status in Hemodialysis Patients. J Ren Nutr 2010;20:314–20. https://doi.org/10.1053/j.jrn.2010.01.008.

    Article  Google Scholar 

  10. Saitoh M, Ogawa M, Kondo H, Suga K, Takahashi T, Itoh H, et al. Bioelectrical impedance analysis-derived phase angle as a determinant of protein-energy wasting and frailty in maintenance hemodialysis patients: retrospective cohort study. BMC Nephrol 2020;21:1–8. https://doi.org/10.1186/s12882-020-02102-2.

    Article  Google Scholar 

  11. Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis — Part I: Review of principles and methods. Clin Nutr 2004;23:1226–43. https://doi.org/10.1016/j.clnu.2004.06.004.

    Article  Google Scholar 

  12. Gomes TLN, Soares JDP, Borges TC, Pichard C, Pimentel GD. Phase angle is not associated with fatigue in cancer patients: the hydration impact. Eur J Clin Nutr 2020;74(9):1369–73. https://doi.org/10.1038/s41430-020-0597-4.

    Article  CAS  Google Scholar 

  13. Marini ACB, Perez DRS, Fleuri JA, Pimentel GD. SARC-F Is Better Correlated with Muscle Function Indicators Than Muscle Mass in Older Hemodialysis Patients. J Nutr Heal Aging 2020;24. https://doi.org/10.1007/s12603-020-1426-0.

  14. Vettoretti S, Caldiroli L, Armelloni S, Ferrari C, Cesari M, Messa P. Sarcopenia is associated with malnutrition but not with systemic inflammation in older persons with advanced CKD. Nutrients 2019;11. https://doi.org/10.3390/nu11061378.

  15. Tan RS, Liang DH, Liu Y, Zhong XS, Zhang DS, Ma J. Bioelectrical Impedance Analysis-Derived Phase Angle Predicts Protein-Energy Wasting in Maintenance Hemodialysis Patients. J Ren Nutr 2019;29:295–301. https://doi.org/10.1053/j.jrn.2018.09.001.

    Article  CAS  Google Scholar 

  16. Picariello F, Norton S, Moss-Morris R, Macdougall IC, Chilcot J. Fatigue in prevalent haemodialysis patients predicts all-cause mortality and kidney transplantation. Ann Behav Med 2019;53:501–14. https://doi.org/10.1093/abm/kay061.

    Article  Google Scholar 

  17. Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res 1993;37:147–53. https://doi.org/10.1016/0022-3999(93)90081-P.

    Article  CAS  Google Scholar 

  18. Picariello F, Norton S, Moss-Morris R, Macdougall IC, Chilcot J. A prospective study of fatigue trajectories among in-centre haemodialysis patients. Br J Health Psychol 2020;25:61–88. https://doi.org/10.1111/bjhp.12395.

    Article  Google Scholar 

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Acknowledgments

GDP would like to The Brazilian National Council for Scientific and Technological Development (CNPq, Brazil, 312252/2019-6).

Funding

No grant was received for this study.

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Correspondence to Gustavo Duarte Pimentel.

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Statement of authorship

ACBM, PCBL and GDP contributed to the design of the research; MM, BSC, ACBM and PCBL contributed to the acquisition and analysis of the data; MM, BSC, ACBM, PCBL and GDP contributed to the interpretation of the data; and MM, BSC, ACBM, PCBL and GDP drafted the manuscript. All authors critically revised the manuscript, agree to be fully accountable for ensuring the integrity and accuracy of the work, and read and approved the final manuscript.

Conflict of interest

None declared

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Marini, A.C.B., Carneiro, B.S., Macedo, M. et al. Fatigue Is Not Associated with Phase Angle in Hemodialysis Patients. J Nutr Health Aging 26, 187–189 (2022). https://doi.org/10.1007/s12603-022-1738-3

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  • DOI: https://doi.org/10.1007/s12603-022-1738-3

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