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Does increased glucose exposure lead to increased body fat and reduced lean body mass in anuric peritoneal dialysis patients

Fan, S; Davenport, A; (2014) Does increased glucose exposure lead to increased body fat and reduced lean body mass in anuric peritoneal dialysis patients. European Journal of Clinical Nutrition , 68 (11) pp. 1253-1254. 10.1038/ejcn.2014.119. Green open access

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Abstract

Residual renal function has been reported to be a major determinant of peritoneal dialysis (PD) technique survival for patients with end-stage kidney disease. Anuria leads to increases in PD prescriptions designed to maintain small solute clearances and ultrafiltration volumes, resulting in greater exposure to hypertonic glucose dialysates. We reviewed the effect of developing anuria in a cohort of 136 PD patients followed for a median of 12 months, to determine whether increasing exposure to higher glucose dialysates affected body composition by increasing body fat and reducing muscle mass. Despite increasing prescription of 22.7 and 38.6 g/l glucose dialysates there was no increase in body fat (31.1±15.4 vs 30.9±16.3 kg) or loss of fat-free weight (36.4±12.1 vs 35.8±12.3 kg). Changing PD prescriptions to maintain small solute clearances and ultrafiltration volumes did not lead to detrimental changes in body composition in the short term.

Type: Article
Title: Does increased glucose exposure lead to increased body fat and reduced lean body mass in anuric peritoneal dialysis patients
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/ejcn.2014.119
Publisher version: https://doi.org/10.1038/ejcn.2014.119
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Nutrition & Dietetics, multifrequency bioimpedance, ultrafiltration, mortality
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/1457900
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