Yonsei Med J.  2005 Oct;46(5):658-666. 10.3349/ymj.2005.46.5.658.

Comparison of Anthropometric Data between End-stage Renal Disease Patients Undergoing Hemodialysis and Healthy Adults in Korea

• Lee SW
• Park GH
• Lee SY
• Song JH
• Kim MJ

• KMID: 2158146
• DOI: http://doi.org/10.3349/ymj.2005.46.5.658

Abstract

Protein-calorie malnutrition is prevalent in hemodialysis (HD) patients. The prevalence of obesity in healthy Korean adults has increased rapidly during the last 10 years. However, there are few large scale data collections available about the current weight status of Korean HD patients. The weight statuses of 10, 304 HD patients (data from the Insan Memorial Dialysis Registry 2002, Korean Society of Nephrology) were compared to those of 12, 436 control subjects (age > 18) by using body mass index (BMI). Weight status was assessed by WHO classification for Asian-Pacific region [underweight (UW) : < 18.5; normal weight (NW) : 18.5-22.9; overweight (OW) : 23-24.9; obese (OB) : 25-29.9; and extremely obese (EOB) : > 30 kg/m2] in both the control and HD patients. HD patients had significantly lower body weight and BMI than the controls in all age groups and in both sexes. For the male controls, the proportions of OW and OB showed a reversed U-shape, peaking at the 5th and 6th decades. of the numbers of those classified as NW and UW were relatively small. For the female controls, the proportions of OW and OB progressively increased with age. On the contrary, in HD patients, the proportions of NW and UW were large, up to more than 70%, and those of OW and OB were small in both sexes. In each age group, UW was seen significantly more in the HD group than in the control group. The 6th decade age group showed the highest prevalence ratio for UW in the HD group for both sexes, compared to the controls (Male: 17.33, Female: 17.68). The percentages of UW were related to HD duration and age in both sexes. In conclusion, Korean HD patients seem to have small proportions of OW and OB, compared to the general population, and protein-calorie malnutrition may still be an important nutritional condition.

Keyword

Body mass index; chronic kidney failure; anthropometry; renal dialysis

MeSH Terms

*Renal Dialysis
Nutritional Status
Middle Aged
Male
Kidney Failure, Chronic/*metabolism
Humans
Female
*Body Weight
*Body Mass Index
Aged
Adult

Figure

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  Fig. 1 Distribution of median BMI values between the control and HD patients according to sex.

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  Fig. 2 Weight status between the controls and HD patients according to age.

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  Fig. 3 Distribution of HD duration according to age and sex.

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  Fig. 4 Relationship between the proportion of UW and HD duration for each sex. Linear equation, UW = 2.69×HD duration + 7.63, in male (R2 = 0.72). 2.15×HD duration + 17.79, in female (R2 = 0.72). in which 5 classes of HD duration were transformed to a continuous number from 1 to 5. Spearman correlation coefficients between HD duration and the proportion of UW were 1.0 for males and 0.975 (p = 0.005) for females.

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