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복막투석 환자와 혈액투석 환자에서 내장 비만의 유병률 비교

omparison of Prevalence of Visceral Obesity between Hemodialysis and Peritoneal Dialysis Patients

대한신장학회지
2008년 27권 4호 p.458 ~ p.464
구영미 ( Ku Young-Mi ) - 가톨릭대학교 의과대학 의정부성모병원 방사선학교실

정수교 ( Chung Soo-Kyo ) - 가톨릭대학교 의과대학 방사선과학교실
김용수 ( Kim Yong-Soo ) - 가톨릭대학교 의과대학 내과학교실
염근상 ( Yum Keun-Sang ) - 가톨릭대학교 의과대학 가정의학교실
김영수 ( Kim Young-Soo ) - 가톨릭대학교 의과대학 내과학교실
윤선애 ( Yoon Sun-Ae ) - 가톨릭대학교 의과대학 내과학교실
송호철 ( Song Ho-Cheol ) - 가톨릭대학교 의과대학 내과학교실
김영옥 ( Kim Young-Ok ) - 가톨릭대학교 의과대학 내과학교실
민경희 ( Min Kyoung-Hee ) - 의정부성모병원
정순선 ( Jung Soon-Sun ) - 가톨릭대학교 의과대학 의정부성모병원

Abstract

Purpose: Visceral obesity is a more reliable indicator of cardiovascular risk factor than BMI. Our study was designed to compare the prevalence of visceral obesity in peritoneal dialysis (PD) patients to hemodialysis (HD) patients with abdominal fat CT in a single center.

Methods: In this cross sectional study, the result of abdominal fat CT of dialysis patients was investigated from January, 2007 to March, 2007 in Uijeongbu St. Mary s Hospital. To evaluate the risk factors related to visceral obesity, we analyzed patients medical records such as duration of dialysis, lipid profiles, anthropometric data and the presence of DM.
Results: We enrolled 65 HD patients and 67 PD patients. PD group had higher mean body weight, mean body mass index (BMI), and triglyceride level, compared to HD group. The PD group had higher visceral fat area, measured by abdominal fat CT than HD group. The prevalence of visceral obesity was higher in PD group than HD group. Visceral fat area showed positive co-relation with BMI in HD group, but did not in PD group. The age related prevalence of visceral obesity was significantly increased in the patients with older age group (>65).

Conclusion: Our cross sectional study points to the fact that visceral obesity is more common in PD patients than HD patients. It is necessary to control weight and nutritional status, especially in PD patients for preventing metabolic complications.

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학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명
(Target field)
연구대상
(Population)
연구참여
(Sample size)
대상성별
(Gender)
질병특성
(Condition Category)
연구환경
(Setting)
연구설계
(Study Design)
연구기간
(Period)
중재방법
(Intervention Type)
중재명칭
(Intervention Name)
키워드
(Keyword)
유효성결과
(Recomendation)
연구비지원
(Fund Source)
근거수준평가
(Evidence Hierarchy)
출판년도
(Year)
참여저자수
(Authors)
대표저자
(1st Authors)
Doi
KCD코드
ICD 03
건강보험코드