Chinese Journal of Blood Purification ›› 2022, Vol. 21 ›› Issue (10): 749-753.doi: 10.3969/j.issn.1671-4091.2022.10.010

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Comparison of the resting energy expenditure in peritoneal dialysis and hemodialysis patients 

FU Gang, XU Xiao, GUO Shan-shan, WANG Yu-zh2, DONG Jie3, LIU Wen-hu   

  1. Department of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; 2Department of Nephrology, Beijing Haidian Hospital, Beijing 100080, China; 3Department of Nephrology, Peking University First Hospital, Beijing 100034, China
  • Received:2022-03-28 Revised:2022-07-01 Online:2022-10-12 Published:2022-10-12
  • Contact: 100050 北京,1首都医科大学附属北京友谊医院肾内科 E-mail:liuwh0211@emzu.com.cn

Abstract: Objective  We aimed to compare the resting energy expenditure (REE) between peritoneal dialysis (PD) patients and hemodialysis (HD) patients.  Methods   This cross-sectional study enrolled 105 PD patients and 35 HD patients who were clinically stable from two tertiary hospitals in Beijing. Their REE was measured by indirect calorimetry.  Results   The mean age of the patients was 52.5±11.9 years old, and the body weight was 68.6±15.1kg, 57.7% being man and 43.6% having diabetes. The REE was 1432.6±339.4 kcal in HD patients and was 1334.6±271.8 kcal in PD patients, without significant difference between PD and HD patients (P=0.086). REE was positively correlated with height (r=0.399/0.574, P=0.018/<0.001), weight (r=0.756/0.730, P<0.001), male (r=0.481/0.582, P=0.003/<0.001), grip strength (r=0.584/0.551, P<0.001) and lean body mass (r=0.674/0.677, P<0.001), negatively correlated with age (r=-0.432/-0.254, P=0.010/0.009), dialysis age (r=-0.356/-0.289, P=0.036/0.003) and urea clearance (Kt/V) (r=-0.786/-0.326, P<0.001/0.002) in both HD and PD patients.  Conclusions  There was no significant difference in REE level between HD and PD patients.

Key words: Peritoneal dialysis, Hemodialysis, Resting energy expenditure

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