L’activité physique mesurée par podomètre chez les hémodialysés chroniques

Publication date: Available online 19 June 2019Source: Science &SportsAuthor(s): H. Rafik, T. Aatif, A. Bahadi, M. Azizi, D. El KabbajRésuméObjectifsLa sédentarité est un facteur de risque de mortalité chez les patients en hémodialyse chronique, mais le niveau d’activité physique est peu étudié dans cette population. Plusieurs études ont évalué l’activité physique par des méthodes subjectives basées sur des questionnaires. Notre travail avait pour objectif de mesurer le niveau d’activité physique par le recueil du nombre de pas quotidiens à l’aide d’un podomètre et de déterminer les facteurs impliqués dans la réduction de l’activité physique.Matériels et méthodesC’est une étude transversale en simple aveugle ayant inclue quarante-trois hémodialysés chroniques. L’activité physique a été évaluée à l’aide d’un podomètre (podomètre multifonction modèle ONWALK 900, GEONAUTE) en enregistrant quotidiennement le nombre de pas pendant sept jours consécutifs.RésultatsQuarante-trois patients étaient colligés d’âge médian de 56 ans [40–68], avec une prédominance masculine sexe ratio H/F : 1,26. L’activi...
Source: Science and Sports - Category: Sports Medicine Source Type: research

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ConclusionHT associated with post-partum AKF is relatively frequent, secondary to HELLP syndrome and tubular necrosis. The prognosis depends on the early diagnosis and treatment and on the preventive measures during the pregnancy (self-measurement of blood pressure monitoring or ambulatory measurement of blood pressure, screening for proteinuria and uric acid analysis).
Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
ConclusionIn DT1 patients, renal transplantation is the best treatment for ESRD despite the use of corticosteroids and anticalcineurins. However, prior explorations of good cardiac function and adequate vascular compliance are essential to reduce the risk of CV.
Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
Abstract Several epidemiological cohorts have demonstrated that higher body mass index (BMI) is associated with lower mortality risk among patients receiving hemodialysis. However, BMI may be an inaccurate indicator of nutritional status among dialysis patients because it does not differentiate between muscle and fat mass or provide information about body fat distribution. More sophisticated methods of body composition analysis are therefore required to address the question of which component is associated with greater survival. Recent evidence has also shown that changes in body weight and body composition are mo...
Source: Seminars in Dialysis - Category: Urology & Nephrology Authors: Tags: Semin Dial Source Type: research
Authors: Bolton L Abstract Many patients with end-stage kidney disease prefer peritoneal dialysis (PD) to hemodialysis to replace kidney function1 but avoid PD due to fears of serious complications, such as peritonitis or catheter exit site and tunnel infections, which often have higher incidences than those recommended by the International Society for Peritoneal Dialysis (ISPD). Factors that increase the risk of PD-related peritonitis include patient nasal Staphylococcus aureus carriage, diabetes, advanced age, obesity, depression, cardiovascular disease, and catheter connection methods or exit site infection (ESI...
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
​BY HABIR MANDAIR; KEYUR KURANI; &KHALID MALIK, MDA 62-year-old obese woman with end-stage renal disease (ESRD) who was on hemodialysis, hypertension, diabetes mellitus, and chronically elevated serum calcium levels presented to the ED with altered mental status. Nursing home staff stated that she was unable to answer questions coherently and seemed confused.Her vitals were within normal limits except for a body temperature of 99.9°F. Several necrotic lesions of various sizes were found on her left and right buttocks and the medial aspects of both thighs. The patient also had severe necrosis of the third finger o...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
AbstractPurposeObesity is a risk factor for the development of acute kidney injury but its effect on the need for dialysis in trauma has not been elucidated. Additionally, the contribution that obesity has towards risk of mortality in trauma is unclear. We hypothesized that patients with a higher body mass index (BMI) will have a higher risk for need of dialysis and mortality after trauma.MethodsThis is a retrospective analysis using the National Trauma Data Bank. All patients ≥ 8 years old were grouped based on BMI: normal (18.5–24.99 kg/m2), obese (30 –34.99 kg/m2), severely obese (35 &nda...
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
In this report, we experienced o ne case of patient with PWS suffering from ESKD due to DKD who started PD as an initial RRT and succeeded to continue for total of 40 months. The patient was 37-year-old man at the time of initiation of dialysis. PD was chosen for RRT because we suspected that he might have more technical difficult ies for continuing HD. After several episodes of peritonitis, he successfully continues PD without peritonitis for next 27 months until the present time with good support by his family member. To our best knowledge, this is the first reported case of ESKD associated with PWS who was suc...
Source: CEN Case Reports - Category: Urology & Nephrology Source Type: research
CONCLUSIONSurgical procedures for weight reduction in dialysis patients does not independently increase the risk for adverse outcomes after bariatric surgery. The estimation of DW through BIA is an effective method for avoiding complications generated by excessive or deficient ultrafiltration.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Authors: Yavuz YC, Altınkaynak K, Sevinc C, Ozbek Sebin S, Baydar I Abstract INTRODUCTION: Cartonectin was defined as a new adipokine released from rat and human adipocyte tissues, which is also known as CORS 26 or CTRP3 protein. Although there are several studies investigating the effects of cartonectin with obesity, anti-inflammatory mechanisms, and cardioprotective effects, there is no study about the effects of cartonectin in patients with chronic kidney disease yet. We aimed to investigate cartonectin levels in predialysis and dialysis patient groups, in other words, at different stages of chronic kidney dise...
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
Conclusions: The findings from this descriptive analysis suggest a paradoxical association between obesity and better survival. However, they also suggest that the shape of the BMI trajectory is important, with stable BMI trajectories being beneficial. Future research should be aimed at understanding the causes of weight changes during dialysis, to determine whether there could be strategies to improve patient survival.
Source: Epidemiology - Category: Epidemiology Tags: Cardiopulmonary Epidemiology Source Type: research
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