Comparison of risk factors for cardiovascular disease in hemodialysis and peritoneal dialysis patients

Authors

  • Ozlem Harmankaya Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology
  • Nilgul Akalin Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology
  • Hatice Akay Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology
  • Yildiz Okuturlar Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology
  • Kayhan Erturk Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology
  • Hakan Kaptanogullari Biruni University; Department of Dialysis Tecniciant
  • Hakan Kocoglu Bakırköy Dr. Sadi Konuk Teaching Hospital; Division of Nephrology

DOI:

https://doi.org/10.6061/clinics/2015(09)01

Abstract

OBJECTIVE:In this study, we aimed to compare the cardiovascular risk factors that might be associated with inflammation, atherosclerosis and metabolic syndrome between hemodialysis and peritoneal dialysis patients.METHODS:Fifty hemodialysis and 50 peritoneal dialysis patients who had been receiving dialysis therapy for at least one year were included in the study. Venous blood samples were taken after 12 hours of fasting, and serum glucose, triglyceride, low-density lipoprotein (LDL)-cholesterol, high-density lipoprotein (HDL)-cholesterol, C-reactive protein, fibrinogen and homocysteine levels were measured. The presence of atherosclerotic plaques in the carotid artery was evaluated by carotid Doppler ultrasound. These data were analyzed by Student’s t test, the chi-square test and the Mann-Whitney U test, as appropriate.RESULTS:No difference was found between the hemodialysis (n=50) and peritoneal dialysis (n=50) patient groups regarding mean age, gender distribution, body mass index or dialysis duration (p=0.269, 0.683, 0.426, and 0.052, respectively). LDL-cholesterol, fibrinogen and homocysteine levels were significantly higher in peritoneal dialysis patients (p=0.006, 0.001, and 0.002, respectively). In patients with diabetes mellitus (n=17) who were undergoing renal replacement therapy, LDL-cholesterol and fibrinogen levels were significantly higher than in patients without diabetes mellitus who were undergoing renal replacement therapy (p=0.001 and 0.004, respectively).CONCLUSION:In our study, cardiovascular risk factors (especially LDL-cholesterol) were more frequent in peritoneal dialysis patients than in hemodialysis patients.

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Published

2015-09-01

Issue

Section

Clinical Sciences

How to Cite

Harmankaya, O., Akalin, N., Akay, H., Okuturlar, Y., Erturk, K., Kaptanogullari, H., & Kocoglu, H. (2015). Comparison of risk factors for cardiovascular disease in hemodialysis and peritoneal dialysis patients . Clinics, 70(9), 601-605. https://doi.org/10.6061/clinics/2015(09)01