Nutritional status and intrarenal arterial stiffness in cardiorenal syndrome: a pilot study

Eur Rev Med Pharmacol Sci. 2017 Jan;21(2):313-316.

Abstract

Objective: Cardio-Renal Syndrome (CRS) is a condition, which is more frequently observed in clinical practice. The aim of this study is to explore nutritional status and intrarenal arterial stiffness in patients affected by CRS.

Patients and methods: 14 consecutive CRS patients, screened for anthropometry, biochemistry, nutritional and metabolic status underwent renal Doppler ultrasound and whole-body bioimpedance spectroscopy (BIS).

Results: We found a positive correlation between phase angle (PA) and CKD-EPI and MDRD (p=0.011 and p=0.007), and between body mass index and renal resistive index (RRI) (p=0.002). Finally, we found a negative correlation between fat-free mass and RRI (p=0.024).

Conclusions: Body composition assessment may improve the care of patients with chronic kidney disease (CKD). Also, BIS may help identify changes in hydration status in CKD patients resulting as a significant predictor of mortality.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cardio-Renal Syndrome / physiopathology*
  • Female
  • Humans
  • Kidney / diagnostic imaging
  • Male
  • Middle Aged
  • Nutritional Status*
  • Pilot Projects
  • Vascular Stiffness*