End Stage Renal Disease
Conditions
Keywords
body composition, blood pressure, hemodialysis
Brief summary
Control of volume status is a pivotal issue in haemodialysis therapy. Objective and practical management for maintaining normovolemia is needed. The investigators hypothesized that intervention of volume status with the body composition monitor (BCM) may improved hemodynamic parameters and biomarkers in hemodialysis patients.
Detailed description
The investigators will assess BCM in enrolled hemodialysis patients by 4 weeks for 16 weeks During the former 8-week intervention period, The investigators will adjust patients' volume status according to the results of BCM. During the latter 8-week observational period, The investigators will evaluate the changes of patients' hemodynamic parameters and biomarkers.
Interventions
During the interventional period, dry weight of patients will be adjusted according to the results of body composition.
Sponsors
Study design
Eligibility
Inclusion criteria
* 6-month or more stable hemodialysis patients * 18 years or more * less than 5% of changes of dry weight for last 3 months
Exclusion criteria
* pregnancy * active malignancy * cardiac pacemaker or defibrillator * history of extremity amputation * active infectious disease within 3 months * admission history for complication related to hemodialysis within 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure | up to 16 weeks | Systolic blood pressure, number of anti-hypertensive agents hypotensive episode |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| biomarkers | up to 16 weeks | C-reactive protein, interleukin-6, MMP-1, leptin, resistin, adiponectin, VEGF |
Countries
South Korea