Abdominal Circumference in Relation to Body Weight Gain/Loss in Patients on Chronic Hemodialysis
Abstract: to determine a
constant relationship between changes in abdominal circumference (in
centimeter) and body weight (in kilogram) in chronic kidney disease (CKD)
patients undergoing chronic hemodialysis. Methods: experimental-analytical
study in patients with CKD on hemodialysis, using before and after treatment design
at the Dialysis Unit of Cipto Mangunkusumo Hospital, Jakarta. The sample were
selected consecutively. Weighing and abdominal circumference measurements were
done at the time of before and after hemodialysis session on the same day.
Repeated measurements were performed on different days in 104 subjects to
achieve the target sample size of 676. Serum albumin level were also measured
on the patients. Results: there was a strong (r=0.838) and signifcant (p=0.000)
correlation between mean body weight and mean abdominal circumferences before
and after hemodialysis. In the calculation of the regression between the mean
body weight before and after hemodialysis (X) with a mean abdominal
circumference before and after hemodialysis (Y), regression formula: Y=34.94 +
0.84 X was obtained. There was no signifcant correlation between serum albumin
levels (3.93±0.40 g/ dL) and abdominal circumference before hemodialysis,
abdominal circumference after hemodialysis, and the mean abdominal
circumference before and after hemodialysis. Conclusion: prediction of weight
changes in patients with CKD on chronic hemodialysis, can be measured through
the abdominal circumference measurement before and after hemodialysis.
Author: Parlindungan Siregar
Journal Code: jpkedokterangg130272
