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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 2008  |  Volume : 19  |  Issue : 5  |  Page : 785-789
Chronic Inflammation Increases Risk in Hemodialysis Patients


1 Department of Nephrology, Sina Hospital, Tehran, Iran
2 Department of Internal Medicine, Sina Hospital, Tehran, Iran
3 Department of Nephrology, Amir Alam Hospital, Medical Sciences/University of Tehran,Tehran, Iran
4 Department of Research and Development Center, Sina Hospital, Tehran, Iran

Correspondence Address:
Effat Razeghi
Assistant Professor of Nephrology, Sina Hospital, P.O. Box 11367-46911, Tehran
Iran
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PMID: 18711296

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Chronic inflammation is the cause of malnutrition and cardiovascular disease in hemodialysis patients. The purpose of this study was to assess C Reactive Protein (CRP) as an inflammatory marker and to define the relationship between CRP and other inflammatory and nutritional factors in this group of patients. One hundred and fourteen hemodialysis patients undergoing chronic dialysis (3 times a week for at least 4 hours) in two hemodialysis centers were enrolled in this cross-sectional study. Anthropometric and laboratory data including CRP, Il-6, hemoglobin, serum ferritin, triglyceride, cholesterol, albumin, total protein and transferrin were measured. The Kt/V for adequacy of dialysis was also calculated. There was a statistically signi­ficant correlation between the mean CRP and albumin, hemoglobin, and transferrin; while such relation was not found with BMI, ferritin, the length of dialysis, triceps skin fold thickness, mid arm circumference, mid arm muscle circumference, and Kt/V. We conclude that the negative relationship between CRP and albumin, transferrin, and hemoglobin suggests a correlation bet­ween inflammatory and nutritional factors.


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