A Comparative Study of Lipid Profile in Chronic Renal Failure Patients on Dialysis

Authors

  • V O Okeleke Department of Medicine, Faculty of Medical Sciences, Delta University, Abraka, Delta, Nigeria. Author
  • V Awusi Department of Medicine, Faculty of Medical Sciences, Delta University, Abraka, Delta, Nigeria. Author

Keywords:

Chronic renal failure, triglycerides, CVD, dialysis

Abstract

Background: Chronic renal failure (CRF) is characterized by irreversible destruction of nephrons along with decrease glomerular filtration  and suppressed urine. Disturbance of lipid profile in CRF has been found associated with increased triglycerides (TG) and low high density  lipids while normal level of total cholesterol (TC) and low density lipids (LDL). Dislipidemia in CRF patients induces cardiovascular diseases  (CVD); in addition, CVD in turn leads to more rapid destruction of kidney. Therefore the present study was designed to evaluate the lipid  profile in CRF patients with and without dialysis. Subjects and Methods: This was a prospective type of study conducted in the department  of medicine of a tertiary care centre. Total 100 patients of CRF patients and 40 normal control subjects were recruited for the study. CRF  patients were divided into two groups. Group I consisted CRF patients with dialysis and group II included CRF patients without dialysis.  Normal subjects were kept under group III control group. Results: Results of the present study revealed that there was a significant difference  between TG, HDL and VLDL of group I (p>0.01) and group II (p>0.01) in comparison of group III. Nevertheless, there was no significant  difference between the TC and LDL of all groups. Conclusion: CRF patients either with dialysis or without dialysis have a great possibility of  developing dyslipidemia as well as CVD. Dialysis has been found effective in reducing nitrogenous waste products in blood; however, it is not  able to decrease lipid profile in CRF patients.  

Downloads

Download data is not yet available.

References

1. Dewardener, H.E. An outline of normal and abnormal function. In: The kidney 4th edition Churchill Livingstone New York.1986; 181- 235.

2. Mathenge R.N, Mcligego, S.O., Mutua, A.K. and Otieno, L.S The spectrum of echocardiographic finding in chronic renal failure. East African Medical Journal ,2003;70(3): 97-103.

3. Moronkola O.A, Ojediran M.M,and Amosu A. Menstrual disorder in chronic renal failure patients attending renal clinics in Ibadan, Nigeria. African Health Sciences, 2006; 6 (3): 155-160.

4. RR Ravichandran, et al. Hyperlipidemia in patients with chronic renal failure. Journal of Post Graduate Medicine, 1983; 29(4): 212-217. 5. A. S. Fauci. Editor.Harrison’s principles of Internal Medicine. USA: The McGraw Hill’s, 17th edition, chapter 275.

6. K Amin, et al. Pattern of Dyslipidemia in patients with CRF. Professional Med J Mar 2006; 13(1): 79-84.

7. Gomez DI, Giammonioa AM, Touceda LA,. Variation in the lipid profile of patients with chronic renal failure with folic acid. International Journal of Vitamin Nutritional Resources, 2003; 73: 215- 220.

8. G Brosnahan, and M Fraer. Chronic Kidney Disease: Whom to Screen and How to Treat, Part 1: Definition, Epidemiology, and Laboratory Testing. Southern Medical Journal, February 2010, Vol. 103, No. 2. 9. Burtis CA, Ashwood ER, Bruns DE. Teitz fundamentals of clinical

18. Das BS, Mishra SK, and Rao DP..Serum lipid abnormalities in

11. W. T. Friedewald, R. I. Levy, and D. S. Fredrickson, et al. Estimation of the Concentration of Low-Density Lipoprotein Cholesterol in Plasma, Without Use of the Preparative Ultracentrifuge. Clinical Chemistry, 1972; 18(6).

12. S.K. Agarwal and R.K. Srivastava. Chronic Kidney Disease in India: Challenges and Solutions. Nephron ClinPract 2009;111:c197–c203. 13. N. D. Vaziri, H. Moradi. Mechanisms of Dyslipidemia of chronic renal failure. Hemodialysis International 2006; 10: 1–7.

14. N. D. Vaziri. Dyslipidemia of chronic renal failure: the nature, mechanisms, and potential consequences. Am J Physiol Renal Physiol2006; 290: F262–F272.

15. J. M. Saland&H. N. Ginsberg. Lipoprotein metabolism in chronic renal insufficiency. PediatrNephrol 2007; 22:1095–1112

16. Ekonoyan G. The epidemic of cardiovascular disease in patients with chronic renal disease. American Journal of Kidney Disease, 1998; 32: 3-5.

17. Gupta DK,. Hyperlipidaemia in patient with chronic renal failure. Bombany Hospital Journal, 1990; 33: 45-50.

Ureamia. Kidney International, 1988; 19: 625-637.

19. Zoccali C. Cardiovascular risk in ureamia. Nephrology Dialysis Transplant, 2000; 15: 454-457.

20. Chan MK, Verghese, Z and Morehead JF. Lipid abnormalities in ureamia. Kidney International, 1988; 19: 625-637.

21. K Janicki, et al. Abnormal lipoprotein metabolism in hemodialysis patients ,AnnalesUniversitatisMariae Curie - Skłodowska Lublin– Polonia 2007; Vol. LXII, N 1, 58 Section D.

22. E. P. Reddy, et al. ‘Dyslipidemia: End Stage Renal Disease and Hemodialysis’. The Internet Journal of Nephrology 2009 : Volume 5 Number 1

23. M Senti, et al. Lipoprotein abnormalities in hyperlipidemic and normolipidemic men on hemodialysis chronic renal failure. Kidney Int 1992, 41:1394-9.

24. MS Elisaf, et al. Atherogenic lipid and lipoprotein parameters in hemodialysis patients. Dial Trans 1995, 24:642-60.

25. C. Ponticelli, et al. Lipid abnormalities in maintenance dialysis patients and renal transplant patients. Kidney Int 1978, 13:572-8.

Published

2028-03-30

How to Cite

A Comparative Study of Lipid Profile in Chronic Renal Failure Patients on Dialysis . (2028). Academia Journal of Medicine, 1(1), 1-3. https://medjournal.co.in/index.php/ajm/article/view/218