Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst
Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst. Patients receiving hemodialysis (HD) have to maintain a fluid-restricted diet. Severe thirst can induce noncompliance to this diet, resulting in an increase of interdialytic weight gain (IWG = weight predi...
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| Veröffentlicht in: | Kidney international 2004-10, Vol.66 (4), p.1662-1668 |
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| creator | Bots, Casper P. Brand, Henk S. Veerman, Enno C.I. Valentijn-Benz, Marianne Van Amerongen, Barbara M. Valentijn, Robert M. Vos, Pieter F. Bijlsma, Joost A. Bezemer, Pieter D. ter Wee, Piet M. Nieuw Amerongen, Arie V. |
| description | Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst.
Patients receiving hemodialysis (HD) have to maintain a fluid-restricted diet. Severe thirst can induce noncompliance to this diet, resulting in an increase of interdialytic weight gain (IWG = weight predialysis - postdialysis) associated with poor patient outcomes. Because oral dryness may contribute to experienced thirst, we investigated the possible relation between thirst, salivary flow rate, xerostomia, and IWG.
Unstimulated (UWS) and stimulated (CH-SWS) whole saliva were collected from 94 HD patients (64 men, 54.8 ± 15.5 years; 30 women, 59.5 ± 18.7 years). Secretion rates of saliva were determined gravimetrically. Xerostomia was assessed with a validated Xerostomia Inventory (XI), and thirst with a newly developed Dialysis Thirst Inventory (DTI).
Before dialysis, 36.2% of the patients had hyposalivation (UWS ≤0.15 mL/min). The XI scores had a positive relation with IWG (r = .250, P < 0.001). Gender and age differences were observed for thirst, salivary flow rates, and xerostomia. The prevalence and severity of thirst and xerostomia were greater in younger subjects. Patients with urine output did not differ from those without urine output with respect to thirst, xerostomia, and IWG. Correlations were found between thirst (DTI) and both IWG and xerostomia (XI) (r = .329, P < 0.001, respectively; r = .740, P < 0.001). Other correlations were observed between xerostomia and both the salivary flow rate and total number of medications (r=-.252, P < 0.05, respectively; r = .235, P |
| doi_str_mv | 10.1111/j.1523-1755.2004.00933.x |
| format | Article |
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Patients receiving hemodialysis (HD) have to maintain a fluid-restricted diet. Severe thirst can induce noncompliance to this diet, resulting in an increase of interdialytic weight gain (IWG = weight predialysis - postdialysis) associated with poor patient outcomes. Because oral dryness may contribute to experienced thirst, we investigated the possible relation between thirst, salivary flow rate, xerostomia, and IWG.
Unstimulated (UWS) and stimulated (CH-SWS) whole saliva were collected from 94 HD patients (64 men, 54.8 ± 15.5 years; 30 women, 59.5 ± 18.7 years). Secretion rates of saliva were determined gravimetrically. Xerostomia was assessed with a validated Xerostomia Inventory (XI), and thirst with a newly developed Dialysis Thirst Inventory (DTI).
Before dialysis, 36.2% of the patients had hyposalivation (UWS ≤0.15 mL/min). The XI scores had a positive relation with IWG (r = .250, P < 0.001). Gender and age differences were observed for thirst, salivary flow rates, and xerostomia. The prevalence and severity of thirst and xerostomia were greater in younger subjects. Patients with urine output did not differ from those without urine output with respect to thirst, xerostomia, and IWG. Correlations were found between thirst (DTI) and both IWG and xerostomia (XI) (r = .329, P < 0.001, respectively; r = .740, P < 0.001). Other correlations were observed between xerostomia and both the salivary flow rate and total number of medications (r=-.252, P < 0.05, respectively; r = .235, P <.05).
In HD patients, xerostomia (XI) and thirst (DTI) are associated with a higher IWG. Our data provide evidence that, in HD patients, xerostomia is related to both salivary flow rate and thirst (DTI).</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1111/j.1523-1755.2004.00933.x</identifier><identifier>PMID: 15458464</identifier><identifier>CODEN: KDYIA5</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; compliance ; Drinking ; Drinking Behavior ; Female ; flow rate ; Humans ; hyposalivation ; interdialytic weight gain ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - physiopathology ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Renal Dialysis ; saliva ; Saliva - secretion ; Thirst ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Weight Gain ; xerostomia ; Xerostomia - etiology</subject><ispartof>Kidney international, 2004-10, Vol.66 (4), p.1662-1668</ispartof><rights>2004 International Society of Nephrology</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Oct 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-e6917ce27fa99f32b84d9f70dd7d6e2366abb7f7ce806ce25c28e15ad59f18243</citedby><cites>FETCH-LOGICAL-c499t-e6917ce27fa99f32b84d9f70dd7d6e2366abb7f7ce806ce25c28e15ad59f18243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/210139168?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16179438$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15458464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bots, Casper P.</creatorcontrib><creatorcontrib>Brand, Henk S.</creatorcontrib><creatorcontrib>Veerman, Enno C.I.</creatorcontrib><creatorcontrib>Valentijn-Benz, Marianne</creatorcontrib><creatorcontrib>Van Amerongen, Barbara M.</creatorcontrib><creatorcontrib>Valentijn, Robert M.</creatorcontrib><creatorcontrib>Vos, Pieter F.</creatorcontrib><creatorcontrib>Bijlsma, Joost A.</creatorcontrib><creatorcontrib>Bezemer, Pieter D.</creatorcontrib><creatorcontrib>ter Wee, Piet M.</creatorcontrib><creatorcontrib>Nieuw Amerongen, Arie V.</creatorcontrib><title>Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst</title><title>Kidney international</title><addtitle>Kidney Int</addtitle><description>Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst.
Patients receiving hemodialysis (HD) have to maintain a fluid-restricted diet. Severe thirst can induce noncompliance to this diet, resulting in an increase of interdialytic weight gain (IWG = weight predialysis - postdialysis) associated with poor patient outcomes. Because oral dryness may contribute to experienced thirst, we investigated the possible relation between thirst, salivary flow rate, xerostomia, and IWG.
Unstimulated (UWS) and stimulated (CH-SWS) whole saliva were collected from 94 HD patients (64 men, 54.8 ± 15.5 years; 30 women, 59.5 ± 18.7 years). Secretion rates of saliva were determined gravimetrically. Xerostomia was assessed with a validated Xerostomia Inventory (XI), and thirst with a newly developed Dialysis Thirst Inventory (DTI).
Before dialysis, 36.2% of the patients had hyposalivation (UWS ≤0.15 mL/min). The XI scores had a positive relation with IWG (r = .250, P < 0.001). Gender and age differences were observed for thirst, salivary flow rates, and xerostomia. The prevalence and severity of thirst and xerostomia were greater in younger subjects. Patients with urine output did not differ from those without urine output with respect to thirst, xerostomia, and IWG. Correlations were found between thirst (DTI) and both IWG and xerostomia (XI) (r = .329, P < 0.001, respectively; r = .740, P < 0.001). Other correlations were observed between xerostomia and both the salivary flow rate and total number of medications (r=-.252, P < 0.05, respectively; r = .235, P <.05).
In HD patients, xerostomia (XI) and thirst (DTI) are associated with a higher IWG. Our data provide evidence that, in HD patients, xerostomia is related to both salivary flow rate and thirst (DTI).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>compliance</subject><subject>Drinking</subject><subject>Drinking Behavior</subject><subject>Female</subject><subject>flow rate</subject><subject>Humans</subject><subject>hyposalivation</subject><subject>interdialytic weight gain</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Renal Dialysis</subject><subject>saliva</subject><subject>Saliva - secretion</subject><subject>Thirst</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Weight Gain</subject><subject>xerostomia</subject><subject>Xerostomia - etiology</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkd9rFDEQgIMo9jz9E5Qg1LfdJpsfu3nUUrVQ8KU-Ssgls70cu9kzydref2-2d7Tgi2EgE-abYfiCEKakpuVc7GoqGlbRVoi6IYTXhCjG6ocXaPVUeIlWhHSiagTrztCblHakvBUjr9EZFVx0XPIV-nUdMkTnzXDI3uJ78HfbjO-MD7jE3mQPISc8BbyFcXrkkk-4hElpst5kcPje5y128YDHaS6ZCQ7nrY8pv0WvejMkeHe61-jn16vby-_VzY9v15efbyrLlcoVSEVbC03bG6V61mw67lTfEudaJ6FhUprNpu0L0hFZOGGbDqgwTqiedg1na_TpOHcfp98zpKxHnywMgwkwzUlLqZjkrSjgx3_A3TTHUHbTDSWUKSq7AnVHyMYppQi93kc_mnjQlOjFv97pRbNeNOvFv370rx9K64fT_HkzgntuPAkvwPkJMMmaoY8mWJ-eOUlbxdmyw_sjF0yeIzwBnCu-EGv05ViHovWPh6iTLV9lwfkINms3-f9v-xdt-65e</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Bots, Casper P.</creator><creator>Brand, Henk S.</creator><creator>Veerman, Enno C.I.</creator><creator>Valentijn-Benz, Marianne</creator><creator>Van Amerongen, Barbara M.</creator><creator>Valentijn, Robert M.</creator><creator>Vos, Pieter F.</creator><creator>Bijlsma, Joost A.</creator><creator>Bezemer, Pieter D.</creator><creator>ter Wee, Piet M.</creator><creator>Nieuw Amerongen, Arie V.</creator><general>Elsevier Inc</general><general>Nature Publishing</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst</title><author>Bots, Casper P. ; Brand, Henk S. ; Veerman, Enno C.I. ; Valentijn-Benz, Marianne ; Van Amerongen, Barbara M. ; Valentijn, Robert M. ; Vos, Pieter F. ; Bijlsma, Joost A. ; Bezemer, Pieter D. ; ter Wee, Piet M. ; Nieuw Amerongen, Arie V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-e6917ce27fa99f32b84d9f70dd7d6e2366abb7f7ce806ce25c28e15ad59f18243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>compliance</topic><topic>Drinking</topic><topic>Drinking Behavior</topic><topic>Female</topic><topic>flow rate</topic><topic>Humans</topic><topic>hyposalivation</topic><topic>interdialytic weight gain</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Renal Dialysis</topic><topic>saliva</topic><topic>Saliva - secretion</topic><topic>Thirst</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Weight Gain</topic><topic>xerostomia</topic><topic>Xerostomia - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bots, Casper P.</creatorcontrib><creatorcontrib>Brand, Henk S.</creatorcontrib><creatorcontrib>Veerman, Enno C.I.</creatorcontrib><creatorcontrib>Valentijn-Benz, Marianne</creatorcontrib><creatorcontrib>Van Amerongen, Barbara M.</creatorcontrib><creatorcontrib>Valentijn, Robert M.</creatorcontrib><creatorcontrib>Vos, Pieter F.</creatorcontrib><creatorcontrib>Bijlsma, Joost A.</creatorcontrib><creatorcontrib>Bezemer, Pieter D.</creatorcontrib><creatorcontrib>ter Wee, Piet M.</creatorcontrib><creatorcontrib>Nieuw Amerongen, Arie V.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Kidney international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bots, Casper P.</au><au>Brand, Henk S.</au><au>Veerman, Enno C.I.</au><au>Valentijn-Benz, Marianne</au><au>Van Amerongen, Barbara M.</au><au>Valentijn, Robert M.</au><au>Vos, Pieter F.</au><au>Bijlsma, Joost A.</au><au>Bezemer, Pieter D.</au><au>ter Wee, Piet M.</au><au>Nieuw Amerongen, Arie V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst</atitle><jtitle>Kidney international</jtitle><addtitle>Kidney Int</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>66</volume><issue>4</issue><spage>1662</spage><epage>1668</epage><pages>1662-1668</pages><issn>0085-2538</issn><eissn>1523-1755</eissn><coden>KDYIA5</coden><abstract>Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst.
Patients receiving hemodialysis (HD) have to maintain a fluid-restricted diet. Severe thirst can induce noncompliance to this diet, resulting in an increase of interdialytic weight gain (IWG = weight predialysis - postdialysis) associated with poor patient outcomes. Because oral dryness may contribute to experienced thirst, we investigated the possible relation between thirst, salivary flow rate, xerostomia, and IWG.
Unstimulated (UWS) and stimulated (CH-SWS) whole saliva were collected from 94 HD patients (64 men, 54.8 ± 15.5 years; 30 women, 59.5 ± 18.7 years). Secretion rates of saliva were determined gravimetrically. Xerostomia was assessed with a validated Xerostomia Inventory (XI), and thirst with a newly developed Dialysis Thirst Inventory (DTI).
Before dialysis, 36.2% of the patients had hyposalivation (UWS ≤0.15 mL/min). The XI scores had a positive relation with IWG (r = .250, P < 0.001). Gender and age differences were observed for thirst, salivary flow rates, and xerostomia. The prevalence and severity of thirst and xerostomia were greater in younger subjects. Patients with urine output did not differ from those without urine output with respect to thirst, xerostomia, and IWG. Correlations were found between thirst (DTI) and both IWG and xerostomia (XI) (r = .329, P < 0.001, respectively; r = .740, P < 0.001). Other correlations were observed between xerostomia and both the salivary flow rate and total number of medications (r=-.252, P < 0.05, respectively; r = .235, P <.05).
In HD patients, xerostomia (XI) and thirst (DTI) are associated with a higher IWG. Our data provide evidence that, in HD patients, xerostomia is related to both salivary flow rate and thirst (DTI).</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15458464</pmid><doi>10.1111/j.1523-1755.2004.00933.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences compliance Drinking Drinking Behavior Female flow rate Humans hyposalivation interdialytic weight gain Kidney Failure, Chronic - complications Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Non tumoral diseases Otorhinolaryngology. Stomatology Renal Dialysis saliva Saliva - secretion Thirst Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Weight Gain xerostomia Xerostomia - etiology |
| title | Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst |
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