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Published on: July 19, 2018
Effect of peritoneal dialysis on abdominal circumference
Jouni Nurmi1, Maarit Korkeila, Eero Honkanen
1Department of Anesthesiology and Intensive Care, Helsinki University Central Hospital, Helsinki, Finland. jouni.nurmi@helsinki.fi
Summary
Peritoneal dialysis (PD) may not significantly alter body image. Studies show that standard dialysate infusion volumes cause only a small increase in waist circumference, potentially easing patient concerns.
Area of Science:
- Nephrology
- Medical Imaging
- Patient Care
Background:
- Peritoneal dialysis (PD) underutilization is linked to patient body image concerns.
- Accurate information on PD's physical effects is crucial for treatment choices.
Purpose of the Study:
- To quantify the change in waist circumference during peritoneal dialysis.
- To provide data addressing patient anxieties about body image alterations with PD.
Main Methods:
- Abdominal circumference was measured in 44 PD patients pre- and post-dialysate infusion.
- Changes were analyzed against BMI and abdominal cavity dimensions.
Main Results:
- Mean waist circumference increased significantly (p < 0.01) with dialysate infusion.
- A 2000 mL fill volume showed only a marginal increase over 1500 mL.
- Circumference change was not correlated with baseline measurements, BMI, height, or abdominal length.
Conclusions:
- Normal peritoneal dialysis fill volumes result in minimal waist circumference increase.
- These findings may alleviate patient concerns regarding body image changes associated with PD.
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