Article Sidebar

PDF
Date Published: 10/12/2025
Abstract Views: 11
Views PDF: 3
DOI: 10.56535/jmpm.v50si4.1650
Issue
Vol. 50 No. si4 (2025): JOURNAL OF MILITARY PHARMACO-MEDICINE - SPECIAL ISSUE 12/2025
Section
Special issue celebrating the 75th anniversary of Military Hospital 103
How to Cite
Nguyen, D. D., Le, V. T., & Pham, T. D. L. (2025). ASSOCIATION BETWEEN BODY MASS INDEX AND BODY FAT IN MAINTENANCE HEMODIALYSIS PATIENTS. Journal of Military Pharmaco-medicine, 50(si4), 324-331. https://doi.org/10.56535/jmpm.v50si4.1650

ASSOCIATION BETWEEN BODY MASS INDEX AND BODY FAT IN MAINTENANCE HEMODIALYSIS PATIENTS

Nguyen Duy Dong1, , Viet Thang Le1, Thi Dieu Linh Pham2
1 Bệnh viện Quân y 103, Học viện Quân y
2 Bệnh viện Trung ương Quân đội 108

Main Article Content

Abstract

Objectives: To evaluate the relationship between body mass index (BMI) and body fat mass in patients with maintenance hemodialysis. Methods: A cross-sectional descriptive study was conducted on 89 patients with maintenance hemodialysis at the Department of Nephrology and Hemodialysis, Military Hospital 103 from September 2022 to February 2023. Information on weight, height, and BMI was collected; body composition measurements using a bioelectrical impedance analyzer (BIA) were performed after the hemodialysis section. Results: Body fat mass and body fat percentage increased significantly among BMI groups (thin, normal, overweight/obese). However, only muscle mass in patients with a BMI > 25.0 kg/m2 was higher than that in the group below 18.5 kg/m2 and the group 18.5 - 24.9 kg/m2. A strong positive correlation was found between BMI and body fat mass (Rho = 0.743, p < 0.001), and a moderate positive correlation was found between BMI and muscle mass (Rho = 0.315, p = 0.003). The above correlations persisted when analyzed by gender, except that the correlation between BMI and muscle mass was not found in males. Conclusion: BMI has a positive, strong correlation with body fat mass in maintenance hemodialysis patients. This result suggests that BMI may be a reliable marker of body fat mass in these patients.

Keywords

Body fat mass, Body mass index, Hemodialysis

Article Details

References

1. Ishimura E, Okuno S, Kim M, et al. Increasing body fat mass in the first year of hemodialysis. Journal of the American Society of Nephrology. 2001; 12(9):1921-1926.
2. Fleischman E, Teal N, Dudley J, et al. Overweight in hemodialysis and its influence on mortality and hospital stay: Data from 1,346 patients. Kidney Int 55. 1999:1560-1567.
3. Leavey SF, Strawderman RL, Jones CA, et al. Simple nutritional indicators as independent predictors of mortality in hemodialysis patients. American Journal of Kidney Diseases. 1998; 316:997-1006.
4. De Abreu AM, Wilvert LC & Wazlawik El. Comparison of body mass index, skinfold thickness, and bioelectrical impedance analysis with dual‐energy X‐Ray absorptiometry in hemodialysis patients. Nutrition in Clinical Practice. 2020; 35(6):1021-1028.
5. Garrow JS & Webster J. Quetelet's index (W/H2) as a measure of fatness. International Journal of Obesity. 1985; 9(2):147-153.
6. Ikizler T Alp, Burrowes Jerrilynn D, Byham-Gray Laura D, et al. KDOQI clinical practice guideline for nutrition in CKD: 2020 Update. American Journal of Kidney Diseases. 202; 76(3):1-107.
7. Kovesdy CP, Furth S, Zoccali C, et al. Obesity and kidney disease: Hidden consequences of the epidemic. Physiology International. 2017; 104(1):1-14.
8. Aune D, Sen A, Prasad M et al. BMI and all cause mortality: Systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants. 2016; bmj 353:1-17.
9. Song Y-H, Cai G-Y, Xiao Y-F, et al. Risk factors for mortality in elderly haemodialysis patients: A systematic review and meta-analysis. BMC Nephrology. 2020; 21:1-10.