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The association between body mass index and mortality among Asian peritoneal dialysis patients: A meta-analysis

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  • Jing Liu
  • Xiaoxi Zeng
  • Hyokyoung G Hong
  • Yi Li
  • Ping Fu

Abstract

Background: Previous studies have revealed that increased body mass index (BMI) is associated with decreased mortality among hemodialysis patients. However, few studies have dealt with the association between BMI and mortality among patients undergoing peritoneal dialysis (PD) and even fewer studies have focused on the Asian PD patients. The reported studies were often non-conclusive and some even yielded contradictory results. This paper, to our best knowledge, registers the first attempt to systematically review the current literature and summarize new results on the association between BMI and mortality among the Asian PD population. Method: A systematic literature review was performed in Medline and EMBASE to identify relevant cohort studies on all-cause and cardiovascular disease (CVD) mortality stratified by BMI categories tailored to Asians among the Asian PD population. We meta-analyzed individual results based on a random effect model, strictly complying with Preferred Reporting Items for Systematic Reviews and Meta-analysis. Results: The paper reviews seven cohort studies with a total of 3,610 Asian PD patients. Obese group (BMI = 25–29.9 kg/m2) was associated with higher risk of all-cause mortality (HR = 1.46, 95%CI [1.07–1.98]; p = 0.02) and CVD mortality (HR = 2.01, 95%CI [1.14–3.54]; p = 0.02), compared to the normal group (BMI = 18.5–22.9 kg/m2). The underweight group (BMI

Suggested Citation

  • Jing Liu & Xiaoxi Zeng & Hyokyoung G Hong & Yi Li & Ping Fu, 2017. "The association between body mass index and mortality among Asian peritoneal dialysis patients: A meta-analysis," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-14, February.
    • Handle: RePEc:plo:pone00:0172369
    DOI: 10.1371/journal.pone.0172369
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    References listed on IDEAS

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    1. Jenq-Wen Huang & Yu-Chung Lien & Hon-Yen Wu & Chung-Jen Yen & Chun-Chun Pan & Tsai-Wei Hung & Chi-Ting Su & Chih-Kang Chiang & Hui-Teng Cheng & Kuan-Yu Hung, 2013. "Lean Body Mass Predicts Long-Term Survival in Chinese Patients on Peritoneal Dialysis," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Peng Ju Liu & Fang Ma & Qi Yan Wang & Shu Li He, 2018. "The effects of oral nutritional supplements in patients with maintenance dialysis therapy: A systematic review and meta-analysis of randomized clinical trials," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-17, September.

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