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Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study

BACKGROUND: Vitamin D deficiency is often observed in patients undergoing maintenance hemodialysis and is associated with significantly increased risk of overall mortality. Despite reports of poor nutrition/intake, vitamin D status among patients on maintenance hemodialysis receiving welfare remains...

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Autores principales: Yoshida, Keisuke, Yonaha, Tomoki, Yamanouchi, Masayuki, Sumi, Hirofumi, Taki, Yasuhiro, Otobe, Yuhei, Miyashita, Minoru, Hachisuka, Rina, Han, Wei, Shibagaki, Yugo, Tominaga, Naoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8390068/
https://www.ncbi.nlm.nih.gov/pubmed/34466274
http://dx.doi.org/10.1186/s41100-021-00364-6
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author Yoshida, Keisuke
Yonaha, Tomoki
Yamanouchi, Masayuki
Sumi, Hirofumi
Taki, Yasuhiro
Otobe, Yuhei
Miyashita, Minoru
Hachisuka, Rina
Han, Wei
Shibagaki, Yugo
Tominaga, Naoto
author_facet Yoshida, Keisuke
Yonaha, Tomoki
Yamanouchi, Masayuki
Sumi, Hirofumi
Taki, Yasuhiro
Otobe, Yuhei
Miyashita, Minoru
Hachisuka, Rina
Han, Wei
Shibagaki, Yugo
Tominaga, Naoto
author_sort Yoshida, Keisuke
collection PubMed
description BACKGROUND: Vitamin D deficiency is often observed in patients undergoing maintenance hemodialysis and is associated with significantly increased risk of overall mortality. Despite reports of poor nutrition/intake, vitamin D status among patients on maintenance hemodialysis receiving welfare remains unknown. This study investigated the vitamin D status in welfare recipients undergoing maintenance hemodialysis. METHODS: This cross-sectional study investigated vitamin D status among 106 outpatients undergoing maintenance hemodialysis at two medical facilities in Japan. Patients were divided into welfare and non-welfare groups based on their status as of September 2018. Patients were divided into two categories: serum vitamin D deficiency, defined as serum 25(OH)D concentrations < 12 ng/mL, or non-deficiency. Vitamin D deficiency was used as a dependent variable, while welfare receipt was used as the main predictor variable. RESULTS: Mean [± standard deviation] patient age, median [interquartile range] body mass index, and hemodialysis duration were 66.9 [± 10.8] years, 21.5 [19.6, 24.3] kg/m(2), and 7.9 [2.9, 12.3] years, respectively. Among 106 patients, 45 were women (42.5%) and 16 (15.1%) were receiving welfare. The welfare group had a higher diabetes prevalence (P = 0.003) and significantly lower median serum 25-hydroxyvitamin D concentrations (11.5 [8.7, 14.0] vs. 14.8 [11.2, 19.9] ng/mL, P = 0.005). Multiple logistic regression analysis revealed that welfare receipt was a significant risk factor for vitamin D deficiency (odds ratio [95% confidence interval], 4.41 [1.08, 18.07]). CONCLUSIONS: Welfare recipients undergoing maintenance hemodialysis are at significantly increased risks of vitamin D deficiency compared with patients not receiving welfare.
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spelling pubmed-83900682021-08-27 Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study Yoshida, Keisuke Yonaha, Tomoki Yamanouchi, Masayuki Sumi, Hirofumi Taki, Yasuhiro Otobe, Yuhei Miyashita, Minoru Hachisuka, Rina Han, Wei Shibagaki, Yugo Tominaga, Naoto Ren Replace Ther Research BACKGROUND: Vitamin D deficiency is often observed in patients undergoing maintenance hemodialysis and is associated with significantly increased risk of overall mortality. Despite reports of poor nutrition/intake, vitamin D status among patients on maintenance hemodialysis receiving welfare remains unknown. This study investigated the vitamin D status in welfare recipients undergoing maintenance hemodialysis. METHODS: This cross-sectional study investigated vitamin D status among 106 outpatients undergoing maintenance hemodialysis at two medical facilities in Japan. Patients were divided into welfare and non-welfare groups based on their status as of September 2018. Patients were divided into two categories: serum vitamin D deficiency, defined as serum 25(OH)D concentrations < 12 ng/mL, or non-deficiency. Vitamin D deficiency was used as a dependent variable, while welfare receipt was used as the main predictor variable. RESULTS: Mean [± standard deviation] patient age, median [interquartile range] body mass index, and hemodialysis duration were 66.9 [± 10.8] years, 21.5 [19.6, 24.3] kg/m(2), and 7.9 [2.9, 12.3] years, respectively. Among 106 patients, 45 were women (42.5%) and 16 (15.1%) were receiving welfare. The welfare group had a higher diabetes prevalence (P = 0.003) and significantly lower median serum 25-hydroxyvitamin D concentrations (11.5 [8.7, 14.0] vs. 14.8 [11.2, 19.9] ng/mL, P = 0.005). Multiple logistic regression analysis revealed that welfare receipt was a significant risk factor for vitamin D deficiency (odds ratio [95% confidence interval], 4.41 [1.08, 18.07]). CONCLUSIONS: Welfare recipients undergoing maintenance hemodialysis are at significantly increased risks of vitamin D deficiency compared with patients not receiving welfare. BioMed Central 2021-08-26 2021 /pmc/articles/PMC8390068/ /pubmed/34466274 http://dx.doi.org/10.1186/s41100-021-00364-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Yoshida, Keisuke
Yonaha, Tomoki
Yamanouchi, Masayuki
Sumi, Hirofumi
Taki, Yasuhiro
Otobe, Yuhei
Miyashita, Minoru
Hachisuka, Rina
Han, Wei
Shibagaki, Yugo
Tominaga, Naoto
Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title_full Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title_fullStr Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title_full_unstemmed Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title_short Welfare receipt and the risk of vitamin D deficiency in Japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
title_sort welfare receipt and the risk of vitamin d deficiency in japanese patients on maintenance hemodialysis: a cross-sectional, retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8390068/
https://www.ncbi.nlm.nih.gov/pubmed/34466274
http://dx.doi.org/10.1186/s41100-021-00364-6
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