Why the study?
To investigate seasonal variation in blood pressure among patients undergoing hemodialysis, including variations across subgroups and associations with climatic parameters.
Does blood pressure exhibit seasonal variation in patients undergoing hemodialysis?
Does blood pressure exhibit seasonal variation in patients undergoing hemodialysis?
Pre-dialysis blood pressure in hemodialysis patients exhibits significant seasonal variation, peaking in winter and reaching a nadir in summer, with more pronounced fluctuations in those with diabetic nephropathy.
Answers are grounded in this paper and cite their sources.
Seasonal BP variation in HD patients may guide monitoring; leaves open whether it warrants seasonal management changes.
Objective: To investigate a seasonal variation in blood pressure (BP) for patients undergoing hemodialysis (HD). Methods: In this retrospective study, we exported all BP measurements from the information system to investigate a seasonal variation of BP. We also investigated a seasonal variation in BP for patients of different gender types, of different age groups, with diabetic nephropathy (DN), and with non-DN having HD. Multiple linear regression models were used to explore the associations between BP and climatic parameters. Results: In 2019, a total of 367 patients had received HD therapy in the Longwen HD unit. We included nearly 40,000 pre-dialysis BP measurements. The result of our study demonstrated a clear seasonal variation in pre-dialysis BP in general patients with HD, in male and female patients, and patients with DN and non-DN. December seemed to be a peak in the values of pre-dialysis systolic BP (SBP) and diastolic BP (DBP). The nadir values of pre-dialysis SBP and DBP were observed in June and July, respectively. A difference between peak and nadir values of BP is 3.81/2.20 mmHg in patients undergoing HD. Maximal seasonal variation in BP is 9.03/5.08 mmHg for patients with DN. A significant association of SBP and DBP with climatic parameters was found in this study. Pre-dialysis BP was inversely correlated with outdoor temperature, daytime length, and relative humidity. Conclusion: A clear seasonal variation in BP is observed for patients with HD. Pre-dialysis SBP and DBP are inversely associated with outdoor temperature, daytime length, and relative humidity. The magnitude of a seasonal variation in BP increases in patients with DN.
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Wu et al. (2022) studied this question.
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