Key result
The Dialysis Effect Evaluation and Monitoring dimension of the self-management scale was significantly and negatively correlated with malnutrition-inflammation-atherosclerosis syndrome (r = -0.257, p = 0.013).
Why the study?
The relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability had not been previously revealed, despite both playing an important role in managing peritoneal dialysis patients.
Is self-management ability associated with malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients?
Cross-Sectional (n=93)
No
Is self-management ability associated with malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients?
Better self-management ability, specifically in dialysis effect evaluation and monitoring, is associated with a lower likelihood of malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients.
May support self-management monitoring to mitigate MIAS risk in PD; leaves open causality and needs prospective trials.
BACKGROUND: The relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability has not been previously revealed even though both play an important role in the management of peritoneal dialysis (PD) patients. METHODS: In total, 93 patients were enrolled in this study. A self-management questionnaire was used for the evaluation of self-management ability. The identification of MIAS was based on one or more of the following three conditions: C-reactive protein (CRP)≥10 mg/L, malnutrition-inflammation score (MIS)> 7, and the presence of atherosclerosis-related medical records. The possible association between different self-management abilities and MIAS was analyzed with a Spearman correlation analysis. RESULTS: There were 40 (43.0%) patients in the atherosclerosis group, and 38 (40.9%), 38 (40.9%), 10 (10.8%), and 7 (7.5%) patients in the MIAS0, MIAS1, MIAS2, and MIAS3 groups, respectively. The group with a score above the mean score of the Dialysis Effect Evaluation and Monitoring dimension had a fewer number of hospitalizations, higher albumin levels, lower MIS scores, a lower level of IL-6, and a lower number of MIAS factors. The Pearson and Spearman correlation analyses also revealed that this dimension was negatively correlated with the MIAS, MIS, IL-6, BNP, number of hospitalizations, and age and positively associated with albumin and prealbumin. CONCLUSION: The Dialysis Effect Evaluation and Monitoring dimension of the self-management scale for PD patients is closely linked to the MIAS, and a better dialysis effect evaluation and monitoring capacity results in a decreased likelihood of exposure to malnutrition and inflammation. TRIAL REGISTRATION: Chinese Clinical Trial Registry: ChiCTR2000035525 ( http://www.chictr.org.cn/showproj.aspx?proj=58110 ), registered August 13, 2020.
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Huang et al. (2021) conducted a cross-sectional in Peritoneal dialysis (n=93). Self-management ability (Dialysis Effect Evaluation and Monitoring dimension) vs. Lower self-management ability was evaluated on Correlation between Dialysis Effect Evaluation and Monitoring dimension and Malnutrition-Inflammation-Atherosclerosis Syndrome (MIAS) (r = -0.257, p=0.013). The Dialysis Effect Evaluation and Monitoring dimension of the self-management scale was significantly and negatively correlated with malnutrition-inflammation-atherosclerosis syndrome (r = -0.257, p = 0.013).
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