Evidence map›Paper›PMID 27648015›Full record

ArticleCardiorenal medicine2016

Brain Natriuretic Peptide and Body Fluid Composition in Patients with Chronic Kidney Disease: A Cross-Sectional Study to Evaluate the Relationship between Volume Overload and Malnutrition.

Yasushi Ohashi, Akinobu Saito, Keisuke Yamazaki, Reibin Tai, Tatsuru Matsukiyo, Atsushi Aikawa, Ken Sakai

Open access · bronzeAbstract read
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Article in Cardiorenal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

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  8. Cerebral oxygen saturation (rSOJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2021
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  9. Brain natriuretic peptide reflects individual variation in hydration status in hemodialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Yasushi OhashiDepartment of Nephrology, Sakura Medical Center, School of Medicine, Toho University, Chiba, Japan.
Akinobu SaitoDepartment of Nephrology, Omori Medical Center, School of Medicine, Toho University, Tokyo, Japan.
Keisuke YamazakiDepartment of Nephrology, Sakura Medical Center, School of Medicine, Toho University, Chiba, Japan.
Reibin TaiDepartment of Nephrology, Omori Medical Center, School of Medicine, Toho University, Tokyo, Japan.
Tatsuru MatsukiyoDepartment of Nephrology, Omori Medical Center, School of Medicine, Toho University, Tokyo, Japan.
Atsushi AikawaDepartment of Nephrology, Omori Medical Center, School of Medicine, Toho University, Tokyo, Japan.
Ken SakaiDepartment of Nephrology, Omori Medical Center, School of Medicine, Toho University, Tokyo, Japan.
Toho University · JPToho University Omori Medical Center · JPToho University Medical Center Sakura Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimFluid volume overload occurs in chronic kidney disease (CKD), leading to the compensatory release of natriuretic peptides. However, the elevated cardiac peptides may also be associated with malnutrition as well as volume overload.

methodsBody fluid composition was measured in 147 patients with CKD between 2009 and 2015, and its relationship to brain natriuretic peptide (BNP) levels was examined. Body fluid composition was separated into three components: (a) a water-free mass consisting of muscle, fat, and minerals; (b) intracellular water (ICW) content, and (c) extracellular water (ECW) content. Excess fluid mass was calculated using Chamney's formula.

resultsThe measured BNP levels in the tertile groups were 10.9 ± 5.4, 36.3 ± 12.5, and 393 ± 542 pg/ml, respectively. Patients in a higher log-transformed BNP level tertile were more likely to be older, to have a higher frequency of cardiac comorbidities, pulse pressure, C-reactive protein levels, and proteinuria, and to have lower serum sodium, kidney function, and serum albumin (p < 0.05). In body fluid composition, decreased body mass was significantly associated with the ECW-to-ICW ratio in relation to the downward ICW slope (r = -0.235, p = 0.004) and was strongly correlated with excess fluid mass (r = -0.701, p < 0.001). The ECW-to-ICW ratio and excess fluid mass was independently associated with the BNP levels.

conclusionFluid volume imbalance between intra- and extracellular water regulated by decreased cell mass was independently associated with BNP levels, which may explain the reserve capacity for fluid accumulation in patients with CKD.

Indexed as

Bioimpedance analysisBrain natriuretic peptideChronic kidney diseaseFluid overloadMalnutrition

Identifiers

PMID27648015
PMCPMC5020383
OpenAlexW2467739204

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.