Journal of Clinical Densitometry
Volume 11, Issue 4 , Pages 532-536 , October 2008

The Effect of Peritoneal Dialysate on DXA Bone Densitometry Results in Patients with End-Stage Renal Disease

  • Merry Lynn Mann, BS

      Affiliations

    • University of Alabama at Birmingham (UAB) School of Medicine, Birmingham, AL, USA
    • ,
  • Denyse Thornley-Brown, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Ruth Campbell, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Emmy Bell, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Leandria Burroughs, RT (R), CDT

      Affiliations

    • The UAB Osteoporosis Prevention and Treatment Clinic, The Kirklin Clinic, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Nancy Nunnally, RT(R), CDT

      Affiliations

    • The UAB Osteoporosis Prevention and Treatment Clinic, The Kirklin Clinic, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Rui Feng, PhD

      Affiliations

    • Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Sarah L. Morgan, MD, MS, RD, CCD, FADA, FACP

      Affiliations

    • The UAB Osteoporosis Prevention and Treatment Clinic, The Kirklin Clinic, The University of Alabama at Birmingham, Birmingham, AL, USA
    • Department of Nutrition Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA
    • Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA
    • Corresponding Author InformationAddress correspondence to: Sarah L. Morgan, MD, MS, RD, CCD, FADA, FACP, Departments of Nutrition Sciences and Medicine, The University of Alabama at Birmingham, 354 Learning Resources Center, 1714 9th Avenue South, Birmingham, AL 35294-1270.

Received 7 May 2008 ,Accepted 11 August 2008.

References 

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  2. Gal-Moscovici A, Sprague SM. Osteoporosis and chronic kidney disease. Semin Dial. 2007;20:423–430
  3. Stehman-Breen CO, Sherrard DJ, Alem AM, et al. Risk factors for hip fracture among patients with end-stage renal disease. Kidney Int. 2000;58:2200–2205
  4. Coco M, Rush H. Increased incidence of hip fractures in dialysis patients with low serum parathyroid hormone. Am J Kidney Dis. 2000;36:1115–1121
  5. Atsumi K, Kushida K, Yamazaki K, et al. Risk factors for vertebral fracture in renal osteodystrophy. Am J Kidney Dis. 1999;33:287–293
  6. Schumock GT, Sprague SM. Clinical and economic burden of fractures in patients with renal osteodystrophy. Clin Nephrol. 2007;67:201–208
  7. Alem AM, Sherrard DJ, Gillen DL, et al. Increased risk of hip fracture among patients with end-stage renal disease. Kidney Int. 2000;58:396–399
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  14. Pongchaiyakul C, Pongskul C, Ruengjui S, Sirivongs D. Bone mineral density among patients undergoing continuous ambulatory peritoneal dialysis (CAPD). J Med Assoc Thai. 2005;88:S40–S45
  15. Going SB, Massett MP, Hall MC, et al. Detection of small changes in body composition by dual-energy x-ray absorptiometry. Am J Clin Nutr. 1993;57:845–850
  16. Lands LC, Hornby L, Horhenkerk JM, Glorieux FH. Accuracy of measurements of small changes in soft-tissue mass by dual-energy x-ray absorptiometry. Clin Invest Med. 1996;19:270–285
  17. Labio ED, Del Rosario DB, Strasser SI, et al. Effect of ascites on bone density measurement in cirrhosis. J Clin Densitom. 2007;10:391–394
  18. Morgan SL, Lopez-Ben R, Nunnally N, et al. The effect of common artifacts lateral to the spine on bone mineral density in the lumbar spine. J Clin Densitom. 2008;11:243–249
  19. Haderslev KV, Svendsen OL, Staun M. Does paracentesis of ascites influence measurements of bone mineral or body composition by dual-energy X-ray absorptiometry?. Metabolism. 1999;3:373–377
  20. Georgiou E, Virvidakis K, Douskas G, et al. Body composition changes in chronic hemodialysis patients before and after hemodialysis as assessed by dual-energy x-ray absorptiometry. Metabolism. 1997;46:1059–1062
  21. Formica C, Atkinson MG, Nyulaski I, et al. Body composition following hemodialysis: studies using dual-energy X-ray absorptiometry and bioelectrical impedance analysis. Osteoporos Int. 1993;3:192–197
  22. Horber FF, Thomi F, Casez JP, et al. Impact of hydration status on body composition as measured by dual energy X-ray absorptiometry in normal volunteers and patients on haemodialysis. Br J Radiol. 1992;65:895–900
  23. Woodrow G, Oldroyd B, Turney JH, Smith MA. Influence of changes in peritoneal fluid on body-composition measurements by dual-energy x-ray absorptiometry in patients receiving continuous ambulatory peritoneal dialysis. Am J Clin Nutr. 1996;64:237–241

PII: S1094-6950(08)00376-4

doi: 10.1016/j.jocd.2008.08.103

Journal of Clinical Densitometry
Volume 11, Issue 4 , Pages 532-536 , October 2008

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