Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study
Abstract The metabolic impact of circulating fatty acids (FAs) in patients requiring hemodialysis (HD) is unknown. We investigated the associations between plasma triglyceride (TG) FAs and markers of inflammation, insulin resistance, nutritional status and body composition. Plasma TG-FAs were measur...
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Nature Portfolio
2021
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oai:doaj.org-article:6e2d3e6e22eb479f8465f39e3c2b03b82021-12-02T14:12:10ZCirculating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study10.1038/s41598-020-80812-12045-2322https://doaj.org/article/6e2d3e6e22eb479f8465f39e3c2b03b82021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80812-1https://doaj.org/toc/2045-2322Abstract The metabolic impact of circulating fatty acids (FAs) in patients requiring hemodialysis (HD) is unknown. We investigated the associations between plasma triglyceride (TG) FAs and markers of inflammation, insulin resistance, nutritional status and body composition. Plasma TG-FAs were measured using gas chromatography in 341 patients on HD (age = 55.2 ± 14.0 years and 54.3% males). Cross-sectional associations of TG-FAs with 13 markers were examined using multivariate linear regression adjusted for potential confounders. Higher levels of TG saturated fatty acids were associated with greater body mass index (BMI, r = 0.230), waist circumference (r = 0.203), triceps skinfold (r = 0.197), fat tissue index (r = 0.150), serum insulin (r = 0.280), and homeostatic model assessment of insulin resistance (r = 0.276), but lower malnutrition inflammation score (MIS, r = − 0.160). Greater TG monounsaturated fatty acid levels were associated with lower lean tissue index (r = − 0.197) and serum albumin (r = − 0.188), but higher MIS (r = 0.176). Higher levels of TG n-3 polyunsaturated fatty acids (PUFAs) were associated with lower MIS (r = − 0.168) and interleukin-6 concentrations (r = − 0.115). Higher levels of TG n-6 PUFAs were associated with lower BMI (r = − 0.149) but greater serum albumin (r = 0.112). In conclusion, TG monounsaturated fatty acids were associated with poor nutritional status, while TG n-3 PUFAs were associated with good nutritional status. On the other hand, TG saturated fatty acids and TG n-6 PUFAs had both favorable and unfavorable associations with nutritional parameters.Ban-Hock KhorSharmela SahathevanAyesha SualeheenMohammad Syafiq Md AliSreelakshmi Sankara NarayananKaruthan ChinnaAbdul Halim Abdul GaforBak-Leong GohGhazali AhmadZaki MoradZulfitri Azuan Mat DaudPramod KhoslaKalyana SundramTilakavati KarupaiahPaTCH InvestigatorsNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021) |
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Medicine R Science Q Ban-Hock Khor Sharmela Sahathevan Ayesha Sualeheen Mohammad Syafiq Md Ali Sreelakshmi Sankara Narayanan Karuthan Chinna Abdul Halim Abdul Gafor Bak-Leong Goh Ghazali Ahmad Zaki Morad Zulfitri Azuan Mat Daud Pramod Khosla Kalyana Sundram Tilakavati Karupaiah PaTCH Investigators Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
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Abstract The metabolic impact of circulating fatty acids (FAs) in patients requiring hemodialysis (HD) is unknown. We investigated the associations between plasma triglyceride (TG) FAs and markers of inflammation, insulin resistance, nutritional status and body composition. Plasma TG-FAs were measured using gas chromatography in 341 patients on HD (age = 55.2 ± 14.0 years and 54.3% males). Cross-sectional associations of TG-FAs with 13 markers were examined using multivariate linear regression adjusted for potential confounders. Higher levels of TG saturated fatty acids were associated with greater body mass index (BMI, r = 0.230), waist circumference (r = 0.203), triceps skinfold (r = 0.197), fat tissue index (r = 0.150), serum insulin (r = 0.280), and homeostatic model assessment of insulin resistance (r = 0.276), but lower malnutrition inflammation score (MIS, r = − 0.160). Greater TG monounsaturated fatty acid levels were associated with lower lean tissue index (r = − 0.197) and serum albumin (r = − 0.188), but higher MIS (r = 0.176). Higher levels of TG n-3 polyunsaturated fatty acids (PUFAs) were associated with lower MIS (r = − 0.168) and interleukin-6 concentrations (r = − 0.115). Higher levels of TG n-6 PUFAs were associated with lower BMI (r = − 0.149) but greater serum albumin (r = 0.112). In conclusion, TG monounsaturated fatty acids were associated with poor nutritional status, while TG n-3 PUFAs were associated with good nutritional status. On the other hand, TG saturated fatty acids and TG n-6 PUFAs had both favorable and unfavorable associations with nutritional parameters. |
format |
article |
author |
Ban-Hock Khor Sharmela Sahathevan Ayesha Sualeheen Mohammad Syafiq Md Ali Sreelakshmi Sankara Narayanan Karuthan Chinna Abdul Halim Abdul Gafor Bak-Leong Goh Ghazali Ahmad Zaki Morad Zulfitri Azuan Mat Daud Pramod Khosla Kalyana Sundram Tilakavati Karupaiah PaTCH Investigators |
author_facet |
Ban-Hock Khor Sharmela Sahathevan Ayesha Sualeheen Mohammad Syafiq Md Ali Sreelakshmi Sankara Narayanan Karuthan Chinna Abdul Halim Abdul Gafor Bak-Leong Goh Ghazali Ahmad Zaki Morad Zulfitri Azuan Mat Daud Pramod Khosla Kalyana Sundram Tilakavati Karupaiah PaTCH Investigators |
author_sort |
Ban-Hock Khor |
title |
Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
title_short |
Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
title_full |
Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
title_fullStr |
Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
title_full_unstemmed |
Circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
title_sort |
circulating fatty acid profiles are associated with protein energy wasting in maintenance hemodialysis patients: a cross-sectional study |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/6e2d3e6e22eb479f8465f39e3c2b03b8 |
work_keys_str_mv |
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