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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: 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
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/6e2d3e6e22eb479f8465f39e3c2b03b8
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:6e2d3e6e22eb479f8465f39e3c2b03b8
record_format dspace
spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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 AT banhockkhor circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT sharmelasahathevan circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT ayeshasualeheen circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT mohammadsyafiqmdali circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT sreelakshmisankaranarayanan circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT karuthanchinna circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT abdulhalimabdulgafor circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT bakleonggoh circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT ghazaliahmad circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT zakimorad circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT zulfitriazuanmatdaud circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT pramodkhosla circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT kalyanasundram circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT tilakavatikarupaiah circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
AT patchinvestigators circulatingfattyacidprofilesareassociatedwithproteinenergywastinginmaintenancehemodialysispatientsacrosssectionalstudy
_version_ 1718391789100990464