The relation of anthropometric measurements and insulin resistance in patients with polycystic kidney disease

Author:

Esen Bennur1,Gokmen Emel Sağlam2,Kaya Mahmut3,Ozkan Burak4,Atay Ahmet Engin2

Affiliation:

1. Department of Nephrology, Acibadem Taksim Hospital, Istanbul, Turkey

2. Bagcilar Education and Research Hospital, Internal Medicine, Istanbul, Turkey

3. Department of Internal Medicine, School of Medicine, Yeni Yuzyil University, Istanbul, Turkey

4. Department of Urology, School of Medicine, Acibadem University, Istanbul, Turkey

Abstract

Abstract Objective To examine the frequency of insulin resistance (IR) and its relation with anthropometric measurements in patients with autosomal dominant polycystic kidney disease (ADPKD). Material and Methods Nonobese 82 patients with ADPKD and 58 age matched healthy controls were enrolled into the study. None of participants were diabetic or receiving renal replacement therapies (RRT). IR was determined by homeostasis model assessment of insulin resistance (HOMA-IR) formula. Tanita body composition analyzer was used for anthropometric measurements. Creatinine clearance of participant were assessed by the modification of diet in renal diseases (MDRD). Results Patients with ADPKD had significantly higher level of urea and creatinine, microalbuminuria, and lower level of MDRD. Body fat distribution and HOMA-IR in both the groups were similar. Systolic and diastolic blood pressure of patients were higher than those of controls. Conclusion We failed to determine a higher frequency of IR among patients with ADPKD.

Publisher

Walter de Gruyter GmbH

Reference32 articles.

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2. Fick-Brosnahan GM, Ecder T, Schrier RW. Polycystic kidney disease. In: Schrier RW (ed), Diseases of the kidney an Urinary Tract (7th ed), Lippincott, Williams &Wilkins, Philadelphia 2001: 547-88.

3. Lim SC, Tan BY, Chew SK, Tan CE. The relationship between insulin resistance and cardiovascular risk factors in overweight/obese nondiabetic Asian adults: the 1992 Singapore National Health Survey. Int J Obes Relat Metab Disord 2002; 26: 1511-6.

4. Vareesanggthipp K, Tong P, Wilkinson R, Thomas TH. Insulin resistance in adult polycystic kidney disease. Kidney Int 1997; 52: 503-8.

5. Hjelmeaeth J, Hartmann A. Insulin resistance in patients with adult polycystic kidney disease. Nephrol dial Transplant 1999; 14: 2521-2.

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