Interdialytic Weight Gain and Fluid Restrictions Among Hemodialysis Patients on Chronic Kidney Disease: A Systematic Review
Main Article Content
Interdialytic weight gain (IDWG) is a significant concern in chronic kidney disease (CKD) patients undergoing hemodialysis, as it is associated with adverse clinical outcomes, including elevated cardiovascular mortality. This study aims to explore the relationship between IDWG and adherence to fluid restrictions, focusing on identifying factors influencing IDWG and evaluating the effectiveness of various interventions. A systematic review was conducted through a comprehensive search of multiple databases, yielding ten relevant studies comprising observational studies, systematic reviews, and cohort studies. The findings indicate that higher IDWG is associated with factors such as younger age, lower dry weight, and prolonged hemodialysis duration. Interventions targeting IDWG reduction, including educational and psychological strategies, showed varying degrees of effectiveness, with reductions ranging from 0.15 kg to 0.26 kg. These results underscore the importance of individualized sodium prescriptions and tailored fluid management strategies in mitigating IDWG. The study highlights the critical need for improved adherence to fluid restrictions and the implementation of targeted interventions to enhance patient outcomes in hemodialysis care. These findings provide valuable insights for healthcare professionals in designing effective strategies to manage IDWG and improve the quality of life for patients undergoing hemodialysis.
Keywords:
fluid, kidney, hemodialysis, interdialyctic
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Sukartini, T., Efendi, F., & Putri, N. S. (2022). A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis. Journal of Vascular Nursing, 40(2), 105–111. https://doi.org/10.1016/j.jvn.2022.05.003
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Zeraatkar, D., Bhasin, A., Morassut, R. E., Churchill, I., Gupta, A., Lawson, D. O., Miroshnychenko, A., Sirotich, E., Aryal, K., Mikhail, D., Khan, T. A., Ha, V., Sievenpiper, J. L., Hanna, S. E., Beyene, J., & de Souza, R. J. (2021). Characteristics and quality of systematic reviews and meta-analyses of observational nutritional epidemiology: a cross-sectional study. The American Journal of Clinical Nutrition, 113(6), 1578–1592. https://doi.org/10.1093/ajcn/nqab002
Bossola, M., Mariani, I., Sacco, M., Antocicco, M., Pepe, G., & Di Stasio, E. (2024). Interdialytic weight gain and low dialysate sodium concentration in patients on chronic hemodialysis: a systematic review and meta-analysis. International Urology and Nephrology, 1–11.
Bossola, M., Pepe, G., Antocicco, M., Severino, A., & Di Stasio, E. (2022). Interdialytic weight gain and educational/cognitive, counseling/behavioral and psychological/affective interventions in patients on chronic hemodialysis: a systematic review and meta-analysis. Journal of Nephrology, 35(8), 1973–1983.
Dantas, L. G. G., de Seixas Rocha, M., Junior, J. A. M., Paschoalin, E. L., Paschoalin, S. R. K. P., & Sampaio Cruz, C. M. (2019). Non-adherence to haemodialysis, interdialytic weight gain and cardiovascular mortality: a cohort study. BMC Nephrology, 20, 1–10.
Gondokesumo, M. E., Putra, G. S., Suhud, F., & Sulistyowaty, M. I. (2021). In-silico studies and synthesis of 1, 3-benzoxazine derivatives as antimalarial agent through PfATP4 receptor inhibition. International Jurnal Of Pharmaceutical Research, 12(2).
Halle, M. P., Nelson, M., Kaze, F. F., Jean Pierre, N. M., Denis, T., Fouda, H., & Ashuntantang, E. G. (2020). Non-adherence to hemodialysis regimens among patients on maintenance hemodialysis in sub-Saharan Africa: an example from Cameroon. Renal Failure, 42(1), 1022–1028.
Isnaini, N. (2020). Description of interdialytic weight gain (IDWG) chronic kidney diseases (CKD) patients who have hemodialized therapy. UMPPRESS UMPPRESS, 20.
Jalalzadeh, M., Mousavinasab, S., Villavicencio, C., Aameish, M., Chaudhari, S., & Baumstein, D. (2021). Consequences of interdialytic weight gain among hemodialysis patients. Cureus, 13(5).
Kaplan, A., & Karada?, S. (2022). The determination of adherence to fluid control and symptoms of patients undergoing hemodialysis. African Health Sciences, 22(3), 359–368.
Kim, H., Jeong, I. S., & Cho, M.-K. (2022). Effect of treatment adherence improvement program in hemodialysis patients: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(18), 11657.
Mostafa, R., & El-Atawi, K. (2024). Strategies to measure and improve emergency department performance: a review. Cureus, 16(1).
Mujtaba, F., Qureshi, R., Dhrolia, M., Nasir, K., & Ahmad, A. (2022). Frequency of intradialytic hypertension using Kidney Disease: Improving Global Outcomes (KDIGO) suggested definition in a single hemodialysis centre in Pakistan. Cureus, 14(12).
Ouirdani, M., Boutib, A., Azizi, A., Chergaoui, S., Saad, E. M., Hilali, A., Marfak, A., & Youlyouz-Marfak, I. (2024). Impact of Nutrition Education on Various Health-Related Components of Hemodialysis Patients: A Systematic Review. Healthcare, 12(12), 1197.
Pruimboom, L., & Muskiet, F. A. J. (2018). Intermittent living; the use of ancient challenges as a vaccine against the deleterious effects of modern life – A hypothesis. Medical Hypotheses, 120, 28–42. https://doi.org/10.1016/j.mehy.2018.08.002
Radke, E. G., Glenn, B., Galizia, A., Persad, A., Nachman, R., Bateson, T., Wright, J. M., Navas-Acien, A., Arroyave, W. D., Puett, R. C., Harville, E. W., Pollack, A. Z., Burns, J. S., Lynch, C. D., Sagiv, S. K., Stein, C., & Cooper, G. S. (2019). Development of outcome-specific criteria for study evaluation in systematic reviews of epidemiology studies. Environment International, 130, 104884. https://doi.org/10.1016/j.envint.2019.05.078
Rocco, M. V., Rigaud, M., Ertel, C., Russell, G., Zemdegs, J., & Vecchio, M. (2023). Fluid Intake Management in Maintenance Hemodialysis Using a Smartphone-Based Application: A Pilot Study. Kidney Medicine, 5(9), 100703. https://doi.org/10.1016/j.xkme.2023.100703
Schrauben, S. J., Rivera, E., Bocage, C., Eriksen, W., Amaral, S., Dember, L. M., Feldman, H. I., & Barg, F. K. (2022). A Qualitative Study of Facilitators and Barriers to Self-Management of CKD. Kidney International Reports, 7(1), 46–55. https://doi.org/10.1016/j.ekir.2021.10.021
Sharif-Nia, H., Marôco, J., Froelicher, E. S., Barzegari, S., Sadeghi, N., & Fatehi, R. (2024). The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence. Scientific Reports, 14(1), 9981.
Sukartini, T., Efendi, F., & Putri, N. S. (2022). A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis. Journal of Vascular Nursing, 40(2), 105–111. https://doi.org/10.1016/j.jvn.2022.05.003
Weiner, D. E., Brunelli, S. M., Hunt, A., Schiller, B., Glassock, R., Maddux, F. W., Johnson, D., Parker, T., & Nissenson, A. (2014). Improving Clinical Outcomes Among Hemodialysis Patients: A Proposal for a “Volume First” Approach From the Chief Medical Officers of US Dialysis Providers. American Journal of Kidney Diseases, 64(5), 685–695. https://doi.org/10.1053/j.ajkd.2014.07.003
Zeraatkar, D., Bhasin, A., Morassut, R. E., Churchill, I., Gupta, A., Lawson, D. O., Miroshnychenko, A., Sirotich, E., Aryal, K., Mikhail, D., Khan, T. A., Ha, V., Sievenpiper, J. L., Hanna, S. E., Beyene, J., & de Souza, R. J. (2021). Characteristics and quality of systematic reviews and meta-analyses of observational nutritional epidemiology: a cross-sectional study. The American Journal of Clinical Nutrition, 113(6), 1578–1592. https://doi.org/10.1093/ajcn/nqab002
