AI Article Synopsis

  • Hair elemental concentrations in hemodialysis (HD) patients were examined for their relationships with health-related quality of life (HRQOL) and nutrition.
  • A study involving 60 male HD patients measured 26 elemental concentrations in scalp hair and assessed HRQOL using the Short Form 36 health survey, along with various nutritional indices.
  • Key findings include positive correlations between phosphorus and zinc with factors like serum creatinine and HRQOL physical domains, while cadmium and toxic elements like iodine and selenium showed potential adverse effects on nutritional status and HRQOL.

Article Abstract

Elemental concentrations in hair from hemodialysis (HD) patients have not been well investigated. We examined the relationships between the elemental concentrations in scalp hair and health-related quality of life (HRQOL) and nutritional status in HD patients. Twenty six elemental concentrations were measured in scalp hair samples from 60 male HD patients using inductively-coupled plasma mass spectrometry. To evaluate HRQOL, the Short Form 36 item health survey (SF36) was used. As indices of nutritional status, body mass index, serum parameters, and geriatric nutritional risk index (GNRI) were used. Phosphorus correlated positively with serum creatinine, blood urea nitrogen (BUN), GNRI and the physical domains of the SF36. Zinc correlated positively with serum creatinine, BUN and the physical domains of the SF36. Mercury and arsenic correlated positively with BUN. Cadmium correlated negatively with serum albumin, BUN and GNRI. Copper correlated positively with the physical domains of the SF36. Iodine correlated negatively with the physical domains of the SF36. Selenium correlated negatively with the mental domains of the SF36. In conclusion, phosphorus and zinc concentrations in scalp hair can be additional biomarkers of HRQOL and/or nutritional status in HD patients. Cadmium accumulation correlated with malnutrition. Iodine and selenium accumulation may adversely affect HRQOL. Further investigation is necessary to determine precisely how these elements affect these measures.

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http://dx.doi.org/10.1111/j.1744-9987.2011.01043.xDOI Listing

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