Dyslipidemia in dialysis patients

In order to evaluate the lipid profiles of dialysis patients,we retrospectively reviewed all the chronic kidney disease (CKD) patients on chronic hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD),followed up between June 2004 and May 2005,in two tertiary hospitals in Riyadh,Saudi Arabia. There were 380 patients including 206 (54.2%) females and the mean age of the patients was 45.9 ± 15.8 years. The mean dialysis duration was 65.0 ± 58.3 months. Diabetes was present in 97 (25.5%) of the patients and hypertension in 84 (22.1%). Younger patients had more disturbed lipid profile than elderly patients,and females had higher lipid values than males. The CAPD patients had worse lipid profile than those on HD,irrespective of age,sex and duration of dialysis. The presence of diabetes,hypertension,smoking and cardiovascular disease (CVD) all contributed to the worsening of lipid profiles of our patients. Dialysis patients showed improvement in lipid profile initially followed by gradual deterioration. We conclude that dyslipidemia,which increases the risk of CVD by increasing atherogenesis,progresses over time in dialysis patients and becomes worse in CAPD patients.