Subjective Thirst in Relation to Interdialytic Weight Gain: A Systematic Review of Observational Studies

Hemodialysis – Review Article

Ashrafi S.A.a· Phansikar M.a· Wilund K.R.a,b

Author affiliations

aDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL, USA
bDivision of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL, USA

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Article / Publication Details

First-Page Preview

Abstract of Hemodialysis – Review Article

Received: March 15, 2021
Accepted: May 27, 2022
Published online: October 04, 2022

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: https://www.karger.com/BPU

Abstract

Introduction: Hemodialysis (HD) patients are often prescribed salt and fluid-restricted diets to reduce their interdialytic weight gain (IDWG) and prevent chronic volume overload and hypertension. However, adherence to fluid restrictions is poor, which may be due to HD patients’ excessive thirst. The purpose of the review is to explore the association between HD patients’ subjective thirst and IDWG, which may inform strategies to manage chronic volume overload. Methods: We conducted the literature search in Web of Science, Cumulative Index to Nursing and Allied Health Literature, PubMed, and the Cochrane Library, until February 25, 2019. Studies performing statistical tests to assess the association between patients’ subjective thirst and IDWG were included. Results: A total of eighteen studies were included in the systematic review, which measured the relationship between patients’ subjective thirst and IDWG. Among them, 14 studies found that different domains of thirst and different units of IDWG are positively associated. Therefore, there is a positive association between the patients’ subjective thirst and IDWG. However, the findings should be interpreted cautiously as there was variability in thirst and IDWG measurement techniques, which might influence the estimated relationship in these studies. Discussion/Conclusion: These data suggest that strategies are needed to reduce thirst to control IDWG in HD patients.

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First-Page Preview

Abstract of Hemodialysis – Review Article

Received: March 15, 2021
Accepted: May 27, 2022
Published online: October 04, 2022

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: https://www.karger.com/BPU

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