{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:52:58Z","timestamp":1774425178728,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T00:00:00Z","timestamp":1437436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Studies in animals show a relationship between extracellular volume and gastrointestinal motility. End\u2010stage renal disease (<jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content>) patients present fluid overload and frequent dyspeptic symptoms. We looked for an association between volaemic status and dyspepsia among <jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content> patients undergoing haemodialysis (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 155 <jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content> patients on <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>. Their volaemic status was evaluated using bioimpedance analysis. Fluid overload (<jats:styled-content style=\"fixed-case\">FO<\/jats:styled-content>) in litres and relative fluid overload (<jats:styled-content style=\"fixed-case\">rFO<\/jats:styled-content>) in percentage were calculated. <jats:styled-content style=\"fixed-case\">rFO<\/jats:styled-content>\u2009&gt;\u200915% was classified as hypervolaemia. Dyspepsia was assessed through the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>orto <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>legre <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>yspeptic <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ymptoms <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">PADYQ<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">PADYQ<\/jats:styled-content> scores equal to or greater than 6 classified patients as dyspeptic. Characteristics of patients with and without dyspepsia were compared. <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>earson's test was used to test the correlation between continuous variables. Multivariate linear and logistic regressions were performed to test <jats:styled-content style=\"fixed-case\">FO<\/jats:styled-content> as predictor of dyspepsia score and the presence of dyspepsia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 64 (41.2%) patients with dyspepsia. Dyspeptics presented higher <jats:styled-content style=\"fixed-case\">FO<\/jats:styled-content> (2.5\u2009\u00b1\u20091.8 L <jats:italic>vs<\/jats:italic> 1.0\u2009\u00b1\u20091.8 L; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and higher rFO (16\u2009\u00b1\u20099.9% <jats:italic>vs<\/jats:italic> 4.8\u2009\u00b1\u200912.0%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Dyspepsia score was positively correlated with <jats:styled-content style=\"fixed-case\">FO<\/jats:styled-content> (r\u2009=\u20090.300; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and with <jats:styled-content style=\"fixed-case\">rFO<\/jats:styled-content> (r\u2009=\u20090.256; <jats:italic>P<\/jats:italic>\u2009=\u20090.001). There were more patients with hypervolaemia among dyspeptics compared to non\u2010dyspeptics (65.6% <jats:italic>vs<\/jats:italic> 17.6%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). <jats:styled-content style=\"fixed-case\">FO<\/jats:styled-content> was an independent predictor of dyspepsia score (b\u2009=\u20091.036; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and the presence of dyspepsia (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20092.00, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20091.55\u20132.50; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hypervolaemia is associated with dyspepsia among <jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content> patients on <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.12481","type":"journal-article","created":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T06:44:04Z","timestamp":1428561844000},"page":"519-522","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Volaemic status and dyspepsia in end\u2010stage renal disease patients"],"prefix":"10.1111","volume":"20","author":[{"given":"Paulo Roberto","family":"Santos","sequence":"first","affiliation":[{"name":"School of Medicine Sobral Campus Federal University of Cear\u00e1  Sobral Cear\u00e1 Brazil"},{"name":"Dialysis Unit Santa Casa Hospital  Sobral Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Levi Silveira","family":"Monteiro","sequence":"additional","affiliation":[{"name":"School of Medicine Sobral Campus Federal University of Cear\u00e1  Sobral Cear\u00e1 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