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The study also investigated the prognostic factors for survival in long\u2010term peritoneal dialysis patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were recruited from <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 1 to <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ugust 1, 2011, based on selection criteria. Patients were divided into two groups, high (<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>) and low (<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>) group according to the median value of homeostasis model assessment of <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HOMA\u2010IR<\/jats:styled-content>). Type 2 diabetes mellitus (<jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>) patients were chosen as positive controls. Clinical, plasma biochemical and metabolic parameters were observed and recorded at the outset and follow\u2010up of this study. Mortality related factors were also detected, and statistical analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 157 cases with an average age of 55\u2009\u00b1\u200915 years were included. There were 26, 66 and 65 cases in the <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content> groups, respectively. Younger age, lower body mass index, high sensitive <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010reactive protein (<jats:styled-content style=\"fixed-case\">hsCRP<\/jats:styled-content>) level, higher normalized protein catabolic rate (<jats:styled-content style=\"fixed-case\">nPCR<\/jats:styled-content>) were found in the <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content> group compared with the other two groups. <jats:styled-content style=\"fixed-case\">HOMA\u2010IR<\/jats:styled-content> positively correlated with age, leptin and triglyceride levels, and it negatively correlated with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>. L group had better survival rate than H and DM groups. Dialysis duration, serum leptin level, <jats:styled-content style=\"fixed-case\">nPCR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">hsCRP<\/jats:styled-content> were statistically associated with mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Insulin resistance may play an important role in the pathophysiology of glucose and lipid metabolism. Dialysis duration, leptin, <jats:styled-content style=\"fixed-case\">nPCR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">hsCRP<\/jats:styled-content> may be risk factors for mortality in <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.12491","type":"journal-article","created":{"date-parts":[[2015,4,23]],"date-time":"2015-04-23T10:13:14Z","timestamp":1429783994000},"page":"617-624","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hyperleptinaemia, insulin resistance and survival in peritoneal dialysis patients"],"prefix":"10.1111","volume":"20","author":[{"given":"Liou","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan","family":"Mou","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leyi","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaying","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiping","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqi","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhaohui","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Nephrology Molecular Cell Laboratory for Kidney Disease Shanghai Center for Peritoneal Dialysis Research Ren Ji Hospital School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.08921010"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/914849"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(02)02553-5"},{"key":"e_1_2_6_5_1","first-page":"3","article-title":"Amphotericin B does not increase peritoneal fluid removal","volume":"14","author":"Wang T","year":"1998","journal-title":"Adv. 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