Comparison of Dyslipidemia Among Diabetics Versus Non Diabetics in Haemodialysis Patients

NCT ID: NCT06401122

Last Updated: 2024-05-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-01

Study Completion Date

2025-12-30

Brief Summary

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* How dyslipidemia common among Diabetic and non- Diabetic Haemodialysis patients.
* How differ dyslipidemia types among Diabetic and non- Diabetic in Haemodialysis patients. (Qualitative difference).

Detailed Description

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Diabetes mellitus (DM) is a metabolic disease , a consequence of defects in insulin action, secretion, or both, and there are complications associated with it, such as nephropathy, retinopathy, neuropathy, cardiovascular complications ,cerebrovascular and peripheral arterial disease. Diabetic nephropathy, which occurs in about one third of type 2 diabetic patients, is the most common factor leading to end-stage renal disease (ESRD) . A very common metabolic abnormality associated with diabetes is dyslipidemia, which is characterized by a spectrum of quantitative and qualitative changes in lipids and lipoproteinsSeveral previous studies have pursued linking blood glucose levels to serum lipid activities. The etiology of dyslipidemia appears to be centered on the increased large TAG-rich very low-density lipoprotein-cholesterol (VLDL-C) and its impaired clearance. American diabetic association (ADA) defines dyslipidemia as hypercholesterolemia ≥200 mg/dl of serum total cholesterol, hypertriglyceridemia ≥150 mg/dl of serum triglyceride, reduced high density lipoprotein cholesterol (HDL-C) \<40 mg/dl for men and \<50 mg/dl for women, elevated low density lipoprotein cholesterol (LDL-C) ≥70 mg/dl and high TC to HDL-C ratio of ≥4.5. Normal plasma lipids and lipoprotein metabolism is critical for cellular cholesterol homeostasis and protection against atherosclerosis, renal disease and other complication . A study found that people with high blood pressure and overweight or obesity have a higher risk of developing dyslipidemia ,Early detection and effective control of blood lipid levels can reduce the morbidity and mortality of CVD in patients with DM. Therefore, it is important to determine the factors associated with dyslipidemia.

Conditions

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Dyslipidemias

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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diabetic dialysis patients

fifty diabetic patients on regular haemodialysis more than 6 months

haemodialysis

Intervention Type PROCEDURE

process of filtering the blood of a person whose kidneys are not working normally from uremic toxins

Non-diabetic dialysis patients

fifty Non-diabetic patients on regular haemodialysis more than 6 months

haemodialysis

Intervention Type PROCEDURE

process of filtering the blood of a person whose kidneys are not working normally from uremic toxins

Interventions

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haemodialysis

process of filtering the blood of a person whose kidneys are not working normally from uremic toxins

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 18 and 60 years.
* Patients undergoing regular conventional Haemodialysis for more than 6 months

Exclusion Criteria

* Peritoneal Dialysis
* Haemodiafilteration
* Acute Kidney Injury
* Nephrotic syndrome
* Hypothyroidism
* Familial hypertriglyceridemia.
* Acute pancreatitis
* Connective tissue disease.
* Decompensated liver disease
* Active malignancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Dina Ali Abudeif Zaharn

doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Salwa S. Elgendi, professor

Role: STUDY_DIRECTOR

Assiut University

Essam M. Abdel-Aziz, doctor

Role: STUDY_DIRECTOR

Assiut University

Central Contacts

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dina A. Abudeif, doctor

Role: CONTACT

+201141210144

References

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Biadgo B, Abebe SM, Baynes HW, Yesuf M, Alemu A, Abebe M. Correlation between Serum Lipid Profile with Anthropometric and Clinical Variables in Patients with Type 2 Diabetes Mellitus. Ethiop J Health Sci. 2017 May;27(3):215-226. doi: 10.4314/ejhs.v27i3.3.

Reference Type BACKGROUND
PMID: 29217920 (View on PubMed)

Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018 Feb;14(2):88-98. doi: 10.1038/nrendo.2017.151. Epub 2017 Dec 8.

Reference Type BACKGROUND
PMID: 29219149 (View on PubMed)

Ariyanti R, Besral B. Dyslipidemia Associated with Hypertension Increases the Risks for Coronary Heart Disease: A Case-Control Study in Harapan Kita Hospital, National Cardiovascular Center, Jakarta. J Lipids. 2019 Apr 30;2019:2517013. doi: 10.1155/2019/2517013. eCollection 2019.

Reference Type BACKGROUND
PMID: 31183219 (View on PubMed)

Hasan YK, Alsultan M, Anan MT, Hassn Q, Basha K. The prevalence of dyslipidemia in patients on hemodialysis: a cross-sectional study from Syria. Ann Med Surg (Lond). 2023 Jun 5;85(8):3838-3844. doi: 10.1097/MS9.0000000000000931. eCollection 2023 Aug.

Reference Type BACKGROUND
PMID: 37554881 (View on PubMed)

Other Identifiers

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Dyslipidemia haemodialysis

Identifier Type: -

Identifier Source: org_study_id

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