Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis

ObjectiveThiamine deficiency is a common complication in end-stage renal disease (ESRD) patients receiving maintenance hemodialysis (HD). The purpose of this cross-sectional study was to assess the prevalence of thiamine deficiency in HD patients and its association with clinical parameters.MethodsT...

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Main Authors: Bo Yang, Naiying Lan, Fanzhou Zeng, Qing Shao, Dan Ye, Hao Wang, Cheng Xue, Nanmei Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1563768/full
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author Bo Yang
Naiying Lan
Fanzhou Zeng
Qing Shao
Dan Ye
Hao Wang
Cheng Xue
Nanmei Liu
author_facet Bo Yang
Naiying Lan
Fanzhou Zeng
Qing Shao
Dan Ye
Hao Wang
Cheng Xue
Nanmei Liu
author_sort Bo Yang
collection DOAJ
description ObjectiveThiamine deficiency is a common complication in end-stage renal disease (ESRD) patients receiving maintenance hemodialysis (HD). The purpose of this cross-sectional study was to assess the prevalence of thiamine deficiency in HD patients and its association with clinical parameters.MethodsThis was a single-center cross-sectional study that included 113 maintenance HD patients from our hospital. Thiamine status was evaluated by high-performance liquid chromatography on whole blood samples. We evaluated the association between blood thiamine concentration and other clinical parameters, including markers of iron metabolism and cardiac function.ResultsThe prevalence of thiamine deficiency was 11.5%. Univariate analysis revealed a significant positive correlation between thiamine levels and iron metabolism markers, including hemoglobin level (Rho = 0.257, p = 0.006), transferrin saturation (Rho = 0.244, p = 0.009), and serum iron (Rho = 0.213, p = 0.025). A multivariate regression analysis confirmed that thiamine levels were independently associated with hemoglobin levels (beta coefficients = 0.25, p = 0.012).ConclusionThese findings suggest an association between lower thiamine levels and anemia in HD patients. Further research is needed to elucidate the underlying mechanisms and evaluate the efficacy of thiamine supplementation in improving anemia and other clinical outcomes in this population.
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spelling doaj-art-4e1beff5325342e68b42b51daaf0d1422025-08-20T03:49:32ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-05-011210.3389/fnut.2025.15637681563768Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysisBo Yang0Naiying Lan1Fanzhou Zeng2Qing Shao3Dan Ye4Hao Wang5Cheng Xue6Nanmei Liu7Department of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaDivision of Nephrology, Changzheng Hospital, Naval Medical University, Shanghai, ChinaDepartment of Nephrology, Naval Medical Center of PLA, Naval Medical University, Shanghai, ChinaObjectiveThiamine deficiency is a common complication in end-stage renal disease (ESRD) patients receiving maintenance hemodialysis (HD). The purpose of this cross-sectional study was to assess the prevalence of thiamine deficiency in HD patients and its association with clinical parameters.MethodsThis was a single-center cross-sectional study that included 113 maintenance HD patients from our hospital. Thiamine status was evaluated by high-performance liquid chromatography on whole blood samples. We evaluated the association between blood thiamine concentration and other clinical parameters, including markers of iron metabolism and cardiac function.ResultsThe prevalence of thiamine deficiency was 11.5%. Univariate analysis revealed a significant positive correlation between thiamine levels and iron metabolism markers, including hemoglobin level (Rho = 0.257, p = 0.006), transferrin saturation (Rho = 0.244, p = 0.009), and serum iron (Rho = 0.213, p = 0.025). A multivariate regression analysis confirmed that thiamine levels were independently associated with hemoglobin levels (beta coefficients = 0.25, p = 0.012).ConclusionThese findings suggest an association between lower thiamine levels and anemia in HD patients. Further research is needed to elucidate the underlying mechanisms and evaluate the efficacy of thiamine supplementation in improving anemia and other clinical outcomes in this population.https://www.frontiersin.org/articles/10.3389/fnut.2025.1563768/fullthiaminehemodialysisanemiairon metabolismcross-sectional study
spellingShingle Bo Yang
Naiying Lan
Fanzhou Zeng
Qing Shao
Dan Ye
Hao Wang
Cheng Xue
Nanmei Liu
Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
Frontiers in Nutrition
thiamine
hemodialysis
anemia
iron metabolism
cross-sectional study
title Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
title_full Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
title_fullStr Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
title_full_unstemmed Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
title_short Assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
title_sort assessment of thiamine status and its association with clinical parameters in patients undergoing maintenance hemodialysis
topic thiamine
hemodialysis
anemia
iron metabolism
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1563768/full
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