1. Skeletal Muscle Loss Is Negatively Associated With Single-Pool Kt/V and Dialysis Duration in Hemodialysis Patients.
- Author
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Morishita, Yoshiyuki, Kubo, Kazuya, Haga, Yumi, Miki, Atushi, Ishibashi, Kenichi, Kusano, Eiji, and Nagata, Daisuke
- Abstract
We evaluated the skeletal muscle loss in hemodialysis ( HD) patients by bioelectrical impedance analysis ( BIA) and handgrip strength test. Thirty-four HD patients and 16 healthy subjects (control group) were measured for skeletal muscle mass normalized as the skeletal muscle mass index ( SMI), calculated as skeletal muscle mass (kg)/height (m)
2 using a tetrapolar bioelectrical impedance plethysmograph. Handgrip strength test was also performed using a hand dynamometer in both groups. In HD patients, the associations of SMI and handgrip strength with age, sex, HD conditions, and HD parameters such as body mass index ( BMI), single-pool Kt/V (sp Kt/ V), normalized protein catabolic rate (n PCR), creatinine generation rate ( CGR) and serum albumin level (Alb) were investigated. SMI of HD patients (4.58 ± 0.95 kg/m2 ) was significantly lower than that of the control group (5.55 ± 0.80 kg/m2 , P < 0.01). The handgrip strength of HD patients (19.9 ± 7.74 kg) was also significantly lower than that of the control group (33.0 ± 8.94 kg, P < 0.01). In HD patients, HD duration was associated with both SMI and handgrip strength. Among HD parameters, sp Kt/ V was negatively associated with both SMI and handgrip strength, BMI and Alb were positively associated with SMI, while n PCR and CGR were associated with neither SMI nor handgrip strength. HD duration independently contributed to skeletal muscle loss and the value of sp Kt/ V may be affected by skeletal muscle loss in HD patients. [ABSTRACT FROM AUTHOR]- Published
- 2014
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