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Predictors Associated with Increase in Skeletal Muscle Mass after Sustained Virological Response in Chronic Hepatitis C Treated with Direct Acting Antivirals
- Source :
- Nutrients, Nutrients, Vol 9, Iss 10, p 1135 (2017), Nutrients; Volume 9; Issue 10; Pages: 1135
- Publication Year :
- 2017
- Publisher :
- MDPI AG, 2017.
-
Abstract
- Aims: We aimed to examine changes in skeletal muscle mass in chronic hepatitis C (CHC) patients undergoing interferon (IFN)-free direct acting antivirals (DAAs) therapy who achieved sustained virological response (SVR). Patients and methods: A total of 69 CHC patients treated with DAAs were analyzed. We compared the changes in skeletal muscle index (SMI) using bio-impedance analysis at baseline and SMI at SVR. SMI was calculated as the sum of skeletal muscle mass in upper and lower extremities divided by height squared (cm2/m2). Further, we identified pretreatment parameters contributing to the increased SMI at SVR. Results: SMI in males at baseline ranged from 6.73 to 9.08 cm2/m2 (median, 7.65 cm2/m2), while that in females ranged from 4.45 to 7.27 cm2/m2 (median, 5.81 cm2/m2). At SVR, 36 patients (52.2%) had increased SMI as compared with baseline. In the univariate analysis, age (p = 0.0392), hyaluronic acid (p = 0.0143), and branched-chain amino acid to tyrosine ratio (BTR) (p = 0.0024) were significant pretreatment factors linked to increased SMI at SVR. In the multivariate analysis, only BTR was an independent predictor linked to the increased SMI at SVR (p = 0.0488). Conclusion: Pretreatment BTR level can be helpful for predicting increased SMI after SVR in CHC patients undergoing IFN-free DAAs therapy.
- Subjects :
- Male
Time Factors
Sustained Virologic Response
Hepacivirus
Gastroenterology
Virological response
0302 clinical medicine
direct acting antiviral
Electric Impedance
Hyaluronic Acid
Aged, 80 and over
Univariate analysis
Nutrition and Dietetics
biology
Middle Aged
Viral Load
Treatment Outcome
medicine.anatomical_structure
030220 oncology & carcinogenesis
Body Composition
Female
030211 gastroenterology & hepatology
sustained virological response
lcsh:Nutrition. Foods and food supply
Viral load
Adult
medicine.medical_specialty
education
lcsh:TX341-641
Antiviral Agents
Article
03 medical and health sciences
Chronic hepatitis
Internal medicine
mental disorders
medicine
Humans
chronic hepatitis C
skeletal muscle mass
Muscle, Skeletal
Aged
Retrospective Studies
business.industry
fungi
Skeletal muscle
Retrospective cohort study
Hepatitis C, Chronic
biology.organism_classification
Skeletal muscle mass
Surgery
Logistic Models
Multivariate Analysis
Tyrosine
business
Amino Acids, Branched-Chain
Biomarkers
Food Science
Subjects
Details
- ISSN :
- 20726643
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....bab68faa5063fab8f5105fb21893efd4