Differences in the prevalence of sarcopenia in peritoneal dialysis patients using hand grip strength and appendicular lean mass: depends upon guideline definitions.

摘要: Peritoneal dialysis (PD) patients with sarcopenia have increased risk of mortality. There is consensus that should combine assessments muscle function and mass. We wished to determine the effect using different operational definitions in PD patients. Hand grip strength (HGS) segmental bioimpedance derived appendicular lean mass (ALM) were measured prevalence determined Foundation for National Institutes Health Sarcopenia Project (FNIH), European Working Group on Older Persons (EWGSOP), Asian (AWGS) definitions. studied 155 patients, 95 men (61.3%), mean age 63.0 ± 14.9 years, 37.4% diabetic, treated by 9 (3–20) months a HGS 22.5 (15.5–30.2) kg, weight 73.6 ± 16.6 kg, % body fat 31.4 ± 4.2, ALM index 7.52 ± 1.40 kg/m2. More defined weakness EWGSOP compared FNIH criteria (X2 = 6.8, p = 0.009), whereas fewer met wasting adjustment (X2 = 7.7, p = 0.006). However, when combining both criteria, there was no difference between recommended (11–15.5%). report much lower studies haemodialysis Although may be an element patient selection bias, are not subject changes hydration electrolytes haemodialysis, which can affect measurements. Using we found similar EWGSOP, FNIH, AWGS