Limb/Trunk Lean Mass Ratio as a Risk Factor for Mortality in Peritoneal Dialysis Patients

Title
Limb/Trunk Lean Mass Ratio as a Risk Factor for Mortality in Peritoneal Dialysis Patients
Author(s)
도준영강석휘박종원윤경우
Keywords
X-RAY ABSORPTIOMETRY; CHRONIC-HEMODIALYSIS PATIENTS; BODY-COMPOSITION; FUNCTIONAL IMPAIRMENT; EUROPEAN CONSENSUS; INSULIN-RESISTANCE; KIDNEY-DISEASE; MUSCLE MASS; WHOLE-BODY; SARCOPENIA
Issue Date
201307
Publisher
W B SAUNDERS CO-ELSEVIER INC
Citation
JOURNAL OF RENAL NUTRITION, v.23, no.4, pp.315 - 323
Abstract
Background: This study was performed to determine the clinical relevance of limb/trunk lean mass ratio (LTLM) in continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: This retrospective cohort study included 534 CAPD patients. Body compositions were measured using a dual-energy X-ray absorptiometry apparatus. Results: In males, the sensitivity and specificity for the diagnosis of sarcopenia were 70.3% and 85.9%, respectively. Respective values in females were 62.3% and 83.8%. The initial low LTLM tertile was associated with mortality in male CAPD patients and in female CAPD patients. Among patients who maintained CAPD for a year, the maintenance of low LTLM tertile was associated with mortality. Conclusions: LTLM is associated with other lean mass indices, nutritional status, and mortality in CAPD patients. Therefore, LTLM is a novel marker that is useful for the prediction of the nutritional status and mortality in patients with CAPD. (C) 2013 by the National Kidney Foundation, Inc. All rights reserved.
URI
http://hdl.handle.net/YU.REPOSITORY/29367http://dx.doi.org/10.1053/j.jrn.2012.09.004
ISSN
1051-2276
Appears in Collections:
의과대학 > 내과학교실 > Articles
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