Ways to optimize the assessment of lean body mass in hemodialysis patients

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Abstract

The aim. To conduct a comparative analysis of the effectiveness of methods for assessing lean body mass in haemodialysis patients.

Patients and methods. A total of 317 patients receiving treatment with programmatic bicarbonate haemodialysis in 9 haemodialysis centers in 5 regions of the European part of the Russian Federation were examined for 8.2 ± 5.1 years, among them 171 women and 146 men, the average age was 57.1 ± 11.3 years. Dual-energy X-ray absorptiometry and bioimpedancemetry were used to assess lean body mass.

Results. The results of determining the total lean body mass obtained from the results of dual-energy X-ray absorptiometry and bioimpedancemetry were compared using the Bland-Altman method. The correlation coefficient between the indicators was r = 0.994, p < 0.0001, delta (M ± σ) was –0.48 ± 0.91 kg, CI 95% (–0.71)–(–0.26) kg.

Conclusion. Dual-energy X-ray absorptiometry has no significant advantages compared with bioimpedancemetry when evaluating lean body mass in haemodialysis patients.

About the authors

Juliia V. Lavrishcheva

Almazov National Medical Research Centre of the Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: lavrischeva@gmail.com

Nephrologist

Russian Federation, Saint Petersburg

Aleksandr A. Jakovenko

Pavlov First Saint Petersburg State Medical University

Email: leptin-rulit@mail.ru

Candidate of Medical Science, Associate Professor

Russian Federation, Saint Petersburg

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Comparative analysis of total muscle mass values measured using dual-energy X-ray absorptiometry and bioimpedansometry

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Copyright (c) 2019 Lavrishcheva J.V., Jakovenko A.A.

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