Ways to optimize the assessment of lean body mass in hemodialysis patients
- Authors: Lavrishcheva J.V.1, Jakovenko A.A.2
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Affiliations:
- Almazov National Medical Research Centre of the Ministry of Healthcare of the Russian Federation
- Pavlov First Saint Petersburg State Medical University
- Issue: Vol 9, No 1 (2019)
- Pages: 23-28
- Section: Original articles
- URL: https://journals.rcsi.science/uroved/article/view/11330
- DOI: https://doi.org/10.17816/uroved9123-28
- ID: 11330
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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.
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##article.viewOnOriginalSite##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 PetersburgAleksandr A. Jakovenko
Pavlov First Saint Petersburg State Medical University
Email: leptin-rulit@mail.ru
Candidate of Medical Science, Associate Professor
Russian Federation, Saint PetersburgReferences
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