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XIE Mengmeng, MA Chunyuan, CAI Zhonglin, LI Hongyan, XU Yan, ZHANG Qin. Correlation of skeletal muscle mass index with nutritional indexes in hemodialysis patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(23): 86-88, 94. DOI: 10.7619/jcmp.20211944
Citation: XIE Mengmeng, MA Chunyuan, CAI Zhonglin, LI Hongyan, XU Yan, ZHANG Qin. Correlation of skeletal muscle mass index with nutritional indexes in hemodialysis patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(23): 86-88, 94. DOI: 10.7619/jcmp.20211944
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Correlation of skeletal muscle mass index with nutritional indexes in hemodialysis patients

  • 1.

    Department of Clinical Nutrition, the Ninth People's Hospital of Suzhou City in Jiangsu Province, Suzhou, Jiangsu, 215200

  • 2.

    Department of Nephrology, the Ninth People's Hospital of Suzhou City in Jiangsu Province, Suzhou, Jiangsu, 215200

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  • Received Date: May 10, 2021
  • Available Online: December 20, 2021
  • Published Date: December 14, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To investigate the relationship between skeletal muscle mass index (SMI) and nutritional indicators and its role in the diagnosis of malnutrition.
      Methods  A total of 84 maintenance hemodialysis(MHD)patients were enrolled and divided into low SMI group (n=26) and normal SMI group (n=58) according to SMI. The body composition data and biochemical indexes of the two groups were analyzed. Patients were evaluated by subjective global assessment (SGA).
      Results  Among 84 MHD patients, 28 were malnourished and 56 were in good nutritional state. There were 23 cases of malnutrition in the low SMI group and 5 cases in the normal SMI group. The incidence of malnutrition in the low SMI group was 88.46%, which was significantly higher than 8.62% in the normal SMI group (P < 0.05). Correlation analysis showed that SMI was positively correlated with protein, soft lean mass (SLM), fat-free mass (FFM), skeletal muscle mass (SMM), body cell mass (BCM), basal metabolic rate (BMR), fat-free mass index (P < 0.05). Receiver operating characteristic (ROC) curve analysis showed that the area under the curve for the diagnosis of malnutrition by SMI was 0.9. SMI used to diagnose malnutrition had statistically significant difference (P < 0.05).
      Conclusion  SMI is positively correlated with major nutritional indicators and can be used for the diagnosis of malnutrition.
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    • References (14)
  • [1]
    沈晓洁, 吴灏, 余日臻, 等. 血液透析患者营养状况与逆流行病学现象的探讨[J]. 第二军医大学学报, 2015, 36(1): 14-18.
    [2]
    朱春平, 唐春苑, 李平. 维持性血液透析患者营养状况与生存质量关系的研究[J]. 中国中西医结合肾病杂志, 2014, 15(12): 1091-1094.
    [3]
    张力川, 王玉洁, 庄冰, 等. 三种营养不良诊断标准在头颈部恶性肿瘤放疗病人中的应用研究[J]. 肠外与肠内营养, 2021, 28(1): 25-29.
    [4]
    任莎莎, 简文, 刘自明. 系统免疫炎症指数和骨骼肌质量指数与肝硬化合并肝癌患者术后预后的关系[J]. 现代肿瘤医学, 2020, 28(10): 1693-1697. doi: 10.3969/j.issn.1672-4992.2020.10.019
    [5]
    FUKUOKA Y, NARITA T, FUJITA H, et al. Importance of physical evaluation using skeletal muscle mass index and body fat percentage to prevent sarcopenia in elderly Japanese diabetes patients[J]. J Diabetes Investig, 2019, 10(2): 322-330. doi: 10.1111/jdi.12908
    [6]
    CEDERHOLM T, BOSAEUS I, BARAZZONI R, et al. Diagnostic criteria for malnutrition-An ESPEN Consensus Statement[J]. Clin Nutr, 2015, 34(3): 335-340. doi: 10.1016/j.clnu.2015.03.001
    [7]
    SOUWEINE J S, KUSTER N, CHENINE L, et al. Physical inactivity and protein energy wasting play independent roles in muscle weakness in maintenance haemodialysis patients[J]. PLoS One, 2018, 13(8): e0200061. doi: 10.1371/journal.pone.0200061
    [8]
    WU H C, LEE L C, WANG W J. The association between serum testosterone and mortality among elderly men on hemodialysis[J]. J Clin Lab Anal, 2018, 32(5): e22394. doi: 10.1002/jcla.22394
    [9]
    JENSEN G L, CEDERHOLM T, CORREIA M I T D, et al. GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community[J]. JPEN J Parenter Enteral Nutr, 2019, 43(1): 32-40. doi: 10.1002/jpen.1440
    [10]
    JEEJEEBHOY K N, DUERKSEN D R. Malnutrition in gastrointestinal disorders: detection and nutritional assessment[J]. Gastroenterol Clin N Am, 2018, 47(1): 1-22. doi: 10.1016/j.gtc.2017.09.002
    [11]
    KURBAN M, ZENG N, WANG M, et al. Role of human body composition analysis and malnutrition risk questionnaire in the assessment of nutritional status of patients with initially diagnosed Crohn's disease[J]. Front Med: Lausanne, 2020, 7: 106. doi: 10.3389/fmed.2020.00106
    [12]
    OHYAMA S, HOSHINO M, TAKAHASHI S, et al. Presence of sarcopenia does not affect the clinical results of balloon kyphoplasty for acute osteoporotic vertebral fracture[J]. Sci Rep, 2021, 11(1): 122.
    [13]
    CHAE M, PARK H, PARK K. Estimation of dietary amino acid intake and independent correlates of skeletal muscle mass index among Korean adults[J]. Nutrients, 2020, 12(4): 1043. doi: 10.3390/nu12041043
    [14]
    ITO K, OOKAWARA S, HIBINO Y, et al. Skeletal muscle mass index is positively associated with bone mineral density in hemodialysis patients[J]. Front Med: Lausanne, 2020, 7: 187.
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