دورية أكاديمية
Muscle mass, muscle strength and mortality in kidney transplant recipients: results of the TransplantLines Biobank and Cohort Study
العنوان: | Muscle mass, muscle strength and mortality in kidney transplant recipients: results of the TransplantLines Biobank and Cohort Study |
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المؤلفون: | Iris M.Y. vanVliet, Adrian Post, Daan Kremer, Karin Boslooper‐Meulenbelt, Yvonne van derVeen, Margriet F.C. deJong, Robert A. Pol, TransplantLines Investigators, Harriët Jager‐Wittenaar, Gerjan J. Navis, Stephan J.L. Bakker |
المصدر: | Journal of Cachexia, Sarcopenia and Muscle, Vol 13, Iss 6, Pp 2932-2943 (2022) |
بيانات النشر: | Wiley, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Diseases of the musculoskeletal system LCC:Human anatomy |
مصطلحات موضوعية: | bio‐electrical impedance analysis, hand grip strength, kidney transplant, mortality, muscle mass, muscle strength, Diseases of the musculoskeletal system, RC925-935, Human anatomy, QM1-695 |
الوصف: | Abstract Background Survival of kidney transplant recipients (KTR) is low compared with the general population. Low muscle mass and muscle strength may contribute to lower survival, but practical measures of muscle status suitable for routine care have not been evaluated for their association with long‐term survival and their relation with each other in a large cohort of KTR. Methods Data of outpatient KTR ≥ 1 year post‐transplantation, included in the TransplantLines Biobank and Cohort Study (ClinicalTrials.gov Identifier: NCT03272841), were used. Muscle mass was determined as appendicular skeletal muscle mass indexed for height2 (ASMI) through bio‐electrical impedance analysis (BIA), and by 24‐h urinary creatinine excretion rate indexed for height2 (CERI). Muscle strength was determined by hand grip strength indexed for height2 (HGSI). Secondary analyses were performed using parameters not indexed for height2. Cox proportional hazards models were used to investigate the associations between muscle mass and muscle strength and all‐cause mortality, both in univariable and multivariable models with adjustment for potential confounders, including age, sex, body mass index (BMI), estimated glomerular filtration rate (eGFR) and proteinuria. Results We included 741 KTR (62% male, age 55 ± 13 years, BMI 27.3 ± 4.6 kg/m2), of which 62 (8%) died during a median [interquartile range] follow‐up of 3.0 [2.3–5.7] years. Compared with patients who survived, patients who died had similar ASMI (7.0 ± 1.0 vs. 7.0 ± 1.0 kg/m2; P = 0.57), lower CERI (4.2 ± 1.1 vs. 3.5 ± 0.9 mmol/24 h/m2; P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2190-6009 2190-5991 |
Relation: | https://doaj.org/toc/2190-5991; https://doaj.org/toc/2190-6009 |
DOI: | 10.1002/jcsm.13070 |
URL الوصول: | https://doaj.org/article/9a17d4913e764697a4051920e01b0c75 |
رقم الأكسشن: | edsdoj.9a17d4913e764697a4051920e01b0c75 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 21906009 21905991 |
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DOI: | 10.1002/jcsm.13070 |