Analysis of risk factors for sarcopenia in maintenance hemodialysis patients
Objective To analyze the risk factors for sarcopenia in maintenance hemodialysis(MHD)patients.Methods Data of 151 patients undergoing hemodialysis in our hospital from January 2021 to February 2023 were collected.According to the criteria of the Asian working group,46 patients diagnosed with sarcopenia were assigned to the sarcopenia group,while 105 patients without sarcopenia were diagnosed as the non-sarcopenia group.General clinical data,laboratory indicators and dialysis related indicators were compared between the sarcopenia and non-sarcopenia groups.Logistic regression was utilized to conduct a multiple influencing factor analysis.Results BMI,albumin,prealbumin,creatinine,and carbon dioxide binding capacity in the sarcopenia group were lower than those in the non-sarcopenia group,while age,the proportion of diabetes patients,the proportion of malnutrition assessed by MQSGA,and high-sensitivity C-reactive protein were higher than those in the non-sarcopenia group(P<0.05).Logistic regression analysis showed that age,diabetes,malnutrition,high-sensitivity C-reactive protein and carbon dioxide binding capacity were independent risk factors for myopenia(P<0.05).Conclusion Age,diabetes,malnutrition,high sensitivity C-reactive protein and low carbon dioxide binding capacity are independent risk factors for myopenia in MHD patients.Early identification based on the characteristics of MHD patients and the implementation of individualized intervention programs are essential.
Maintenance hemodialysisSarcopeniaCarbon dioxide binding capacityHypersensitive C-reactive protein
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