論文

2020年10月22日

Relationships between cystatin C- and creatinine-based eGFR in Japanese rural community- dwelling older adults with sarcopenia.

Clinical and experimental nephrology
  • Hiroshi Kusunoki
  • Shotaro Tsuji
  • Tomoyuki Kusukawa
  • Yosuke Wada
  • Kayoko Tamaki
  • Koutatsu Nagai
  • Masako Itoh
  • Kyoko Sano
  • Manabu Amano
  • Hatsuo Maeda
  • Hideyuki Sugita
  • Yoko Hasegawa
  • Hiromitsu Kishimoto
  • Soji Shimomura
  • Ken Shinmura
  • 全て表示

25
3
開始ページ
231
終了ページ
239
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10157-020-01981-x

BACKGROUND: Sarcopenia is prevalent in patients with chronic kidney disease (CKD). The indices of physical function, such as grip power and gait speed, decreased according to the decline in the estimated glomerular filtration rate (eGFR). METHODS: We examined the relationships between cystatin C-based GFR (eGFRcys), creatinine-based GFR (eGFRcre), their ratio (eGFRcys/eGFRcre) and sarcopenia in community-dwelling older adults in Japan. This cross-sectional study included 302 men aged 73.9 ± 6.2 years and 647 women aged 72.9 ± 5.8 years from a rural area in Hyogo Prefecture, Japan. eGFRcys and eGFRcre were simultaneously measured, and sarcopenia based on the Asia Working Group for Sarcopenia (AWGS) 2019 criteria was evaluated. RESULTS: eGFRcys and the eGFRcys/eGFRcre ratio were significantly correlated with grip power and gait speed (p < 0.001). The eGFRcys/eGFRcre ratio was also correlated with skeletal muscle mass index (SMI) (p < 0.01). Univariate logistic regression analysis showed eGFRcys and eGFRcys/eGFRcre ratio but not eGFRcre were associated with sarcopenia (p < 0.01). The presence of low eGFRcys (CKDcys) and low eGFRcys/eGFRcre ratio (< 1.0) but not that of low eGFRcre (CKDcre) were associated with sarcopenia (p < 0.01). In the multivariate logistic regression analysis, when the eGFRcys/eGFRcre ratio was added as a covariate to the basic model, it was significantly associated with sarcopenia in women (p < 0.05). Moreover, low eGFRcys/eGFRcre ratio (< 1.0) was associated with a higher risk of sarcopenia in men (p < 0.01). CONCLUSION: In conclusion, CKDcys but not CKDcre is associated with sarcopenia. A lower eGFRcys/eGFRcre ratio may be a practical screening marker of sarcopenia in community-dwelling older adults.

リンク情報
DOI
https://doi.org/10.1007/s10157-020-01981-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33090338
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925493
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85093504080&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85093504080&origin=inward
ID情報
  • DOI : 10.1007/s10157-020-01981-x
  • ISSN : 1342-1751
  • eISSN : 1437-7799
  • ORCIDのPut Code : 109542508
  • PubMed ID : 33090338
  • PubMed Central 記事ID : PMC7925493
  • SCOPUS ID : 85093504080

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