Abstract: TH-PO956
Association between Electrical Impedance Vectors and Sarcopenia in Patients with CKD
Session Information
- Physical Activity and Lifestyle in Kidney Diseases
October 24, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Health Maintenance, Nutrition, and Metabolism
- 1500 Health Maintenance, Nutrition, and Metabolism
Authors
- Ortiz, Ailema Janeth Gonzalez, Instituto Nacional de Pediatria, Mexico City, Mexico City, Mexico
- Rosales Arreola, Laura Fernanda, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico
- Callejas, Ana, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico
- Miranda, Paola V., Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico
- Lopez-Cisneros, Sonia, Instituto Nacional de Geriatria, Ciudad de Mexico, Ciudad de México, Mexico
- Espinosa-Cuevas, Angeles, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico
Background
Sarcopenia, characterized by the progressive loss of muscle quality and quantity, affecting quality of life, commonly occurs in patients with Chronic Kidney Disease. Bioelectric Impedance (IBE) and IBE Vectors (VIBE) allow the identification of decreased muscle mass and might identify patients with sarcopenia. We aimed to identify the association between VIBE and sarcopenia in patients with CKD (G3-G5) and HD.
Methods
This cross-sectional study included adult patients over 18 years with ESRD and replacement treatment. Bioelectrical impedance measurements were performed, and body composition was evaluated. The EWGSOP2 criteria were used to diagnose sarcopenia.
Results
The prevalence of sarcopenia was 11.6% in CKD (G3-G5) and 14.8% in HD. VIBE patterns indicated that sarcopenia was located outside the tolerance ellipses in the right quadrant in both groups (p < 0.05). In the HD population, the phase angle and Impedance Ratio (IR) were lower in patients with CKD on HD (p 0.03). In CKD (G3-G5), age was higher in the sarcopenia group (p < 0.05), and they had DM (p 0.03) and lower creatinine concentration (p 0.02).
Conclusion
The results suggest that VIBE, phase angle, and IR could be helpful tools for identifying sarcopenia in patients with CKD and HD. These measurements could provide valuable information for the early detection and management of sarcopenia in this population.