Sarcopenic obesity in dialysis patients strongly and independently linked to diabetes
A recent article published in Journal of Renal Nutrition pointed out that, in chronic hemodialysis patients, sarcopenic obesity is very common. The prevalence of sarcopenic obesity was demonstrated to be a substantial and independent factor of diabetes. Diabetes was found to be a significant predictor of all-cause death, regardless of the participants' current weight, obesity, sarcopenia, or sarcopenic obesity status.
Eiji Ishimura and team conducted this retrospective cohort study to look at the relationship between diabetes and mortality in hemodialysis patients, as well as the prevalence of obesity, sarcopenia, and sarcopenic obesity, as well as the prevalence of diabetes.
For this study, in 308 chronic hemodialysis patients (age 58.0 +/- 11.9 years, hemodialysis duration 6.5 +/- 6.0 years, men 60.1%, diabetes 32.8%), muscle strength, muscle mass, and fat mass were measured using a hand dynamometer and dual-energy X-ray absorptiometry, respectively. Sarcopenia was classified using new criteria developed by the Asian Working Group on Sarcopenia in 2019. Obesity was defined as a percentage of body fat mass (males 25%, ladies 35%).
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