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Revista Medica Herediana
Print version ISSN 1018-130XOn-line version ISSN 1729-214X
Abstract
VILELA SANGAY, Ana Rosa; CIEZA ZEVALLOS, Javier Antonio and URIOL LESCANO, Celene. Changes in body water, fat and lean mass of people with and without kidney dysfunction in their various stages of chronic kidney disease. Rev Med Hered [online]. 2020, vol.31, n.2, pp.85-94. ISSN 1018-130X. http://dx.doi.org/10.20453/rmh.v31i2.3769.
Objective
: Study changes in body water, fat and lean mass of healthy and sick people (20-80 years) categorized according to glomerular filtration rate (GFR).
Material and Methods:
Descriptive and analytical study of 198 subjects (healthy, with chronic disease without azotemia and with different stages of chronic kidney disease standardized by sex) according to stages: Stage 1 (GFR> 140 ml / min / 1.73 m2SC); Stage 2 (TFG 90-140); Stage 3 (TFG 60-89); Stage 4 (TFG 30-59); Stage 5 (TFG <30) and Stage 6 (dialysis). We measured weight, height, body water, fat and lean (with bio impedance scales); creatinine clearance (GFR) and urea clearance. In 24-hour urine: sodium and potassium. With these data, body mass, body water, fat and lean mass, sodium salt intake, potassium and proteins were calculated. The analysis was descriptive and analytical, relating the various variables according to the proposed categories with ANOVA and eta squared. The rest of the variables were correlated with the TFG and lean mass by bivariate regression and linear multiple regression to define the relevant ones.
Results:
The relevant variables associated with loss of GFR were lean body mass and water: ANOVA (p = 0.000 both) and eta squared (0.178 and 0,165) respectively. The multivariate analysis only related the GFR with age (r = -0.34, p = 0.000) and the lean mass showed significant bivariate correlation with water (r = 0.861, p = 0.000).
Conclusion:
The loss of TFG mainly involves loss of lean body mass and water in the body structure.
Keywords : Body water; body fat; lean mass; renal function.