Association of lean tissue index with arteriovenous fistula dysfunction in maintenance hemodialysis patients.
10.3760/cma.j.cn441217-20220621-00633
- Author:
Li DAI
1
;
Mao Lu TIAN
2
;
Yan ZHA
2
;
Lu LIU
2
;
Zheng Sheng LI
1
;
Chen Chong HUANG
3
;
Jing YUAN
4
Author Information
1. Department of Nephrology, the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001, China.
2. Department of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, China.
3. Graduate School of Guizhou University of Traditional Chinese Medicine, Guiyang 550002, China Dai Lu and Tian Maolu contributed equally to this study.
4. Department of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550002, China Key Laboratory of Diagnosis and Treatment of Pulmonary Immune Diseases, NHC, Guiyang 550002, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Cross-Sectional Studies;
Renal Dialysis/adverse effects*;
Body Composition
- From:
Chinese Journal of Hepatology
2023;39(1):32-35
- CountryChina
- Language:Chinese
-
Abstract:
The clinical data of maintenance hemodialysis (MHD) patients from twenty hemodialysis centers in Guizhou province from June to September 2020 were collected by cross-sectional study. The patients were divided into AFD group and non-AFD group according to whether AFD had occurred. LTI was measured by body composition monitor. The results showed that the incidence of AFD in 2 781 MHD patients was 30.0% (835/2 781). Median LTI level was 15.2 (13.2, 17.5) kg/m2. The LTI level in the AFD group was higher than that in the non-AFD group (P < 0.05). According to the tertiles of LTI, low LTI group (LTI ≤ 13.9 kg/m2) had the highest incidence of AFD (35.5%, 334/940), and the high LTI group had the lowest incidence of AFD (26.3%, 241/916), and the difference among the three groups was statistically significant (χ2=20.182,P < 0.001). Multivariate logistic regression analysis showed that low LTI group as the reference, the risk of AFD in moderate LTI group (13.9 kg/m2 < LTI ≤ 16.6 kg/m2) and high LTI group were associated with the 20.0% (OR=0.800, 95% CI 0.650-0.986, P=0.036) and 22.8% (OR=0.772, 95% CI 0.616-0.966, P=0.024) decrease, respectively. These results suggest that low LTI level is independently associated with an increased risk of AFD in MHD patients.
