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血清尿酸与肌肉质量和力量呈正相关,但与肾功能无相关性,在肾移植患者中。

Serum Uric Acid Is Positively Associated with Muscle Mass and Strength, but Not with Functional Capacity, in Kidney Transplant Patients.

机构信息

Laboratory of Nutrition, Exercise and Health (LaNES), School of Medicine, Federal University of Uberlandia (UFU), Uberlandia, Minas Gerais 38400-902, Brazil.

School of Medicine, Federal University of Uberlandia (UFU), Uberlandia, Minas Gerais 38400-902, Brazil.

出版信息

Nutrients. 2020 Aug 10;12(8):2390. doi: 10.3390/nu12082390.

DOI:10.3390/nu12082390
PMID:32785016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7469022/
Abstract

BACKGROUND

Our aim was to associate serum uric acid (UA) with muscle mass, strength and functional capacity in kidney transplant patients (KTPs).

METHODS

A cross-sectional study was performed on 113 KTPs. The fat-free mass and total and appendicular muscle mass were estimated by performing a bioelectrical impedance analysis. The strength was evaluated using the handgrip strength test (HGS) and the five times sit to stand test (5STS). The functional capacity was evaluated using the 4 m walk test and the short physical performance battery (SPPB).

RESULTS

Linear regression showed that the UA levels were positively associated with the muscle mass, fat-free mass, appendicular muscle mass, muscle mass index and appendicular muscle mass index. The 5STS results (seconds) were inversely associated with the UA levels, showing that individuals with higher UA were more likely to have more strength. However, UA was not associated with the HGS, 4 m walk test and SPPB results.

CONCLUSION

UA levels were positively associated with muscle mass and strength, but not with functional capacity, in KTPs.

摘要

背景

本研究旨在探讨血清尿酸(UA)与肌肉量、力量和肾功能的相关性。

方法

本研究为横断面研究,共纳入 113 例肾移植患者。采用生物电阻抗分析法评估无脂肪质量、总体肌肉量和四肢肌肉量。通过握力测试(HGS)和五次坐站测试(5STS)评估力量。4 米步行测试和简易体能状况量表(SPPB)用于评估功能能力。

结果

线性回归分析显示,UA 水平与肌肉量、无脂肪质量、四肢肌肉量、肌肉量指数和四肢肌肉量指数呈正相关。5STS 结果(秒)与 UA 水平呈负相关,表明 UA 水平较高的个体可能具有更强的力量。然而,UA 与 HGS、4 米步行测试和 SPPB 结果无关。

结论

UA 水平与肌肉量和力量呈正相关,但与肾功能无关。

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本文引用的文献

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Intake of polyunsaturated fatty acids and ω-3 are protective factors for sarcopenia in kidney transplant patients.摄入多不饱和脂肪酸和 ω-3 是肾移植患者肌肉减少症的保护因素。
Nutrition. 2021 Jan;81:110929. doi: 10.1016/j.nut.2020.110929. Epub 2020 Jul 3.
2
(Dis) Agreement between the first and the recent European consensus on definition and diagnosis for sarcopenia in kidney transplant patients.(肌肉减少症)在首次和最近的欧洲共识中对于肾移植患者定义和诊断的不一致。
Eur J Clin Nutr. 2020 Jul;74(7):1104-1108. doi: 10.1038/s41430-019-0535-5. Epub 2019 Nov 25.
3
High serum uric acid level is associated with greater handgrip strength in the aged population.高血清尿酸水平与老年人群更大的握力有关。
Arthritis Res Ther. 2019 Mar 12;21(1):73. doi: 10.1186/s13075-019-1858-2.
4
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5
Sarcopenia: revised European consensus on definition and diagnosis.肌少症:定义和诊断的欧洲共识修订版。
Age Ageing. 2019 Jan 1;48(1):16-31. doi: 10.1093/ageing/afy169.
6
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Am J Kidney Dis. 2018 Sep;72(3):433-443. doi: 10.1053/j.ajkd.2017.12.005. Epub 2018 Feb 23.
7
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Higher uric acid serum levels are associated with better muscle function in the oldest old: Results from the Mugello Study.血清尿酸水平较高与高龄老人更好的肌肉功能相关:穆杰罗研究结果
Eur J Intern Med. 2017 Jun;41:39-43. doi: 10.1016/j.ejim.2017.03.014. Epub 2017 Mar 23.
9
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Serum uric acid, protein intake and mortality in hemodialysis patients.血液透析患者的血清尿酸、蛋白质摄入量与死亡率
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