Fan Zhengjia, Wu Feng, Wang Peixin, Wu Leiyun, Zhang Jialing, Li Wen, Pang Qi, Zhang Aihua
Department of Nephrology, Xuanwu Hospital Capital Medical University, Beijing, China.
Kidney Blood Press Res. 2025;50(1):105-114. doi: 10.1159/000543214. Epub 2025 Jan 3.
Regular physical activity is beneficial for health but is often reduced in patients receiving maintenance hemodialysis treatment. Irisin is a muscle-secreted hormone that reportedly improves metabolism and slows down the progression of some chronic diseases. In this study, we aimed to investigate the relationship between physical activity capacity and serum irisin levels in hemodialysis patients.
Our study included 252 patients undergoing hemodialysis at Xuanwu Hospital Capital Medical University. Enzyme-linked immunosorbent assay was used to measure blood irisin levels. Body composition was analyzed by bioelectrical impedance analysis. The International Physical Activity Questionnaire (IPAQ) was used to score physical activity ability.
Bivariate correlation analysis showed a positive correlation between IPAQ scores and ln irisin (the natural logarithm of irisin; r = 0.326, p < 0.001). Independent determinants of IPAQ scores were ln irisin, age, fasting glucose, and carbon dioxide combining power.
Our findings provide the first clinical evidence that serum irisin levels are positively correlated with physical activity capacity in hemodialysis patients.
规律的体育活动对健康有益,但接受维持性血液透析治疗的患者往往运动量减少。鸢尾素是一种据报道可改善新陈代谢并减缓某些慢性疾病进展的肌肉分泌激素。在本研究中,我们旨在探讨血液透析患者的运动能力与血清鸢尾素水平之间的关系。
我们的研究纳入了首都医科大学宣武医院的252例接受血液透析的患者。采用酶联免疫吸附测定法测量血液中的鸢尾素水平。通过生物电阻抗分析对身体成分进行分析。使用国际体力活动问卷(IPAQ)对运动能力进行评分。
双变量相关性分析显示IPAQ评分与鸢尾素的自然对数(ln鸢尾素)之间呈正相关(r = 0.326,p < 0.001)。IPAQ评分的独立决定因素是ln鸢尾素、年龄、空腹血糖和二氧化碳结合力。
我们的研究结果首次提供了临床证据,表明血液透析患者的血清鸢尾素水平与运动能力呈正相关。