Factors Associated with Sarcopenia in Maintenance Hemodialysis Patients: A Cross-Sectional Study

Jauwerissa, Ria; Marbun, Maruhum Bonar H.; Nugroho, Pringgodigdo; Rinaldi, Ikhwan; Suhardjono, Suhardjono; Shatri, Hamzah; Laksmi, Purwita Wijaya; Hasan, Irsan

Jurnal SINTA 1

Factors Associated with Sarcopenia in Maintenance Hemodialysis Patients: A Cross-Sectional Study

ACTA MEDICA INDONESIANA · Vol. 55 No. 1 (2023)

ISSN: 2338-2732, 0125-9326
Terbit: 2023-03-31
Penerbit: The Indonesian Society of Internal Medicine
Bahasa: eng

Abstrak

Background: Sarcopenia is associated with worse outcomes in maintenance hemodialysis (MHD) patients. Differences in criteria and methods used to diagnose sarcopenia, results in a wide range of prevalence. Factors associated with sarcopenia in MHD have not been well-studied. This study aimed to investigate the prevalence and factors associated with sarcopenia in the MHD population. Methods: Observational cross-sectional study was done with 96 MHD patients aged ≥18 years old, with dialysis vintage ≥120 days at Cipto Mangunkusumo Hospital March-May 2022. Descriptive, bivariate, and logistic regression analysis were done to find sarcopenia’s prevalence and association with Simplify Creatinine Index (SCI), type 2 diabetes (DM), Interleukin-6 (IL-6), nutritional status, physical activity, and phosphate serum level. Asian Working Group for Sarcopenia (AWGS) 2019 criteria used to diagnose sarcopenia, Hand Grip Strength (HGS) to identify muscle strength, Bioimpedance Spectroscopy (BIS) to calculate muscle mass, and 6-meter walk test to evaluate physical performance. Results: The prevalence of sarcopenia was 54.2%. Factors with a significant association in bivariate analysis were phosphate serum level (p=0.008), SCI (p=0.005) and low physical activity (International Physical Activity Questionnaire) (p-0.006). Logistic regression analysis found higher phosphate serum level and high physical activity protective of sarcopenia (OR 0.677;CI95% 0.493-0.93 and OR 0.313;CI95% 0.130-0.755 respectively). Conclusion: The prevalence of sarcopenia in the MHD population was 54.2%. Phosphate serum level, SCI, and physical activity were significantly correlated with sarcopenia. Both high phosphate level and high physical activity were protective against sarcopenia.

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Rudi Putranto	Afiliasi tidak diketahui	30
Cleopas Martin Rumende	Afiliasi tidak diketahui	15
Juferdy Kurniawan	Afiliasi tidak diketahui	13
Siti Setiati	Afiliasi tidak diketahui	13
Murdani Abdullah	Afiliasi tidak diketahui	11
Edward Faisal	Afiliasi tidak diketahui	10
Alvina Widhani	Afiliasi tidak diketahui	9
Em Yunir	University of Indonesia	8
Chyntia Olivia Maurine Jasirwan	Afiliasi tidak diketahui	8
Robert Sinto	Afiliasi tidak diketahui	7
Rino Alvani Gani	Afiliasi tidak diketahui	6
Imam Subekti	Afiliasi tidak diketahui	6
Dadang Makmun	Afiliasi tidak diketahui	6
Kuntjoro Harimurti	Afiliasi tidak diketahui	6
Andri Sanityoso Sulaiman	Afiliasi tidak diketahui	6
Rudy Hidayat	Afiliasi tidak diketahui	6
Dina Elita	Afiliasi tidak diketahui	5
Achmad Fauzi	Afiliasi tidak diketahui	5
Andhika Rachman	Afiliasi tidak diketahui	5
Sally Aman Nasution	Afiliasi tidak diketahui	5
Leonard Nainggolan	Afiliasi tidak diketahui	5
Eka Ginanjar	Afiliasi tidak diketahui	5
Iris Rengganis	Afiliasi tidak diketahui	4
Cosphiadi Irawan	Afiliasi tidak diketahui	4
Muhadi Muhadi	Afiliasi tidak diketahui	4
Pradana Soewondo	Afiliasi tidak diketahui	4
Khie Chen Lie	Afiliasi tidak diketahui	4
Erni Juwita Nelwan	Afiliasi tidak diketahui	4
Marcellus Simadibrata	Afiliasi tidak diketahui	4
Dyah Purnamasari	Afiliasi tidak diketahui	4
Idrus Alwi	Afiliasi tidak diketahui	3
Andri Sanityoso	Afiliasi tidak diketahui	3

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Metadata asli (oai_dc)

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	<dc:title xml:lang="en-US">Factors Associated with Sarcopenia in Maintenance Hemodialysis Patients: A Cross-Sectional Study</dc:title>
	<dc:creator>Jauwerissa, Ria</dc:creator>
	<dc:creator>Marbun, Maruhum Bonar H.</dc:creator>
	<dc:creator>Nugroho, Pringgodigdo</dc:creator>
	<dc:creator>Rinaldi, Ikhwan</dc:creator>
	<dc:creator>Suhardjono, Suhardjono</dc:creator>
	<dc:creator>Shatri, Hamzah</dc:creator>
	<dc:creator>Laksmi, Purwita Wijaya</dc:creator>
	<dc:creator>Hasan, Irsan</dc:creator>
	<dc:subject xml:lang="en-US">Maintenance hemodialysis</dc:subject>
	<dc:subject xml:lang="en-US">AWGS 2019</dc:subject>
	<dc:subject xml:lang="en-US">sarcopenia</dc:subject>
	<dc:description xml:lang="en-US">Background: Sarcopenia is associated with worse outcomes in maintenance hemodialysis (MHD) patients. Differences in criteria and methods used to diagnose sarcopenia, results in a wide range of prevalence. Factors associated with sarcopenia in MHD have not been well-studied. This study aimed to investigate the prevalence and factors associated with sarcopenia in the MHD population. Methods: Observational cross-sectional study was done with 96 MHD patients aged ≥18 years old, with dialysis vintage ≥120 days at Cipto Mangunkusumo Hospital March-May 2022. Descriptive, bivariate, and logistic regression analysis were done to find sarcopenia’s prevalence and association with Simplify Creatinine Index (SCI), type 2 diabetes (DM), Interleukin-6 (IL-6), nutritional status, physical activity, and phosphate serum level. Asian Working Group for Sarcopenia (AWGS) 2019 criteria used to diagnose sarcopenia, Hand Grip Strength (HGS) to identify muscle strength, Bioimpedance Spectroscopy (BIS) to calculate muscle mass, and 6-meter walk test to evaluate physical performance. Results: The prevalence of sarcopenia was 54.2%. Factors with a significant association in bivariate analysis were phosphate serum level (p=0.008), SCI (p=0.005) and low physical activity (International Physical Activity Questionnaire) (p-0.006). Logistic regression analysis found higher phosphate serum level and high physical activity protective of sarcopenia (OR 0.677;CI95% 0.493-0.93 and OR 0.313;CI95% 0.130-0.755 respectively). Conclusion: The prevalence of sarcopenia in the MHD population was 54.2%. Phosphate serum level, SCI, and physical activity were significantly correlated with sarcopenia. Both high phosphate level and high physical activity were protective against sarcopenia.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2023-03-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/2239</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 55 No. 1 (2023): Acta Medica Indonesiana; 26</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/2239/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2023 Ria Jauwerissa</dc:rights>
</oai_dc:dc>