Assessment of body composition by dual energy X-ray absorptiometry, skinfold thickness and creatinine kinetics in chronic kidney disease patients

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Carla Maria AvesaniLilian Cuppari

Abstract

Finding a method that can be routinely used to assess body composition with minimum error is still a challenge for those who work with chronic kidney disease (CKD) patients. This study aimed to compare the value of two surrogate techniques, skinfold thickness (SKF) and creatinine kinetics (CK) with dual energy X-ray absorptiometry (DEXA) as the reference method for measuring body fat and fat-free mass in non-dialysed CKD patients. The body fat and fat-free mass of 50 non-dialysed CKD patients (38 male, 12 female) were measured by DEXA and compared with measurements obtained by SKF and CK. The mean values of body fat and fat-free mass obtained by SKF and CK differed significantly from measurements made by DEXA. The intra-class correlation coefficient (r) for body fat between SKF and DEXA (r = 0.74) and between CK and DEXA (r = 0.47) indicated a moderate degree of reproducibility. A Bland and Altman plot analysis showed a better agreement between SKF and DEXA [5.8 +/- 3.9% (-2.0 to 13.6)] than between CK and DEXA [8.8 +/- 8.8% (-8.8 to 26.4)]. Regarding fat-free mass, the intra-class correlation coefficient (r) between SKF and DEXA (r = 0.85) indicated a good degree of reproducibility, while that between SKF and CK (r = 0.57) ind...Continue Reading

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Citations

Nov 6, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Carolina Gracia-IguacelJuan Jesús Carrero
Oct 16, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Nazanin NooriKamyar Kalantar-Zadeh
Nov 5, 2010·The American Journal of Clinical Nutrition·Natalie S HauserCharles P Venditti
Feb 15, 2008·Néphrologie & thérapeutique·Marie Essig, François Vrtovsnik
Dec 25, 2012·Disability and Health Journal·Amanda Faith Casey, Roy Rasmussen
Jun 19, 2008·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Maria Inês Barreto SilvaRachel Bregman
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Apr 17, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Barbara Perez VogtJacqueline Costa Teixeira Caramori
Mar 31, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Elena TynkevichUNKNOWN NephroTest Study Group
May 10, 2016·Kidney International·Juan J CarreroCarla M Avesani
May 31, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Jayasurya RavindranathGopal Krushna Pal
Jul 13, 2016·BMC Nephrology·Vincenzo BellizziUNKNOWN “Conservative Treatment of CKD” study group of the Italian Society of Nephrology
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Jan 29, 2011·Annals of Human Biology·Maduka de Lanerolle-DiasSunethra Atukorala
Sep 12, 2020·PloS One·Magdalena KrzykałaKrzysztof Karpowicz
Jan 15, 2021·World Journal of Hepatology·Sabrina Alves FernandesCláudio Augusto Marroni
Dec 2, 2020·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·André V BichelsMaria A Kamimura

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