中国临床医学2026，Vol.33Issue(3)：493-498,6.DOI:10.12025/j.issn.1008-6358.2026.20251368
慢性肾脏病5期非透析患者肌少症的发生率及影响因素分析
Incidence and risk factors of sarcopenia in non-dialysis patients with stage 5 chronic kidney disease
摘要
Abstract
Objective To explore the incidence and risk factors of sarcopenia in non-dialysis patients with stage 5 chronic kidney disease(CKD).Methods Non-dialysis stage 5 CKD patients in Jiading District Central Hospital Affiliated Shanghai University of Medicine&Health Sciences from October 2023 to October 2024 were enrolled and divided into the non-sarcopenia group and the sarcopenia group according to lean tissue index(LTI)and handgrip strength(HGS).Demographic data of patients were collected and biochemical indicators were detected.Serum advanced glycation end products(AGEs)were detected by competitive ELISA.Multivariate logistic regression analysis was conducted to analyze the risk factors of sarcopenia in these patients.The diagnostic efficacy of the risk factors was evaluated by the receiver operating characteristic(ROC)curve.Results A total of 102 non-dialysis stage 5 CKD patients with(68.52±7.39)years,were enrolled,including 61 male(59.8%).Among them,24 were diagnosed with sarcopenia(23.5%).Compared with patients in non-sarcopenia group,patients in sarcopenia group were older and had higher interleukin-6(IL-6)and AGEs,lower body mass index(BMI)and lower serum albumin(sAlb;P＜0.05).Multivariate logistic regression showed that advanced age(OR=1.153,95%CI 1.045-1.273,P=0.005),higher IL-6(OR=1.165,95%CI 1.042-1.302,P=0.007)、lower sAlb(OR=0.675,95%CI 0.542-0.840,P=0.001),and higher serum AGEs(OR=1.105,95%CI 1.013-1.206,P=0.024)were independent risk factors of sarcopenia in non-dialysis CKD 5 patients.The areas under the curve(AUC)for the age,IL-6,sAlb,and serum AGEs were 0.896,0.643,0.658,and 0.724,respectively.Conclusions Sarcopenia is common in non-dialysis stage 5 CKD patients,and the risk of sarcopenia is higher in non-dialysis stage 5 CKD patients with advanced age,higher IL-6,lower sAlb,and higher serum AGEs.关键词
慢性肾脏病5期/非透析/晚期糖基化终末产物/肌少症Key words
stage 5 chronic kidney disease/non-dialysis/advanced glycation end product/sarcopenia分类
医药卫生引用本文复制引用
李峰,毛长青,贾慧,毛艳玲,李缨,陈腾飞,李冬,邵春霞..慢性肾脏病5期非透析患者肌少症的发生率及影响因素分析[J].中国临床医学,2026,33(3):493-498,6.基金项目
上海市嘉定区卫生健康委员会面上项目(2023-KY-20),上海嘉定区医学重点学科(XK202402).Supported by Scientific Research Project of the Shanghai Jiading District Health Committee(2023-KY-20)and Shanghai Jiading District Key Discipline Construction Project(XK202402). （2023-KY-20）
