Research Article

Hyperhomocysteinemia Associated with Low Muscle Mass, Muscle Function in Elderly Hemodialysis Patients: An Analysis of Multiple Dialysis Centers

Table 2

Associated factors of muscle mass and muscle function via simple linear regression analyses.

SMMHand grip strengthMuscle quality
VariablesB (95% CI)pB (95% CI)pB (95% CI)pB (95% CI)pB (95% CI)p

Age (years)-0.123 (-0.244 to -0.003)0.045-0.045 (-0.077 to -0.014)0.005-0.177 (-0.326 to -0.029)0.020-0.311 (-0.651 to 0.029)0.072-0.090 (-0.244 to 0.064)0.243
Male, n (%)-6.222 (-7.426 to -5.017)< 0.001-1.274 (-1.637 to -0.912)< 0.001-5.449 (-7.209 to -3.689)< 0.001-6.228 (-10.669 to -1.786)0.0070.966 (-1.180 to 3.113)0.367
Dialysis vintage (year)-0.001 (-0.230 to 0.229)0.9970.012 (-0.048 to 0.073)0.6880.170 (-0.113 to 0.453)0.237-0.179 (-0.829 to 0.472)0.580-0.013 (-0.301 to 0.275)0.929
eKt/V-5.448 (-7.742 to -3.153)< 0.001-1.094 (-1.719 to -0.470)0.001-2.657 (-5.691 to 0.378)0.0863.500 (-2.446 to 9.446)0.2402.188 (-0.378 to 4.754)0.092
Albumin (g/dL)1.441 (-0.354 to 3.237)0.1150.334 (-0.139 to 0.808)0.1650.070 (-2.175 to 2.314)0.9513.270 (-3.903 to 10.443)0.3610.248 (-2.950 to 3.447)0.876
Creatinine (mg/dL)1.158 (0.784 to 1.531)< 0.0010.312 (0.215 to 0.410)< 0.0010.513 (-0.003 to 1.030)0.0511.161 (0.065 to 2.257)0.039-0.042 (-0.556 to 0.472)0.869
FPG (mg/dL)-0.005 (-0.017 to 0.007)0.404-0.002 (-0.005 to 0.001)0.231-0.008 (-0.023 to 0.007)0.291-0.015 (-0.083 to 0.053)0.663-0.005 (-0.035 to 0.025)0.725
Insulin (μU/mL)-0.005 (-0.039 to 0.030)0.779-0.003 (-0.012 to 0.007)0.587-0.045 (-0.087 to -0.003)0.037-0.066 (-0.168 to 0.036)0.196-0.002 (-0.048 to 0.044)0.925
HOMA-IR-0.019 (-0.082 to 0.044)0.552-0.007 (-0.023 to 0.010)0.413-0.072 (-0.149 to 0.005)0.066-0.198 (-0.481 to 0.084)0.162-0.010 (-0.138 to 0.118)0.872
Homocysteine (μmol/L)-0.008 (-0.138 to 0.122)0.908-0.009 (-0.043 to 0.025)0.5920.060 (-0.101 to 0.221)0.4630.385 (-0.080 to 0.851)0.101-0.025 (-0.238 to 0.188)0.816
Folate (ng/mL)0.040 (-0.131 to 0.211)0.6480.011 (-0.034 to 0.056)0.635-0.001 (-0.213 to 0.211)0.991-0.164 (-0.538 to 0.209)0.3780.049 (-0.116 to 0.215)0.548
Vitamin B12 (pg/mL)0.001 (-0.001 to 0.002)0.5940.000 (-0.001 to 0.001)0.809-0.001 (-0.002 to 0.001)0.376-0.001 (-0.005 to 0.003)0.7390.001(-0.002 to 0.002)0.853
Energy (kcal/day)0.003 (0.001 to 0.004)0.0010.0005 (0.000 to 0.001)0.0330.001 (-0.001 to 0.003)0.3710.003 (-0.001 to 0.008)0.0870.001(-0.002 to 0.002)0.914
Height (cm)0.454 (0.393 to 0.515)< 0.0010.067 (0.044 to 0.090)< 0.0010.278 (0.166 to 0.391)< 0.0010.392 (0.141 to 0.643)0.003-0.042 (-0.166 to 0.083)0.504
Body weight (kg)0.316 (0.257 to 0.375)< 0.0010.067 (0.050 to 0.085)< 0.001-0.100 (-0.198 to -0.003)0.0440.193 (-0.050 to 0.436)0.116-0.127 (-0.229 to -0.025)0.016
BMI (kg/m2)0.381 (0.128 to 0.634)0.0040.146 (0.082 to 0.210)< 0.001-0.982 (-1.259 to -0.706)< 0.001-0.135 (-0.897 to 0.627)0.721-0.373 (-0.684 to -0.062)0.020
Body fat (%)-0.244 (-0.317 to -0.172)< 0.001-0.065 (-0.084 to -0.046)< 0.001-0.591 (-0.612 to -0.570)< 0.001-0.171 (-0.441 to 0.100)0.209-0.019 (-0.141 to 0.103)0.752
MET (kcal/day)0.004 (0.002 to 0.007)< 0.0010.0015 (0.001 to 0.002)0.0040.003 (-0.001 to 0.006)0.0520.001 (-0.008 to 0.011)0.791-0.001 (-0.005 to 0.003)0.660

FPG, fasting plasma glucose; HOMA-IR, homeostasis model assessment-estimated insulin resistance; BMI, body mass index; MET, metabolic equivalent; SMM, skeletal muscle mass; Ht, height; Wt, weight.