Research Article

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

Table 3

Stepwise regression for determining muscle mass and muscle function in hemodialysis patients.

VariablesB (95% CI) padjusted R2

SMM0.82
 Kt/V-1.13 (-2.28 to 0.03)0.056
 Energy (kcal/day)0.0008 (0.0001 to 0.0015)0.034
 BMI (kg/m2)1.03 (0.88 to 1.19)< 0.001
 Body fat (%)-0.37 (-0.42 to -0.31)< 0.001
 MET (kcal/day)0.0009 (-0.0002 to 0.0020)0.102
0.50
 Homocysteine (μmol/L)-0.02 (-0.05 to 0.01)0.060
 Creatinine (mg/dL)0.23 (0.14 to 0.31)< 0.001
 Body fat (%)-0.04 (-0.06 to -0.03)< 0.001
0.97
 Homocysteine (μmol/L)-0.03 (-0.06 to -0.01)0.020
 Creatinine (mg/dL)0.13 (0.03 to 0.22)0.009
 Body fat (%)-0.57 (-0.59 to -0.55)< 0.001
Hand grip strength0.35
 Creatinine (mg/dL)0.93 (0.18 to 1.68)0.015
 Energy (kcal/day)0.0023 (-0.0004 to 0.0050)0.092
 Body fat (%)-0.14 (-0.31 to 0.03)0.101
Muscle quality20.18
 Dialysis vintage (year)-0.15 (-0.35 to 0.05)0.145
 Kt/V1.91 (-0.08 to 3.91)0.060
 Creatinine (mg/dL)0.45 (0.06 to 0.83)0.023
 BMI (kg/m2)-0.58 (-0.88 to -0.29)< 0.001
 Body fat (%)0.07 (-0.04 to 0.18)0.190

The significance levels of any potential factor for entry (SLE) and for stay (SLS) in the stepwise variable selection were set to 0.2. Age and gender were adjusted. Variables retained in the model are presented in the table.
BMI, body mass index; MET, metabolic equivalent; SMM, skeletal muscle mass; Ht, height; Wt, weight.