Research Article

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

Table 4

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

VariablesB (95% CI) padjusted R2

SMM0.84
 Creatinine (mg/dL)0.23 (0.01 to 0.45)0.042
 BMI (kg/m2)1.02 (0.86 to 1.18)< 0.001
 Body fat (%)-0.36 (-0.41 to -0.30)< 0.001
0.47
 Creatinine (mg/dL)0.18 (0.07 to 0.29)0.002
 Body fat (%)-0.04 (-0.06 to -0.02)< 0.001
 MET (kcal/day)0.0006 (-0.0001 to 0.0012)0.084
0.99
 Homocysteine (μmol/L)-0.03 (-0.05 to -0.01)0.027
 Creatinine (mg/dL)0.17 (0.09 to 0.25)< 0.001
 Body fat (%)-0.55 (-0.56 to -0.53)< 0.001
Hand grip strength0.35
 Homocysteine (μmol/L)-0.41 (-0.83 to 0.01)0.058
 Dialysis vintage (year)-0.40 (-0.93 to 0.14)0.143
 eKt/V6.65 (1.39 to 11.91)0.014
 Creatinine (mg/dL)1.34 (0.37 to 2.32)0.008
 Energy (kcal/day)0.0042 (0.0008 to 0.0075)0.015
 Body fat (%)-0.19 (-0.40 to 0.02)0.079
Muscle quality20.19
 Homocysteine (μmol/L)-0.18 (-0.37 to 0.02)0.071
 Dialysis vintage (year)-0.22 (-0.46 to 0.02)0.068
 eKt/V3.14 (0.76 to 5.53)0.011
 Creatinine (mg/dL)0.54 (0.08 to 1.01)0.023
 Energy (kcal/day)0.0015 (0.00005 to 0.0031)0.045
 BMI (kg/m2)-0.47 (-0.73 to -0.21)< 0.001

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.