MYOSTATIN LEVEL IN CRF PATIENTS WITH AND WITHOUT POST-HCV CIRRHOSIS AND ITS CORRELATION WITH BMI | ||||
Journal of the Egyptian Society of Parasitology | ||||
Article 13, Volume 50, Issue 2, August 2020, Page 315-321 PDF (883.53 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/jesp.2020.113053 | ||||
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Authors | ||||
MOHAMED MAGDY SALAMA1; MOHAMED ALI MAKHLOUF1; HAGAR AHMED ELESSAWY1; MOHAMED MOHEI EL BADRY2; HEBA MAHMOUD ELFOULY3 | ||||
1Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
2Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Aswan University, Aswan,Egypt | ||||
3Department of Internal Medicine, Hammoul Central Hospital, Kafr El Shaikh, Egypt | ||||
Abstract | ||||
Chronic kidney disease (CKD) is a progressive condition that may negatively affect musculoskeletal health. Secondary sarcopenia due to CKD may be associated with mobility limitations and elevated fall risk. Thus, it is important to investigate surrogate methods that enable the assessment of muscle mass. Myostatin regulates synthesis and degradation of skeletal muscle proteins and is associated with the development of sarcopenia. This study assessed the myostatin level in CKD patients and correlated with body mass index. This a prospective case control study, carried out on 30 Egyptian patients with CKD (15 have post-HCV cirrhosis) attended for dialysis in Al-Hammoul Central Hospital and 15 healthy controls. All patients were subjected to detailed medical history and through clinical examination, abdominal ultrasound and determination of serum myostatin level. The mean, standard deviation and chi-square were calculated by SPSS. ROC curves were conducted to test the discriminative value of myostatin level on sarcopenia and to detect the cut-off points. The results showed significant increase in the serum myostatin level in hemodialysis patients. Myostatin level in post-HCV cirrhotic patients was insignificantly higher than in non-cirrhotic patients. There was a significant negative correlation between serum myostatin level and BMI and skeletal muscle index (SMI). ROC curve showed that a cut off value of 39.05ng/ml can detect sarcopenia in hemodialysis patients. | ||||
Keywords | ||||
Chronic renal disease; Myostatin; HCV; BMI; Cirrhosis | ||||
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