ArticleKidney research and clinical practice2022
The importance of muscle mass in predicting intradialytic hypotension in patients undergoing maintenance hemodialysis.
Article in Kidney research and clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 12 citations in OpenAlex.
- Association of limb ischemic preconditioning with intradialytic hypotension in patients with diabetic kidney disease undergoing hemodialysis: a retrospective analysis.International urology and nephrology · 2026Article
- Unsupervised Clustering of Intradialytic Blood Pressure Patterns and Their Associations With Body Composition in Patients Undergoing Chronic Hemodialysis.Electrolyte & blood pressure : E & BP · 2026Article
- MI-Net: a dual-stream feature network based on Mamba-convolutional neural network (CNN) fusion to predict intradialytic hypotension using multimodal data.Quantitative imaging in medicine and surgery · 2026Article
- Diagnostic performance of ultrasonographic medial gastrocnemius muscle thickness for sarcopenia in patients on maintenance hemodialysis.Frontiers in medicine · 2026Article
- Risk factors for the development of intradialytic hypotension in patients undergoing maintenance hemodialysis.International urology and nephrology · 2025Article
- Comprehensive Insights into Sarcopenia in Dialysis Patients: Mechanisms, Assessment, and Therapeutic Approaches.Medicina (Kaunas, Lithuania) · 2025Review
- The phase angle before transplantation can predict the status of low muscle mass after kidney transplantation.Clinical and experimental nephrology · 2024Article
- Usefulness of the heart rate variability test in predicting intradialytic hypotension in patients undergoing chronic haemodialysis.Clinical kidney journal · 2024Article
- Which blood pressure metrics should be used in patients on dialysis?Kidney research and clinical practice · 2024Article
- Impact of frequent intradialytic hypotension on quality of life in patients undergoing hemodialysis.BMC nephrology · 2023Article
- Sarcopenia in chronic kidney disease: from bench to bedside.The Korean journal of internal medicine · 2023Review
- Predictability of Radiologically Measured Psoas Muscle Area for Intraoperative Hypotension in Older Adult Patients Undergoing Femur Fracture Surgery.Journal of clinical medicine · 2023Article
- Prevention of Intradialytic Hypotension in Hemodialysis Patients: Current Challenges and Future Prospects.International journal of nephrology and renovascular disease · 2023Review
- Healthy aging and chronic kidney disease.Kidney research and clinical practice · 2022Article
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Authors and funding
16 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPatients undergoing hemodialysis are susceptible to sarcopenia. As intracellular reservoirs of water, skeletal muscles are important contributors to intradialytic hypotension. This study was designed to determine the role of skeletal muscle mass in intradialytic hypotension.
methodsIn a cross-sectional study, the body composition of 177 patients was measured immediately after hemodialysis using bioelectrical impedance analysis. The parameters measured were skeletal muscle mass, intracellular and extracellular water contents, total body water, and cell-membrane functionality (in phase angle at 50 kHz). Data from laboratory tests, chest radiography, measurements of handgrip strength and mid-arm circumference, and questionnaires were collected. The main outcome was intradialytic hypotension, defined as more than two episodes of hypotension (systolic blood pressure of <90 mmHg) with intervention over the 3 months following enrollment. Logistic regression models including each parameter related to sarcopenia were compared with a clinical model.
resultsPatients with a low ratio of skeletal muscle mass to dry body weight (SMM/WT) had a higher rate of intradialytic hypotension (40.7%). Most low-SMM/WT patients were female, obese, diabetic, and had a lower handgrip strength compared with the other patients. In the high-SMM/WT group, the risk of intradialytic hypotension was lower, with an odds ratio of 0.08 (95% confidence interval [CI], 0.02-0.28) and adjusted odds ratio of 0.06 (95% CI, 0.01-0.29).
conclusionMeasurement and maintenance of skeletal muscle can help prevent intradialytic hypotension in frail patients undergoing hemodialysis.
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