Evidence map›Paper›PMID 37851212›Full record

ArticleInternational urology and nephrology2024

The association between blood nickel level and handgrip strength in patients undergoing maintenance hemodialysis.

Ruiying Tang, Jiexin Chen, Huijuan Ma, Jihong Deng, Yanxia Zhang, Qingdong Xu

Open access · hybridAbstract read
In one paragraph

Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ruiying TangDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China.
Jiexin ChenDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China.
Huijuan MaDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China.
Jihong DengDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China.
Yanxia ZhangDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China.
Qingdong XuDepartment of Nephrology, Jiangmen Central Hospital, Jiangmen, China. xqd82@163.com.ORCID http://orcid.org/0000-0001-8755-7968
Jiangmen Central Hospital · CN

Funding

Bureau of Science and Technology of Jiangmen Municipality No. 2021YL01028Bureau of Science and Technology of Jiangmen Municipality No. 2022YL01077
6 · The paper itself

Abstract

backgroundProgressive loss of peripheral muscle strength is highly pronounced in patients receiving maintenance hemodialysis (MHD), of which the pathological mechanism tends to be multifactorial. Plasma nickel was reportedly correlated with muscular strength in non-dialysis patients. However, scarce is known regarding the association between blood nickel level and handgrip strength among the patients undergoing MHD.

methodsThis cross-sectional study included patients undergoing MHD at our center in October 2021. Blood samples were collected before the hemodialysis sessions. Nickel level was measured using inductively coupled plasma mass spectrometry. Eligible patients were stratified into three groups by the blood nickel level: tertile 1 (≥ 5.2 ug/L); tertile 2 (< 5.2 ug/L and ≥ 4.5 ug/L); and tertile 3 (< 4.5 ug/L). Handgrip strength measurement was used to evaluate the muscle status. Spearman's analyses and multivariable linear regression analyses were performed to study the relationship between blood nickel level and handgrip strength.

resultsA total of 236 patients were enrolled, with an average age of 55.51 ± 14.27 years and a median dialysis vintage of 83 (IQR: 48-125) months. Patients in group with a higher blood nickel level (tertile 1) tended to be female, had longer dialysis vintage and higher Kt/V, but lower BMI, serum creatinine, hemoglobin, and handgrip strength level (all p < 0.05). After adjustment for confounding factors in multivariable models, for every 1ug/L increase in nickel level, the patient's handgrip strength decreases by 2.81 kg (β: - 2.810, 95% confidence interval: - 5.036 to - 0.584, p = 0.014). Restricted cubic spline confirmed the relationship was nearly linear.

conclusionsOur study highlighted that blood nickel level was related to handgrip strength in patients undergoing MHD. Prospective studies with larger sample sizes are still needed to confirm the result.

Indexed as

NickelNutritional StatusAdultAgedCross-Sectional StudiesFemaleHand StrengthHumansMiddle AgedProspective StudiesRenal DialysisNickelBlood nickelHandgrip strengthHemodialysisMalnutrition

Identifiers

PMID37851212
PMCPMC10924028
OpenAlexW4387729127

What OpenQuestion holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.