Exploring Biomarkers for Excess Extracellular Fluid in the Context of Physical Function in Chronic Kidney Disease Patients
2024

Exploring Biomarkers for Fluid Status in Chronic Kidney Disease

Sample size: 151 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lee Hyae Min, Baek Jihyun, Lee So-Young, Lee Yu Ho, Jung Sang Hyun, Jeong Hye Yun, Squadrito Giovanni

Primary Institution: CHA Bundang Medical Center, CHA University School of Medicine

Hypothesis

Can BDNF serve as a biomarker for volume status in patients with non-dialysis chronic kidney disease?

Conclusion

BDNF is significantly correlated with the ECW/TBW ratio, indicating its potential as a biomarker for volume status in CKD patients.

Supporting Evidence

  • BDNF levels were negatively correlated with the ECW/TBW ratio.
  • Physical performance metrics showed trends but were not statistically significant.
  • BDNF may reflect muscle function and volume status in CKD patients.

Takeaway

This study found that a protein called BDNF might help doctors understand how much extra fluid is in the bodies of people with kidney problems.

Methodology

The study involved 151 CKD patients, measuring body composition through bioimpedance analysis and assessing physical performance via hand grip strength.

Potential Biases

Potential biases due to the single-center design and lack of diverse populations.

Limitations

The study lacked a healthy control group and was observational, limiting causal inferences.

Participant Demographics

Average age of participants was 64.8 years, with a majority being older adults.

Statistical Information

P-Value

p = 0.003

Confidence Interval

95% CI: −9.93 × 10^4, −2.04 × 10^4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jpm14121124

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