Research Article

Association between Sarcopenia and Insulin-Like Growth Factor-1, Myostatin, and Insulin Resistance in Elderly Patients Undergoing Hemodialysis

Table 2

Geriatric profiles.

VariableTotal (n = 40)Nonsarcopenia (n = 7)Sarcopenia (n = 33) value

BMIUnderweight (<18.5 kg/m2)0 (0%)0 (0%)0 (0%)0.010
Normal (18.5–22.9 kg/m2)22 (55.0%)2 (28.6%)20 (60.6%)
Overweight (23–24.9 kg/m2)11 (27.5%)1 (14.3%)10 (30.3%)
Obese (>25 kg/m2)7 (17.5%)4 (57.1%)3 (9.1%)

MNAAdequate nutritional status8 (20%)5 (71.4%)3 (9.1%)0.002
At risk of malnutrition32 (80%)2 (28.6%)30 (90.9%)
Malnourished0 (0%)0(0%)0(0%)

MMSENormal31 (77.5%)1 (14.3%)8 (24.2%)1.000
Mild cognitive impairment9 (22.5%)6 (85.7%)25 (75.8%)

GDSNormal29 (72.5%)6 (85.7%)23 (69.7%)0.650
Probable depression11 (27.5%)1 (14.3%)10 (30.3%)
Depression0 (0%)0 (0%)0 (0%)

ADLIndependent26 (65%)6 (85.7%)20 (60.6%)0.420
Mildly dependent11 (27.5%)1 (14.3%)10 (30.3%)
Moderate dependent3 (7.5%)0(0%)3 (9.1%)

PASESedentary31 (77.5%)0 (0%)31 (93.9%)<0.001
Light activity9 (22.5%)7 (100%)2 (6.1%)
Moderate to intense activity0 (0%)0 (0%)0 (0%)

BMI, body mass index; MNA, mini nutritional assessment; MMSE, mini-mental state examination; GDS, geriatric depression scale; ADL, activity of daily living; PASE, physical activity scale examination. Significant at  < 0.05. Comparisons of IGF-1, myostatin, and HOMA-IR in sarcopenia status group.