Description

Noori et al reported equations for estimating lean body mass for a patient receiving maintenance hemodialysis. The authors are from Harbor-UCLA Medical Center, Salem Veterans Affairs Medical Center, University of Alberta and UCLA.


Patient selection: maintenance hemodialysis

 

Parameters:

(1) serum creatinine in mg/dL

(2) sex

(3) weight in kilograms

(4) height in inches

(5) urea reduction ratio (URR)

(6) handgrip strength of dominant hand (type of dynamometer and units not stated; most studies use kilograms but the equation below requires low values)

(7) mid-arm muscle circumference in cm (MAMC, mid-arm circumference minus term for triceps skinfold thickness)

 

LBM in kg using creatinine and URR =

= (0.34 * (creatinine)) + (5.58 if female, else 0) + (0.30 * (weight)) + (0.67 * (height)) - (0.23 * (URR)) - 5.75

 

LBM in kg using handgrip strength =

= (9.09 * (handgrip)) + (5.15 if female, else 0) + (0.33 * (weight)) + (0.74 * (height)) - 29.06

 

LBM in kg using MAMC =

= (0.28 * (MAMC)) + (5.52 if female, else 0) + (0.28 * (weight)) + (0.82 * (height)) - 35.3


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