From: Use machine learning to help identify possible sarcopenia cases in maintenance hemodialysis patients
Features | Male | Female | ||||
---|---|---|---|---|---|---|
Control Group (n = 82) | Sarcopenia Group (n = 58) | P | Control Group (n = 37) | Sarcopenia Group(n = 65) | P | |
Basic information | ||||||
Age, years | 45.90 ± 11.04 | 61.00 ± 12.23 |  <0 .001*** | 48.57 ± 10.18 | 57.28 ± 14.23 | 0.001** |
Diabetes mellitus (DM) | Â | Â | 0.006** | Â | Â | 0.327 |
 No | 68(82.90%) | 36(62.07%) |  | 31(83.80%) | 48(73.80%) |  |
 Yes | 14(17.10%) | 22(37.93%) |  | 6(16.20%) | 17(26.20%) |  |
Hypertension | Â | Â | 0.833 | Â | Â | 0.464 |
 No | 13(22.41%) | 16(19.50%) |  | 10(27.00%) | 13(20.00%) |  |
 Yes | 45(77.59%) | 66(80.50%) |  | 27(73.00%) | 52(80.00%) |  |
Vascular access type | Â | Â | 0.022* | Â | Â | 0.453 |
 Arteriovenous fistula (AVF) | 78(95.10%) | 48(82.80%) |  | 31(83.80%) | 49(75.40%) |  |
 Central venous catheter (CVC) | 4(4.90%) | 10(17.20%) |  | 6(16.20%) | 16(24.60%) |  |
Dialysis duration, months | 36.00(47.00) | 36.00(50.00) | 0.358 | 43.00(39.50) | 55.00(51.00) | 0.165 |
Body measurement results | ||||||
Strength, assistance with walking, rise from a chair, climb stairs and falls (SARC-F), | 10.00(10.00) | 10.00(10.00) | 0.013* | 10.00(0.00) | 10.00(1.00) | 0.014* |
Calf circumference (CC), cm | 34.00(4.00) | 32.50(5.00) | 0.062 | 30.00(4.50) | 30.00(4.75) | 0.392 |
Waist circumference (WC), cm | 88.50(12.50) | 90.00(12.00) | 0.612 | 81.80 ± 9.37 | 78.57 ± 9.39 | 0.098 |
Hip circumference (HC), cm | 95.00(8.50) | 95.00(11.00) | 0.806 | 89.50(9.00) | 86.50(8.00) | 0.154 |
Arm without vascular access (AWVA) |  |  | 1 |  |  |  < 0.001*** |
 The right arm | 48(58.50%) | 34(58.60%) |  | 14(37.80%) | 49(75.40%) |  |
 The left arm | 34(41.50%) | 24(41.40%) |  | 23(62.20%) | 16(24.60%) |  |
Handgrip strength (HGS), kg | 36.36 ± 6.80 | 25.98 ± 6.74 |  <0 .001*** | 24.43 ± 4.69 | 16.60 ± 5.18 |  < 0.001*** |
6-m walk, m/s | 1.10(0.13) | 0.93(0.18) |  <0 .001*** | 1.05(0.11) | 0.89(0.19) |  < 0.001*** |
Skeletal muscle index (SMI), kg/m2 | 8.54 ± 0.82 | 8.13 ± 0.94 | 0.007** | 6.88 ± 0.70 | 6.40 ± 0.84 | 0.004** |
Height, cm | 169.00(8.00) | 167.00(9.00) | 0.017* | 156.24 ± 5.81 | 153.74 ± 5.46 | 0.032* |
Weight, kg | 66.80(14.00) | 65.30(16.30) | 0.284 | 52.20(11.45) | 51.00(10.25) | 0.107 |
Body mass index (BMI), m/kg2 | 23.88(4.55) | 23.94(3.90) | 0.844 | 22.23 ± 3.04 | 21.52 ± 3.25 | 0.277 |
Laboratory findings | ||||||
Red blood cell count (RBC), 1012/L | 3.75(0.74) | 3.77(0.80) | 0.936 | 3.51 ± 0.46 | 3.61 ± 0.57 | 0.403 |
Hemoglobin (HGB), g/L | 113.00(19.00) | 111.00(20.00) | 0.783 | 107.51 ± 13.10 | 106.65 ± 14.44 | 0.764 |
Hematocrit (HCT), L/L | 0.35(0.06) | 0.36(0.07) | 0.508 | 0.34 ± 0.04 | 0.34 ± 0.05 | 0.786 |
Mean corpuscular volume (MCV), fL | 93.30(6.90) | 93.80(6.10) | 0.241 | 96.20(6.05) | 94.20(6.65) | 0.078 |
Mean corpuscular hemoglobin (MCH), pg | 30.10(2.40) | 30.20(2.80) | 0.245 | 30.20(2.00) | 30.30(2.30) | 0.209 |
Mean corpuscular hemoglobin concentration (MCHC), g/L | 322.00(20.00) | 322.00(18.00) | 0.911 | 317.49 ± 9.79 | 317.77 ± 11.41 | 0.9 |
Red blood cell distribution width—coefficient of variation (RDW-CV), % | 14.90(2.10) | 14.90(2.40) | 0.21 | 14.90(1.10) | 15.30(2.15) | 0.048* |
Red blood cell distribution width—standard deviation (RDW-SD), fL | 48.30(8.60) | 49.20(8.50) | 0.581 | 51.40(5.15) | 50.70(6.05) | 0.223 |
Platelet count (PLT), 109/L | 182.00(87.00) | 161.00(86.00) | 0.23 | 171.00(104.00) | 162.00(82.50) | 0.371 |
White blood cell count (WBC), 109/L | 6.29(2.13) | 6.38(2.42) | 0.869 | 6.31(2.71) | 5.99(2.42) | 0.197 |
Neutrophil percentage (NEUT%), % | 67.26 ± 7.46 | 68.67 ± 7.46 | 0.27 | 67.70 ± 5.76 | 68.20 ± 9.60 | 0.744 |
Lymphocyte percentage (LY%), % | 23.10 ± 6.22 | 21.02 ± 6.83 | 0.063 | 23.28 ± 5.23 | 22.54 ± 7.89 | 0.569 |
Monocyte percentage (MO%), % | 5.30(2.20) | 5.70(2.30) | 0.156 | 4.80(2.30) | 5.60(2.25) | 0.215 |
Eosimophil percentage (EOS%), % | 3.00(3.00) | 2.90(3.60) | 0.808 | 2.20(1.90) | 2.60(3.05) | 0.978 |
Basophil percentage (BASO%), % | 0.30(0.30) | 0.30(0.30) | 0.395 | 0.30(0.20) | 0.20(0.25) | 0.164 |
Absolute neutrophil count (ANC), 109/L | 4.29(1.92) | 4.22(1.80) | 0.762 | 4.14(1.98) | 3.75(1.84) | 0.16 |
Absolute lymphocyte count (ALC), 109/L | 1.41(0.73) | 1.28(0.60) | 0.195 | 1.37(0.60) | 1.23(0.89) | 0.132 |
Absolute monocytes count (AMC), 109/L | 0.32(0.20) | 0.38(0.15) | 0.121 | 0.29(0.19) | 0.31(0.17) | 0.859 |
Absolute eosinophils count (AEC), 109/L | 0.18(0.19) | 0.18(0.21) | 0.601 | 0.13(0.12) | 0.14(0.18) | 0.805 |
Absolute basophil count (ABC), 109/L | 0.02(0.02) | 0.02(0.02) | 0.311 | 0.02(0.02) | 0.01(0.01) | 0.181 |
Total bilirubin (TBIL), μmol/L | 6.70(3.90) | 7.90(3.90) | 0.1 | 7.30(2.95) | 6.20(3.40) | 0.048* |
Direct bilirubin (DBIL), μmol/L | 2.00(1.30) | 2.60(1.30) | 0.018* | 1.90(1.20) | 1.70(1.10) | 0.473 |
Indirect bilitubin (IBIL), μmol/L | 4.70(2.70) | 5.50(2.60) | 0.208 | 5.10(2.35) | 4.40(2.60) | 0.024* |
Alanine amiotransferase (ALT), IU/L | 12.00(9.00) | 14.00(10.00) | 0.037* | 11.00(8.00) | 11.00(7.00) | 0.43 |
Aspartate aminotransferase (AST), IU/L | 12.00(7.00) | 15.00(8.00) | 0.002** | 17.00(8.00) | 16.00(4.50) | 0.837 |
Aspartate aminotransferase/alanine amiotransferase (AST/ALT) | 1.15(0.55) | 1.07(0.49) | 0.901 | 1.30(0.64) | 1.40(0.58) | 0.125 |
Total protein (TP), g/L | 71.08 ± 4.71 | 70.38 ± 3.65 | 0.33 | 71.20(7.35) | 70.50(7.15) | 0.23 |
Albumin (ALB), g/L | 43.80(4.90) | 43.60(4.00) | 0.258 | 44.00(4.40) | 42.50(5.90) | 0.021* |
Globulin (GLB), g/L | 26.77 ± 3.68 | 26.71 ± 3.55 | 0.922 | 28.13 ± 4.78 | 28.18 ± 5.04 | 0.956 |
Albumin/globulin (A/G) | 1.69 ± 0.27 | 1.67 ± 0.28 | 0.702 | 1.53(0.42) | 1.50(0.44) | 0.337 |
Fasting blood glucose (FBG), mmol/L | 5.12(0.93) | 5.61(2.76) | 0.007** | 4.91(0.96) | 5.09(1.57) | 0.254 |
Pre-dialysis urea (pre-URE), mmol/L | 24.07 ± 5.84 | 22.65 ± 6.46 | 0.178 | 22.57 ± 5.08 | 21.65 ± 6.42 | 0.429 |
Pre-dialysis creatinine (pre-CRE), μmol/L | 1140.94 ± 234.52 | 947.41 ± 237.84 |  <0 .001*** | 924.11 ± 174.82 | 818.63 ± 203.91 | 0.01* |
Cystatin C (CysC), mg/L | 6.93(1.33) | 6.82(1.86) | 0.454 | 6.40 ± 1.04 | 6.72 ± 1.06 | 0.142 |
Uric acid (UA), μmol/L | 453.13 ± 97.99 | 432.09 ± 103.48 | 0.223 | 419.65 ± 79.52 | 388.97 ± 108.40 | 0.105 |
Triglyceride (TG), mmol/L | 1.85(1.23) | 1.45(1.13) | 0.035* | 1.39(1.56) | 1.35(0.75) | 0.459 |
Cholesterol (CHOL), mmol/L | 3.65(1.15) | 3.47(0.92) | 0.198 | 4.01(1.19) | 3.77(1.14) | 0.524 |
High density lipoprotein cholesterol (HDL-C), mmol/L | 0.84(0.33) | 0.95(0.45) | 0.014* | 1.09 ± 0.30 | 1.19 ± 0.35 | 0.118 |
Low density lipoprotein (LDL), mmol/L | 1.96(0.89) | 1.85(0.87) | 0.341 | 2.11(0.93) | 1.94(0.96) | 0.648 |
Alkaline phosphatase (ALP), IU/L | 75.00(32.00) | 77.00(32.00) | 0.249 | 84.00(53.50) | 84.00(51.00) | 0.981 |
γ-glutamyl transpeptadase (GGT), IU/L | 18.00(16.00) | 19.00(22.00) | 0.4 | 13.00(11.00) | 13.00(15.00) | 0.425 |
Serum sodium (s-Na), mmol/L | 138.69 ± 2.23 | 138.50 ± 2.64 | 0.644 | 138.13 ± 2.19 | 137.27 ± 3.26 | 0.116 |
Serum potassium (s-K), mmol/L | 4.68(0.80) | 4.82(1.18) | 0.842 | 4.98 ± 0.68 | 4.80 ± 0.74 | 0.231 |
Serum chloride (s-Cl), mmol/L | 97.78 ± 3.26 | 97.74 ± 4.38 | 0.946 | 98.63 ± 4.00 | 98.17 ± 4.13 | 0.586 |
Carbon dioxide combining power (CO2CP), mmol/L | 21.55 ± 2.66 | 22.25 ± 2.72 | 0.131 | 21.57 ± 3.26 | 21.59 ± 3.15 | 0.975 |
Anion gap (AG), mmol/L | 24.11 ± 3.05 | 23.27 ± 4.12 | 0.192 | 22.91 ± 3.22 | 22.32 ± 4.09 | 0.452 |
Serum β-hydroxybutyrate (β-HBA), mmol/L | 0.10(0.07) | 0.09(0.10) | 0.882 | 0.11(0.09) | 0.11(0.10) | 0.958 |
Serum calcium (s-Ca), mmol/L | 2.29 ± 0.20 | 2.27 ± 0.21 | 0.69 | 2.31 ± 0.16 | 2.31 ± 0.20 | 0.863 |
Serum magnesium (s-Mg), mmol/L | 1.05 ± 0.12 | 1.06 ± 0.13 | 0.478 | 1.07(0.21) | 1.03(0.22) | 0.235 |
Serum inorganic phosphorus (s-IP), mmol/L | 1.98 ± 0.48 | 1.76 ± 0.50 | 0.01* | 1.87 ± 0.47 | 1.82 ± 0.49 | 0.576 |
Serum iron (s-I), μmol/L | 14.10(8.70) | 14.10(6.20) | 0.966 | 14.00(7.30) | 11.80(7.45) | 0.34 |
Total iron binding capacity (TIBC), μmol/L | 46.20(13.40) | 45.20(12.00) | 0.509 | 41.90(13.35) | 42.67(13.40) | 0.694 |
Transferrin saturation (TSAT), % | 30.48(17.60) | 32.40(12.40) | 0.933 | 32.40(19.50) | 27.10(14.05) | 0.233 |
Parathyroid hormone (PTH), pmol/L | 36.56(40.89) | 24.87(23.80) | 0.001** | 37.06(35.02) | 36.70(36.18) | 0.71 |
Serum ferritin (s-Fe), μg/L | 249.50(373.80) | 331.50(378.80) | 0.214 | 450.30(516.00) | 300.00(351.15) | 0.244 |
C-reactive protein (CRP), μg/L | 4.28(5.64) | 4.16(9.14) | 0.988 | 2.15(4.54) | 2.84(5.37) | 0.878 |
β2-microglobulin (β2-MG), mg/mL | 40.56 ± 10.54 | 42.04 ± 13.76 | 0.472 | 41.50(17.25) | 39.60(15.20) | 0.802 |
Post-dialysis urea (post-URE), mmol/L | 7.90(2.90) | 7.90(4.40) | 0.535 | 5.40(2.15) | 4.90(2.00) | 0.132 |
Post-dialysis creatinine (post-CRE), μmol/L | 450.12 ± 132.64 | 371.53 ± 105.75 |  <0 .001*** | 276.00(72.50) | 248.00(90.00) | 0.009** |