Muscle Ultrasound as an Emergy Tool for Assessment of Quantity and Quality of Muscle in Chronic Kidney Disease (CKD) Patients
Guillermina Barril1,2*, Alicia Cabrera2, Paloma Lopez Alvarado2, Patricia Ochoa2, Graciela Alvarez2 and Angel Nogueira3,2
1Fundación Investigaciones Biomédicas, Spain
2Department of Nephrology Hospital Universitario de la Princesa, Madrid, Spain
3Avericum Las Palmas de Gran Canaria, Spain
*Corresponding Author: Guillermina Barril, Fundación Investigaciones Biomédicas, Spain.
Received:
June 19, 2025; Published: July 14, 2025
Abstract
Objective:This study aimed to explore the usefulness muscle ultrasound as tool for evaluation muscle parameters in CKD patients.
Methods: Ultrasound muscle evaluation of the right rectus femoris , hand grip strenght, biochemical parameters, right calf circumference and vectorial bioelectrical impedance analysis measurement of the right lower limb were performed in CKD patients. The correlations between the changes in the corresponding ultrasound and bioelectrical impedance analysis variables were analyzed. Results: Have been evaluated a total of 78 patients, (68 in CKD stage G5, G4, G3b non in dialysis and 10 on peritoneal dialysis (PD)), with mean age of 71.54 ± 11.76 years, 59% were male and 48% Diabetes Mellitus. Compared to advanced CKD patients , the measurements of cross-sectional area and axes didn´t find significant difference between CKD and DP. In relation with muscle mass ultrasound parameters in CKD patients the possible factor can influence favorizing better values were: Exercice, lower age, and good hand grip strenght as phase angle and intracellular water adecuate can influence a good muscle mass parameters.
Conclusions
- CKD results in lower values in the eco-muscular assessment than healthy people in both CKD and DP.
- The transverse and longitudinal diameters and muscle area are smaller than those described in the healthy population.
- Having performed physical exercise conditions better parameters in the muscle ultrasound
- Muscle ultrasound appears as an emerging, economical, easy tool that does not provide ionizing radiation.
- It´s necessary more study in order stablish the normal values according age groups
Keywords: Ultrasound,CKD, DP
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