학술논문

Prospective study to elucidate the effectiveness of carnitine supplementation therapy for hemodialysis patients, comparing with healthy subjects / 血液透析患者に対するカルニチン補充療法の効果を, 健常者のカルニチン値と比較し, 有用性を検討した前向き研究
Document Type
Journal Article
Source
日本透析医学会雑誌 / Nihon Toseki Igakkai Zasshi. 2015, 48(5):281
Subject
carnitine
hemodialysis
muscle mass
nutritional guidance
prospective study
カルニチン
前向き研究
栄養指導
筋肉量
血液透析
Language
Japanese
ISSN
1340-3451
1883-082X
Abstract
We investigated the relationship between the various values and free carnitine concentration in 258 hemodialysis patients. To investigate the association of laboratory values and free carnitine concentration of 125 healthy subjects, we compared the values of hemodialysis patients and healthy subjects. We divided 190 hemodialysis patients into four groups and conducted a prospective study to compare in various values to investigate the effects of carnitine IV with that of nutritional guidance. Free carnitine concentration and age of dialysis patients showed a negative correlation. Prealbumin and free carnitine concentration, muscle mass/height2 showed a significant positive correlation. Unlike dialysis patients, free carnitine concentration showed a positive correlation with age in healthy subjects. Carnitine by intravenous injection showed a marked increase of free carnitine concentration in hemodialysis patients. Free carnitine concentrations also increased in nutritional guidance group. Erythropoietin resistance index and lower limb entanglement was also investigated, those suggest that there is a limit to the effect of carnitine replacement therapy, it was considered that it is necessary to select patients in their use.