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The effect of an arteriovenous fistula and haemodialysis on anthropometric measurements of the upper arm

European Journal of Clinical Nutrition volume 74, pages 1240–1242 (2020)Cite this article

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Abstract

Haemodialysis (HD) patients are at increased risk of sarcopenia. Measurements of triceps skinfold thickness (TSFT) and mid-upper arm circumference (MUAC) are used to estimate muscle mass. An arteriovenous fistula is the preferred vascular access for HD patients, and we wished to determine whether anthropometric measurements were affected by the fistula and HD treatment. One hundred and forty-four HD patients, 90 (62.5%) males, mean age 63.1 ± 15.4 years, had measurements pre- and post-HD. TSFT was similar in the arms, whereas MUAC and corrected mid-upper arm muscle circumference (CMUAMC) were greater in the fistula compared with the non-fistula arm (MUAC pre-HD 30.0 ± 5.2 vs 29.2 ± 4.7 and post-HD 29.6 ± 5.1 vs 28.5 ± 4.7, p < 0.001; MUAMC 23.5 ± 4.0 vs 22.5 ± 4.1, and post-HD 22.9 ± 4.0, and 22.0 ± 3.7 cm p < 0.01). Following HD; TSFT did not change, but MUAC and CMUAMC fell significantly in both arms (p < 0.01). When screening for sarcopenia in HD patients, anthropometric measurements should be taken post-HD in the non-fistula arm.

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Fig. 1: Anthropometric measurements of the mid-upper arm circumference (MUAC) and corrected mid-upper arm muscle circumference (MUAMC) pre- and post-haemodialysis in the arm with an arteriovenous fistula (AVF) and without an arteriovenous fistula (NoAVF).

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Authors and Affiliations

  1. UCL Clinical and Public Health Nutrition, University College London, Gower Street, London, WC1E 6BT, UK

    Eiman Al-Joudi & Adrian Slee

  2. UCL Division of Medicine, Faculty of Medical Sciences, Department of Nephrology, Royal Free Hospital, Pond Street, London, NW3 2QG, UK

    Andrew Davenport

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  1. Eiman Al-Joudi
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  2. Adrian Slee
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Correspondence to Andrew Davenport.

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Al-Joudi, E., Slee, A. & Davenport, A. The effect of an arteriovenous fistula and haemodialysis on anthropometric measurements of the upper arm. Eur J Clin Nutr 74, 1240–1242 (2020). https://doi.org/10.1038/s41430-019-0548-0

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