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Serum myostatin levels are associated with physical function and hospitalization in peritoneal dialysis patients



Myostatin functions as a negative regulator of skeletal muscle growth. The association of myostatin with muscle parameters in dialysis patients is inconsistent, and there are no studies associating myostatin with physical function and outcomes in peritoneal dialysis (PD) patients. Therefore, we assessed the association of serum myostatin with lean mass, physical function, and hospitalization in a prospective cohort of PD patients.


Lean mass, physical function, and serum myostatin were assessed at baseline. Patients were followed up for at least 24 months and hospitalization was recorded.


Serum myostatin levels were positively correlated with handgrip strength and Appendicular Lean Mass Index among male patients. Binary logistic regression models were performed including myostatin levels and physical function parameters as independent variables. Serum myostatin, handgrip strength, gait speed, and Short Physical Performance Battery were associated with hospitalization.


Lower serum myostatin and physical function were associated with hospitalization in PD patients.

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Authors and Affiliations



MZCS, BPV, and MFM were responsible for conceptualization and methodology; MZCS, NSCR, FCM, and MSD performed data acquisition; MZCS, BPV, and MFM performed data analysis and interpretation, were involved in formal analysis and wrote the original draft; MZCS, BPV, NSCR, FCM, MSD, MFM, and JCTC revised and edited the manuscript; JCTC, MFM, and BPV were responsible for supervision and mentorship. All authors provided intellectual content of critical importance to the work and gave final approval for the version to be published.

Corresponding author

Correspondence to Jacqueline Costa Teixeira Caramori.

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The authors declare no competing interests.

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Silva, M.Z.C., Vogt, B.P., Reis, N.S.C. et al. Serum myostatin levels are associated with physical function and hospitalization in peritoneal dialysis patients. Eur J Clin Nutr (2022).

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