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Matsunami M, Suzuki T, Takanashi Y, Koshiba T, Ochi A, Kuji H, Yashima J. Impact of Dynapenia on Short-Term Changes in Handgrip Strength Among Japanese Kidney Transplant Recipients: A Cross-Sectional Study. Clin Transplant 2025; 39:e70138. [PMID: 40116535 DOI: 10.1111/ctr.70138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2025] [Revised: 03/07/2025] [Accepted: 03/11/2025] [Indexed: 03/23/2025]
Affiliation(s)
- Masatoshi Matsunami
- Department of Nephrology, Kameda Medical Center, Chiba, Japan
- Renal Transplant Center, Kameda Medical Center, Chiba, Japan
- Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Tomo Suzuki
- Department of Nephrology, Kameda Medical Center, Chiba, Japan
- Renal Transplant Center, Kameda Medical Center, Chiba, Japan
- Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Yayoi Takanashi
- Renal Transplant Center, Kameda Medical Center, Chiba, Japan
| | - Teruaki Koshiba
- Department of Rehabilitation, Kameda Medical Center, Chiba, Japan
| | - Atsuhiko Ochi
- Renal Transplant Center, Kameda Medical Center, Chiba, Japan
- Department of Urology, Kameda Medical Center, Chiba, Japan
| | - Hiroshi Kuji
- Department of Urology, Kameda Medical Center, Chiba, Japan
| | - Jun Yashima
- Renal Transplant Center, Kameda Medical Center, Chiba, Japan
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Tsai CC, Wang PC, Hsiung T, Fan YH, Wu JT, Kan WC, Shiao CC. Sarcopenia in Chronic Kidney Disease: A Narrative Review from Pathophysiology to Therapeutic Approaches. Biomedicines 2025; 13:352. [PMID: 40002765 PMCID: PMC11852367 DOI: 10.3390/biomedicines13020352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2024] [Revised: 01/22/2025] [Accepted: 01/24/2025] [Indexed: 02/27/2025] Open
Abstract
Chronic kidney disease (CKD) is a progressive condition linked to sarcopenia, a syndrome characterized by loss of skeletal muscle mass and strength, affecting a quarter of CKD patients globally. Sarcopenia has multiple paths through which it can worsen morbidity and mortality as well as decrease the quality of life in CKD, including systemic inflammation, hormonal imbalances, metabolic changes, and dysbiosis of gut microbiota. There is a regional variation in the criteria set for diagnosis, with two main groups being the European Working Group on Sarcopenia in Older People and the Asian Working Group for Sarcopenia. Management regimes such as nutritional optimization, vitamin D, exercise, correction of metabolic acidosis, and modulation of gut microbiota constitute effective intervention strategies. Emerging therapeutic options include anabolic agents, myostatin inhibitors, and anti-inflammatory treatment options. Future advances such as genomics, proteomics, and personalized medicine will open up new avenues for addressing the complex pathophysiology of sarcopenia. Hence, a comprehensive multidisciplinary approach focused on the specific needs of each patient will be vital in reducing the effects of sarcopenia and improving the situation of people with CKD.
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Affiliation(s)
- Chung-Ching Tsai
- Division of Orthopaedics, Department of Surgery, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan;
| | - Ping-Chen Wang
- Department of Medical Research and Education, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan;
| | - Ted Hsiung
- Division of General Surgery, Department of Surgery, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan; (T.H.); (Y.-H.F.); (J.-T.W.)
| | - Yang-Hsin Fan
- Division of General Surgery, Department of Surgery, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan; (T.H.); (Y.-H.F.); (J.-T.W.)
| | - Jui-Teng Wu
- Division of General Surgery, Department of Surgery, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan; (T.H.); (Y.-H.F.); (J.-T.W.)
| | - Wei-Chih Kan
- Department of Nephrology, Department of Internal Medicine, Chi Mei Medical Center, No. 901, Zhonghua Rd., Yongkang Dist., Tainan City 71004, Taiwan
- Department of Medical Laboratory Science and Biotechnology, Chung Hwa University of Medical Technology, No. 89, Wenhua 1st St., Rende Dist., Tainan City 71703, Taiwan
| | - Chih-Chung Shiao
- Division of Nephrology, Department of Internal Medicine, Camillian Saint Mary’s Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong Township, Yilan County 26546, Taiwan
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Moore LW, Waterman A, Kalantar-Zadeh K. Nutrition therapy as a critical component for protecting the health of living donors. J Ren Nutr 2022; 32:265-267. [PMID: 35339709 DOI: 10.1053/j.jrn.2022.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 03/18/2022] [Indexed: 11/11/2022] Open
Affiliation(s)
- Linda W Moore
- Houston Methodist Hospital, Department of Surgery, Houston, TX.
| | - Amy Waterman
- Houston Methodist Hospital, Department of Surgery, Houston, TX
| | - Kamyar Kalantar-Zadeh
- University of California-Irvine, Department of Medicine, Division of Nephrology and Transplantation, Irvine, CA
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