Exploring the nexus between fatigue, body composition, and muscle strength in hemodialysis patients.

BACKGROUND: Fatigue is a relatively prevalent condition among hemodialysis patients, resulting in diminished health-related quality of life and decreased survival rates. The purpose of this study was to investigate the relationship between fatigue and body composition in hemodialysis patients. METHODS: This cross-sectional study included 92 patients in total. Fatigue was measured by Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) (cut-off ≤ 34). Body composition was measured based on quantitative computed tomography (QCT), parameters including skeletal muscle index (SMI), intermuscular adipose tissue (IMAT), and bone mineral density (BMD). Handgrip strength was also collected. To explore the relationship between fatigue and body composition parameters, we conducted correlation analyses and binary logistic regression. RESULTS: The prevalence of fatigue was 37% (n = 34), abnormal bone density was 43.4% (n = 40). There was a positive correlation between handgrip strength and FACIT-F score (r = 0.448, p < 0.001). Age (r = - 0.411, p < 0.001), IMAT % (r = - 0.424, p < 0.001), negatively associated with FACIT-F score. Multivariate logistic regression analysis shows that older age, lower serum phosphorus, higher IMAT% are associated with a high risk of fatigue. CONCLUSION: The significantly increased incidence and degree of fatigue in hemodialysis patients is associated with more intermuscular adipose tissue in paraspinal muscle.

Changes in Bone Mineral Density and Related Influencing Factors Assessed by Quantitative Computed Tomography in Maintenance Dialysis Patients.

OBJECTIVE: To investigate the changes in volumetric bone mineral density (vBMD) assessed by quantitative computed tomography (QCT) in chronic kidney disease (CKD) patients on maintenance dialysis. STUDY DESIGN: Descriptive study. Place and Duration of the Study: Department of Radiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China, from March to July 2022. METHODOLOGY: Maintenance dialysis patients were selected for this study, and parameters related to renal function and bone metabolism markers were recorded. Patients undergoing routine physical examination were age-matched with maintenance dialysis patients to serve as the control group. vBMD scans of the lumbar spine (L1-3) were obtained by QCT for all participants. RESULTS: Among the 141 maintenance dialysis patients, there were 67 patients with secondary hyperparathyroidism (SHPT) and 74 patients with non-secondary hyperparathyroidism (non-SHPT) with mean vBMDs of 145.99±55.13 mg/cm3 and 129.10±44.20 mg/cm3, respectively. The 159 individuals in the control group had mean age of 52.77±11.66 years and mean vBMD of 129.62±36.36 mg/cm3. The vBMD of the SHPT group was greater than that of both the non-SHPT group and the control group (all p<0.05). For dialysis patients, vBMD was positively correlated with calcium-phosphorus product and intact parathyroid hormone (iPTH) levels (r = 0.181, 0.214, respectively, p<0.05); vBMD was inversely correlated with age (r = -0.555, p<0.05). After adjusting for the covariates, vBMD remained positively correlated with iPTH (r = 0.184, p<0.05). CONCLUSION: Increased lumbar vertebral vBMD in maintenance dialysis patients may be associated with high iPTH, providing clinicians with a new understanding of the changes in bone mineral density in maintenance dialysis patients. KEY WORDS: Bone mineral density, Quantitative computed tomography, Chronic kidney disease, Maintenance dialysis.

[Applied study of the submerged macrophytes bed-immobilized bacteria in drinking water restoration].

The effect of submerged macrophytes bed-immobilized bacteria technology which applied in drinking water restoration was studied. Ammonifying bacteria, nitrobacteria, nitrosobacteria and denitrifying bacteria which isolated from Taihu Labe was immobilized to the porous carries, combined with the submerged macrophytes bed technology, we applied the new equipment in water restoration of gonghu bay, this equipment has good ability to resist storm, the denitrifying bacteria number increased from 5.4 x 10(2)-2.7 x 10(3) to 3.9 x 10(5)-9.1 x 10(5), N2O flux of experimental plot was 3-24 microg x (m2 x h)(-1), it's more than the contrast group obviously, TN concentration reduced 19% - 74%, while NO3- concentration reduced 24% -81% after the equipment running a period of time; The experimental data of 120 days showed that this technology is suitable for drinking water restoration, as it can control eutrophication.

[Immobilized ammonia-oxidizing bacteria Comamonas aquatic LNL3 and its partial nitrification characterization].

A new kind of ammonia-oxidizing bacteria (AOB)-Comamonas aquatic LNL3 was screened out and immobilized by Poly (HEA)-Poly (HEMA) copolymer carrier using irradiation techniques. Four kinds of impact factors on short-cut nitrification, including temperature, pH, DO and free ammonia (FA) concentration had been investigated. The result showed that AOB-Comamonas aquatic LNL3 had short-cut nitrification capability and the optimal temperature, pH, DO and FA concentration were 30 degrees C, 8.5, 4.03 mg/L and 9 mg/L respectively. Corresponding to above results, ammonia nitrogen removal rate and short-cut nitrification efficiency were 93.52%, 94.73%; 79.74%, 94.67%; 91.17%, 94.66% and 90%, 94.4% respectively.