Measurement of skeletal muscle mass in Duchenne muscular dystrophy: use of 24-h creatinine excretion

被引:16
作者
Franciotta, D
Zanardi, MC
Albertotti, L
Orcesi, S
Berardinelli, A
Pichiecchio, A
Uggetti, C
Tagliabue, A
机构
[1] Univ Pavia, Human Nutr Res Ctr, I-27100 Pavia, Italy
[2] Univ Pavia, Neurol Inst C Mondino, IRCCS Fdn, I-27100 Pavia, Italy
关键词
skeletal muscle mass; creatinine excretion; magnetic resonance imaging;
D O I
10.1007/s00592-003-0089-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Creatinine concentration in 24-h urine has been proposed as an indirect measure of body skeletal muscle mass (SMM). We attempted to correlate urinary creatinine levels with SMM in eight patients with Duchenne muscular dystrophy, a progressive disease in which the degree of muscle wasting parallels the rate of progression. Magnetic resonance imaging and a newly developed protocol for image analysis were used for the measurement of SMM. The patients ate a creatine-free diet for the week before urine collection. Creatinine was measured with an enzymatic-colorimetric method. Mean (+/-SD) SMM value was 5.4 +/- 2.5 kg and urine creatinine levels 205.8 +/- 96.4 mg/day. Daily urinary creatinine excretion did not correlate with SMM. The simple creatinine determination in urine cannot predict SMM in Duchenne muscular dystrophy.
引用
收藏
页码:S290 / S292
页数:3
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