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Table 3 Clinical characteristics of the high-versus the low-serum creatinine/cystatin C ratio group

From: Serum creatinine/cystatin C ratio is a surrogate marker for sarcopenia in patients with idiopathic pulmonary fibrosis

 

High (Cr/CysC ≧ 0.88)

Low (Cr/CysC < 0.88)

P value

Number of patients

24

25

 

Age, years

69.0 ± 8.3

76.8 ± 4.8

< 0.001

Sex, female, n (%)

1 (4.2)

4 (16.0)

0.35

Body mass index, kg/m2

23.5 ± 2.3

21.1 ± 3.4

< 0.01

Severity

 GAP index

3 [2.5–4]

3 [3, 4]

0.06

 GAP stage (I/II/III), n (%)

17/ (71)/7(29)/0(0)

13(52)/12(48)/0(0)

< 0.001

Pulmonary function

 FVC, % predicted

82.0 ± 13.5

78.9 ± 17.4

0.49

 FEV1, % predicted

81.2 ± 13.0

82.6 ± 16.5

0.74

 DLCO, % predicted

68.7 ± 15.5

66.3 ± 22.2

0.65

 PaO2, mmHg

92.3 [87.1–101]

82.0 [74.4–88.7]

< 0.005

Physical assessment

 Handgrip strength, kg

35.5 ± 5.7

27.4 ± 8.4

< 0.001

 Usual gait speed, m/s

1.17 ± 0.23

1.04 ± 0.28

0.08

 6MWT

  Distance, m

441 ± 81

392 ± 90

0.05

  Lowest SpO2, %

90 [86–93]

88 [82–92]

0.13

 ASMI, kg/m2

7.25 ± 0.78

6.34 ± 0.93

< 0.001

SARC-F

1.5 [0–2]

3 [1–5]

< 0.05

Patient-reported outcomes

 mMRC

0 [0–1]

2 [1–3]

< 0.001

 CAT

10 [5–17]

13 [8.5–25]

< 0.05

 K-BILD

  Psychological

57 [48–64]

55 [42–63]

0.22

  Breathlessness and activities

50 [42–56]

46 [32–54]

< 0.01

  Chest symptoms

73 [64–79]

73 [54–85]

0.20

  Total

60 [54–63]

55 [47–61]

0.05

Blood examination

 Creatinine (mg/dL)

0.90 [0.79–1.08]

0.77 [0.72–0.97]

0.06

 Cystatin C (mg/L)

0.91 [0.82–1.13]

1.08 [0.95–1.26]

< 0.01

 Cr/CysC ratio

0.94 [0.90–1.05]

0.77 [0.71–0.80]

< 0.001

Comorbidity

 Hypertension, n (%)

14 (58%)

14(56%)

0.87

 Dyslipidemia, n (%)

10 (42%)

8 (20%)

0.48

 Diabetes mellitus, n (%)

7 (29%)

6 (24%)

0.68

 Coronary artery disease, n (%)

4 (17%)

1(0.4%)

0.14

 Chronic kidney disease, n (%)

2 (0.8%)

0 (0%)

0.14

 Sarcopenia, n (%)

3 (13%)

15 (60%)

 < 0.001

  1. Data are presented as the mean (± standard deviation), median [interquartile range], or number (%)
  2. Cr/CysC ratio creatinine/cystatin C ratio, GAP gender, age, and physiology, FVC forced vital capacity, FEV1 forced expiratory volume in 1.0 s, DLCO diffuse capacity of the lung for carbon monoxide, PaO2 partial pressure for oxygen, 6MWT 6-min walk test, SpO2 oxygen saturation by pulse oximetry, ASMI appendicular skeletal muscle index, SARC-F strength, assistance in walking, rising from a chair, climbing stairs, and falls, mMRC modified Medical Research Council, CAT chronic obstructive pulmonary disease assessment test, K-BILD King's Brief Interstitial Lung Disease