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Associations of Bone Turnover Markers with Cognitive Function in Patients Undergoing Hemodialysis
Joint Authors
Tsai, Jer-Chia
Chiu, Yi-Wen
Wu, Ping-Hsun
Lin, Yi-Ting
Kuo, Mei-Chuan
Chen, Cheng-Sheng
Hsu, Ya-Ling
Ljunggren, Östen
Fellström, Bengt
Kuo, Po-Lin
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-24
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Patients undergoing hemodialysis experience a greater risk of cognitive impairment than the general population, but limited data elucidates the biomarkers on this.
We evaluated the association of bone turnover markers on cognitive function among 251 prevalent hemodialysis enrollees in a cross-sectional study.
Methods.
251 hemodialysis patients (median age=57.8, 55% men) and 37 control subjects (mean age=61.2, 56% men) without a prior stroke or dementia diagnosis were enrolled.
Serum concentrations of 8 bone markers were analyzed as the association of cognitive function (Montreal Cognitive Assessment (MoCA) and Cognitive Abilities Screening Instrument (CASI)) using linear regression analysis.
Results.
A lower cognitive function was noted in hemodialysis patients compared to control subjects.
The receptor activator of nuclear factor kappa-B ligand (RANKL) was the only bone marker found to be associated with cognitive function (MoCA and CASI tests) in hemodialysis patients without a prior stroke or dementia diagnosis.
In stepwise multiple linear regression analysis, the association remained significant in MoCA (β=1.14, 95% CI 0.17 to 2.11) and CASI (β=3.06, 95% CI 0.24 to 5.88).
Short-term memory (β=0.52, 95% CI 0.01 to 1.02), mental manipulation (β=0.51, 95% CI 0.05 to 0.96), and abstract thinking (β=0.57, 95% CI 0.06 to 1.09) were the significant subdomains in the CASI score related to RANKL.
Conclusions.
Serum RANKL levels were potentially associated with better cognitive function in hemodialysis patients.
Further large-scale and prospective studies are needed to confirm our findings.
American Psychological Association (APA)
Wu, Ping-Hsun& Lin, Yi-Ting& Chen, Cheng-Sheng& Chiu, Yi-Wen& Tsai, Jer-Chia& Kuo, Po-Lin…[et al.]. 2020. Associations of Bone Turnover Markers with Cognitive Function in Patients Undergoing Hemodialysis. Disease Markers،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1154047
Modern Language Association (MLA)
Wu, Ping-Hsun…[et al.]. Associations of Bone Turnover Markers with Cognitive Function in Patients Undergoing Hemodialysis. Disease Markers No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1154047
American Medical Association (AMA)
Wu, Ping-Hsun& Lin, Yi-Ting& Chen, Cheng-Sheng& Chiu, Yi-Wen& Tsai, Jer-Chia& Kuo, Po-Lin…[et al.]. Associations of Bone Turnover Markers with Cognitive Function in Patients Undergoing Hemodialysis. Disease Markers. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1154047
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154047