Glomerular filtration rate can be accurately predicted using lean mass measured by dual-energy X-ray absorptiometry

Abstract

Background: Accurate assessment of renal function is important in the management of patients with kidney disease yet is often difficult to obtain. Formulae, designed for clinical use, have been developed to predict glomerular filtration rate (GFR) utilizing serum creatinine (Scr). Additional parameters are included in these formulae to account for variations in Scr due to differences in total body lean mass in kg (LM). Therefore, the purpose of this study was to derive a simple formula to predict GFR based on Scr and direct quantification of LM. Methods: Ten subjects with a wide range of renal function had GFRs determined by [125I]iothalamate clearance and LM determined by dual-energy X-ray absorptiometry as well as fasting measurements of Scr, serum and 24 h urine urea nitrogen, and albumin. Results: The following formula was derived using LM (kg) and Scr (mg/dl): predicted GFR = (2.4 × LM) - (0.75 × LM × Scr). The correlation coefficient for this formula was 0.97, when compared with [125I]iothalamate clearances, and similar to the MDRD formulae (R = 0.87- 0.95). Conclusion: Although further validation is necessary, these findings suggest that total body non-invasive measurement of LM along with Scr can be used to accurately predict GFR. © The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.