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2015, Number S1

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RCAN 2015; 25 (S1)

On the establishment of reference values for the urinary creatinine excretion for the cuban population

Badell MA, Bacallao MR

Language: Spanish
References: 55
Page: S28-S58
PDF size: 788.85 Kb.


ABSTRACT

Rationale: Energy-Nutrient malnutrition (ENM) constitutes a serious health problem affecting millions of people worldwide. Health care teams should have at their disposal the required tools for the recognition of ENM. Urinary creatinine excretion has been one of the methods proposed for this end given the proved correlation it sustains with the size of skeletal muscle mass. There are not reference values describing the behavior of this indicator in Cuba. Objectives: To establish the reference values of urinary creatinine excretion for the Cuban population. Study location: Departament of Renal Physiopathology, Institute of Nephrology “Dr. Abelardo Buch López”, Havana City (Cuba). Design: Retrospective, analytical. Material and method: Reference values for the urinary creatinine excretion for different demographical strata of the Cuban population, and the percentiles associated with their distribution, were calculated from the results accumulated in the Department records. Predictive equations for the urinary creatinine excretion for each stratum were derived by means of multiple linear regression models. Reference values thus obtained were adjusted according with the ideal weight of Cuban subjects annotated in the corresponding tables for sex and age. Results: Reference values, distribution percentiles, and predictive equations for urinary creatinine excretion in different strata of the Cuban population were established with the records of 6,800 well-nourished subjects. A determination r2 coefficient › 0.6 was secured in each instance. Conclusions: The Cuban population now presents distribution percentiles, reference values and predictive equations of the urinary creatinine excretion for different strata regarding sex and age. Future extensions: To assess the correlation between urinary creatinine excretion, on one side, and the fat (estimated from the Body Mass Index) and lean (measured by DXA) compartments of the subject´s body composition.


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