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between 40 and 80 years of age&#46; None had residual renal function and they were treated with three weekly sessions of haemodialysis&#46; All received a daily dose of 160mg megestrol acetate&#46;</p><p class="elsevierStylePara">The baseline electrical bioimpedance analysis was performed immediately before the start of treatment with megestrol acetate and it was repeated before withdrawal of the treatment when the patients were considered to have overcome a state of malnutrition and experienced a significant increase in weight&#46; We used a single frequency bioimpedance model with the standard tetrapolar technique &#40;EFG ElectroFluidGraph analyzer&#44; Akern SRL&#44; Florence&#44; Italy&#41;&#46; Bioimpedance studies were performed after the haemodialysis session&#44; following a five minute rest period in the supine position&#44; using a current of 300 microA a 50kHz&#46;</p><p class="elsevierStylePara">The duration of treatment with megestrol acetate ranged between 2 and 12 months &#40;6&#46;5&#177;3&#46;8&#44; mean &#177; standard deviation&#41;&#46; The dose of dialysis did not change during this time period &#40;Daurgidas unicompartmental Kt&#47;V&#58; baseline 1&#46;48 end 1&#46;50&#41;&#46; After the treatment&#44; patients experienced an increase in weight which varied between 2 and 9kg associated with an increase in the protein catabolic rate &#40;1&#46;25 compared with 0&#46;97g&#47;kg&#47;day&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; &#44; albumin concentration &#40;3&#46;9 compared with 3&#46;50g&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#44; serum creatinine &#40;10&#46;1 compared with 8&#46;34mg&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; and urea &#40;198 compared with 175mg&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#44; without there being variations in the concentration of phosphorus &#40;4&#46;9 compared with 4&#46;8mg&#47;dl&#41; and the dialysis dose &#40;Daurgidas spKt&#47;V 1&#46;47 compared with 1&#46;49&#41;&#46; Table 1 shows the body composition data provided by the bioimpedance analysis before and after treatment with megestrol acetate&#46;</p><p class="elsevierStylePara">Treatment with megestrol acetate leads to a better distribution of total body water with increased intracellular water component&#46; Increased intracellular water is consistent with the increase observed in total cell mass&#46; There was an increase in muscle mass and a small increase&#44; not statistically significant&#44; in fat mass&#46; This increase in muscle mass would explain the increase in creatinine concentration observed in our patients&#46;</p><p class="elsevierStylePara">Our results correspond to those of a study performed on a group of patients selected due to having experienced a significant weight increase after the administration of megestrol acetate&#46; We can conclude that in this group of patients the increase in weight is not due to hydrosaline retention but rather&#44; it is produced at the expense of an increase in lean mass&#44; both of the cellular and muscular component&#46; This finding is very significant if we take into account the association described between the increase in muscle mass and the better survival rate of the uraemic patient&#46;<span class="elsevierStyleSup">6</span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article&#46;</p><p class="elsevierStylePara"><a href="grande&#47;11819&#95;16025&#95;46809&#95;en&#95;11819t1&#46;jpg" class="elsevierStyleCrossRefs"><img src="11819_16025_46809_en_11819t1.jpg" alt="Analysis of body composition by BIA before and after treatment with megestrol acetate&#46;"></img></a></p><p class="elsevierStylePara">Table 1&#46; Analysis of body composition by BIA before and after treatment with megestrol acetate&#46;</p>"
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Treatment with megestrol acetate increases muscle mass in uraemic patients
El tratamiento con acetato de megestrol aumenta la masa muscular en el enfermo urémico
Milagros Fernández-Lucasa, Sandra Elíasa, Gloria Ruiz-Rosoa, Martha Díaza, José L. Teruel-Brionesa, Carlos Queredaa
a Servicio de Nefrología, Hospital Universitario Ramón y Cajal, Madrid,
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between 40 and 80 years of age&#46; None had residual renal function and they were treated with three weekly sessions of haemodialysis&#46; All received a daily dose of 160mg megestrol acetate&#46;</p><p class="elsevierStylePara">The baseline electrical bioimpedance analysis was performed immediately before the start of treatment with megestrol acetate and it was repeated before withdrawal of the treatment when the patients were considered to have overcome a state of malnutrition and experienced a significant increase in weight&#46; We used a single frequency bioimpedance model with the standard tetrapolar technique &#40;EFG ElectroFluidGraph analyzer&#44; Akern SRL&#44; Florence&#44; Italy&#41;&#46; Bioimpedance studies were performed after the haemodialysis session&#44; following a five minute rest period in the supine position&#44; using a current of 300 microA a 50kHz&#46;</p><p class="elsevierStylePara">The duration of treatment with megestrol acetate ranged between 2 and 12 months &#40;6&#46;5&#177;3&#46;8&#44; mean &#177; standard deviation&#41;&#46; The dose of dialysis did not change during this time period &#40;Daurgidas unicompartmental Kt&#47;V&#58; baseline 1&#46;48 end 1&#46;50&#41;&#46; After the treatment&#44; patients experienced an increase in weight which varied between 2 and 9kg associated with an increase in the protein catabolic rate &#40;1&#46;25 compared with 0&#46;97g&#47;kg&#47;day&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; &#44; albumin concentration &#40;3&#46;9 compared with 3&#46;50g&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#44; serum creatinine &#40;10&#46;1 compared with 8&#46;34mg&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41; and urea &#40;198 compared with 175mg&#47;dl&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#44; without there being variations in the concentration of phosphorus &#40;4&#46;9 compared with 4&#46;8mg&#47;dl&#41; and the dialysis dose &#40;Daurgidas spKt&#47;V 1&#46;47 compared with 1&#46;49&#41;&#46; Table 1 shows the body composition data provided by the bioimpedance analysis before and after treatment with megestrol acetate&#46;</p><p class="elsevierStylePara">Treatment with megestrol acetate leads to a better distribution of total body water with increased intracellular water component&#46; Increased intracellular water is consistent with the increase observed in total cell mass&#46; There was an increase in muscle mass and a small increase&#44; not statistically significant&#44; in fat mass&#46; This increase in muscle mass would explain the increase in creatinine concentration observed in our patients&#46;</p><p class="elsevierStylePara">Our results correspond to those of a study performed on a group of patients selected due to having experienced a significant weight increase after the administration of megestrol acetate&#46; We can conclude that in this group of patients the increase in weight is not due to hydrosaline retention but rather&#44; it is produced at the expense of an increase in lean mass&#44; both of the cellular and muscular component&#46; This finding is very significant if we take into account the association described between the increase in muscle mass and the better survival rate of the uraemic patient&#46;<span class="elsevierStyleSup">6</span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article&#46;</p><p class="elsevierStylePara"><a href="grande&#47;11819&#95;16025&#95;46809&#95;en&#95;11819t1&#46;jpg" class="elsevierStyleCrossRefs"><img src="11819_16025_46809_en_11819t1.jpg" alt="Analysis of body composition by BIA before and after treatment with megestrol acetate&#46;"></img></a></p><p class="elsevierStylePara">Table 1&#46; Analysis of body composition by BIA before and after treatment with megestrol acetate&#46;</p>"
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Article information
ISSN: 20132514
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2018 December 139 35 174
2018 November 97 23 120
2018 October 113 14 127
2018 September 77 10 87
2018 August 71 24 95
2018 July 46 13 59
2018 June 53 15 68
2018 May 56 18 74
2018 April 49 4 53
2018 March 57 8 65
2018 February 54 9 63
2018 January 55 5 60
2017 December 62 13 75
2017 November 48 15 63
2017 October 47 13 60
2017 September 53 15 68
2017 August 44 12 56
2017 July 47 16 63
2017 June 39 7 46
2017 May 39 7 46
2017 April 37 13 50
2017 March 15 6 21
2017 February 25 16 41
2017 January 32 19 51
2016 December 38 6 44
2016 November 54 11 65
2016 October 68 7 75
2016 September 71 3 74
2016 August 131 7 138
2016 July 175 16 191
2016 June 117 0 117
2016 May 137 0 137
2016 April 97 0 97
2016 March 67 0 67
2016 February 104 0 104
2016 January 86 0 86
2015 December 136 0 136
2015 November 85 0 85
2015 October 81 0 81
2015 September 62 0 62
2015 August 61 0 61
2015 July 70 0 70
2015 June 34 0 34
2015 May 56 0 56
2015 April 5 0 5
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?