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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="healthcare" lang="en"><front><journal-meta><journal-id journal-id-type="publisher">IJCRR</journal-id><journal-id journal-id-type="nlm-ta">I Journ Cur Res Re</journal-id><journal-title-group><journal-title>International Journal of Current Research and Review</journal-title><abbrev-journal-title abbrev-type="pubmed">I Journ Cur Res Re</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2231-2196</issn><issn pub-type="opub">0975-5241</issn><publisher><publisher-name>Radiance Research Academy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">621</article-id><article-id pub-id-type="doi"/><article-id pub-id-type="doi-url"/><article-categories><subj-group subj-group-type="heading"><subject>Healthcare</subject></subj-group></article-categories><title-group><article-title>PROTEIN ENERGY WASTING (PEW) / CACHEXIA IN CHRONIC KIDNEY DISEASE - ROLE OF LEPTIN AND INSULIN&#13;
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ponnudhali</surname><given-names>D.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Nagarajan</surname><given-names>P.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Shankar</surname><given-names>R.</given-names></name></contrib></contrib-group><volume/><issue/><fpage>54</fpage><lpage>59</lpage><permissions><copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>Background: The prevalence of protein energy wasting (PEW)/ cachexia is very high among patients with chronic kidney disease (PEW), increasing in severity with the progression of the disease. Among other factors, increased serum Leptin levels and insulin resistance have been implicated in the pathogenesis of PEW/cachexia in CKD&#13;
Aim and objectives: To assess the serum leptin __ampersandsignamp; insulin levels along with HOMA IR (Homeostasis model assessment-Insulin Resistance) in non diabetic chronic kidney disease patients and to study the correlation of these parameters with glomerular filtration rate (GFR) __ampersandsignamp; body mass index (BMI).&#13;
Materials and methods: Non-diabetic CKD patients (group1; n=45) and healthy non-diabetic individuals (group 2; n=45) with normal renal function were recruited for the study. Serum leptin and Insulin levels were assessed using ELISA kits. Calculated values of HOMA IR __ampersandsignamp; BMI were taken for the analyses.Statistical analysis: The statistical analysis was done using SPSS version 16. The parameters were compared among the 2 groups using Independent t test and correlation coefficient.&#13;
Results: Serum Leptin levels (24.15 __ampersandsignplusmn; 17.44 ng/ml) were increased significantly (p=.000) in group 1 patients compared to those in group 2 (7.50 __ampersandsignplusmn; 1.28 ng/ml). Serum insulin levels (p=.000) were increased in CKD patients (15.49 __ampersandsignplusmn; 9.39 __ampersandsignmu;U/ml) from that of the healthy controls (7.50 __ampersandsignplusmn; 1.28__ampersandsignmu;U/ml). The HOMA IR was also significantly high (p=0.000) in the CKD group ( 3.69 __ampersandsignplusmn; 2.26) than the controls (1.69 __ampersandsignplusmn; 0.35). Leptin, insulin __ampersandsignamp; HOMA IR showed a highly significant negative correlation with GFR __ampersandsignamp; BMI .The serum albumin and total cholesterol in the CKD group were 3.20 __ampersandsignplusmn; 0.19 g/dl __ampersandsignamp; 127.47 __ampersandsignplusmn; 31.75 mg/dl respectively.&#13;
Conclusion: Hyperleptinemia and insulin resistance may be responsible for protein energy wasting/cachexia associated with CKD.&#13;
</p></abstract><kwd-group><kwd>Leptin</kwd><kwd> protein energy wasting (PEW)</kwd><kwd> Cachexia</kwd><kwd> Insulin resistance</kwd></kwd-group></article-meta></front></article>
