Comparison of Asymmetric Dimethylarginine Levels Between Stages Three, Four, and Five Non-dialysis of Chronic Kidney Disease

Authors

  • Tri P Asmarawati Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Widodo Widodo Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • M Thaha Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Aditiawardana Aditiawardana Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Nunuk Mardiana Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Ardityo R Ardhany Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Artaria Tjempakasari Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Djoko Santoso Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Pranawa Pranawa Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
  • Chandra Irwanadi Department of Internal Medicine, Faculty of Medicine, Airlangga University, Surabaya, Indonesia

Keywords:

chronic kidney disease, asymmetric dimethylarginine (ADMA), cardiovascular disease

Abstract

Aim: to determine the differences of ADMA level between stages 3, 4, and 5 non-dialysis of chronic kidney disease (CKD) patients at Outpatient Nephrology Clinic, Dr. Soetomo Hospital. Methods: a cross-sectional study was conducted on stage 3, 4, and 5 non-dialysis CKD patients at Outpatient Nephrology Clinic, Dr. Soetomo Hospital, Surabaya from January to February 2015. Stages of CKD were determined based on GFR estimation according to 4-variable MDRD formula. Statistical analysis of differences in the levels of ADMA in three subject groups use one-way ANOVA test. Results:seventy-five patients were included in the study. Each group consisted of 25 patients stage 3, 4, and, 5 non-dialysis patients. Mean age of stage 3, stage 4, and stage 5 non-dialysis CKD patients were respectively 57.12 years, 54.80 years and 53.68 years. The mean levels of ADMA in stage 3, stage 4, and 5 were 0.62 (0.11) IU/mL, 0.72 (0.16) IU/mL, and 0.73 (0.18) IU/mL respectively. Analysis of the differences between the groups showed significant differences in ADMA levels (p=0.04), with the highest difference between stage 3 and stage 5. Conclusion:comparison of ADMA levels showed significant differences between CKD stages and the level tends to be higher along with increase severity of CKD stages.

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Published

2016-09-19

How to Cite

Asmarawati, T. P., Widodo, W., Thaha, M., Aditiawardana, A., Mardiana, N., Ardhany, A. R., Tjempakasari, A., Santoso, D., Pranawa, P., & Irwanadi, C. (2016). Comparison of Asymmetric Dimethylarginine Levels Between Stages Three, Four, and Five Non-dialysis of Chronic Kidney Disease. Acta Medica Indonesiana, 48(1), 28. Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/134