This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Malnutrition is a significant problem for patients with end stage renal disease (ESRD) due to factors including decreased appetite, increased levels of inflammatory cytokines, and decreased food intake. Ghrelin is a hormone that is associated with appetite and food intake. We hypothesize that ghrelin levels and/or metabolism of ghrelin in ESRD patients may differ from that of normal individuals. We plan to measure ghrelin levels in ESRD patients and correlate the levels with nutritional parameters. Inflammatory cytokine levels will be measured in the General Clinical Research Center (GCRC) Core Laboratory and will be correlated with indicators of nutritional status. These indicators include body mass index (BMI), bioimpedance analysis, serum albumin, TNF-a, and other inflammatory cytokines. Statistical methods, including repeated measures ANOVA and repeated measures ANCOVA will be used to analyze the data.
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