Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis

Detalhes bibliográficos
Autor(a) principal: da Silva, Juliana de Souza
Data de Publicação: 2021
Outros Autores: Silva de Sousa, Tamara, Silva, Caroline de Fátima Ribeiro, Siqueira, Fernanda, Onofre, Tatiana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Fisioterapia em Movimento
Texto Completo: https://periodicos.pucpr.br/fisio/article/view/28256
Resumo: Introduction: Hemodialysis sessions associated with the chronic kidney disease (CKD) repercussions may cause respiratory muscle impairment and limitations of daily living activities, which may compromise the quality of life. Objective: To evaluate respiratory muscle strength and quality of life in hemodialysis patients. Methods: A cross-sectional study involving CKD patients of both sexes undergoing hemodialysis. All were evaluated during hemodialysis, using an evaluation form containing personal and clinical data, presence of comorbidities, lifestyle (including self-reported physical activity) and vital signs. Respiratory muscle strength was analyzed by maximum inspiratory (MIP) and maximum expiratory (MEP) pressures by manovacuometer and quality of life using the SF-36 questionnaire. Results: Sixty-eight patients were evaluated (69.1% men), with a mean age 54.9 ± 13.6 years. The MEP% was below of predicted (79.5 ± 25.7) and the MIP% was reduced only in women (77.8 ± 38.7). The MIP% was related to CKD time (p = 0.04) in men. The SF-36 domain that showed the most impairment was physical limitation [25.0 (13.0-67.0)], while mental health was the least impaired domain [72.0 (62.0-84.0)]. Those who reported the practice of physical activity obtained better results in vitality domain (p = 0.01). In the analysis stratified by sex, the functional capacity domain was less compromised in men who practiced self-reported physical activity (p = 0.02). Conclusion: CKD patients undergoing hemodialysis had a reduction in MEP relative to predicted, in addition to a greater impairment of MIP in men with longer CKD time and in women alone, although the clinical relevance of this finding is uncertain. Quality of life was more compromised in the physical limitation domain, where those who self-reported physical activity achieved better results in the domains of vitality (total sample) and functional capacity (men).
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spelling Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysisChronic kidney failure. Renal dialysis. Respiratory muscles. Maximum respiratory pressures. Quality of life.Introduction: Hemodialysis sessions associated with the chronic kidney disease (CKD) repercussions may cause respiratory muscle impairment and limitations of daily living activities, which may compromise the quality of life. Objective: To evaluate respiratory muscle strength and quality of life in hemodialysis patients. Methods: A cross-sectional study involving CKD patients of both sexes undergoing hemodialysis. All were evaluated during hemodialysis, using an evaluation form containing personal and clinical data, presence of comorbidities, lifestyle (including self-reported physical activity) and vital signs. Respiratory muscle strength was analyzed by maximum inspiratory (MIP) and maximum expiratory (MEP) pressures by manovacuometer and quality of life using the SF-36 questionnaire. Results: Sixty-eight patients were evaluated (69.1% men), with a mean age 54.9 ± 13.6 years. The MEP% was below of predicted (79.5 ± 25.7) and the MIP% was reduced only in women (77.8 ± 38.7). The MIP% was related to CKD time (p = 0.04) in men. The SF-36 domain that showed the most impairment was physical limitation [25.0 (13.0-67.0)], while mental health was the least impaired domain [72.0 (62.0-84.0)]. Those who reported the practice of physical activity obtained better results in vitality domain (p = 0.01). In the analysis stratified by sex, the functional capacity domain was less compromised in men who practiced self-reported physical activity (p = 0.02). Conclusion: CKD patients undergoing hemodialysis had a reduction in MEP relative to predicted, in addition to a greater impairment of MIP in men with longer CKD time and in women alone, although the clinical relevance of this finding is uncertain. Quality of life was more compromised in the physical limitation domain, where those who self-reported physical activity achieved better results in the domains of vitality (total sample) and functional capacity (men).Editora PUCPRESS2021-01-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2825610.1590/fm.2021.34113Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont.Fisioterapia em Movimento; v. 34 (2021): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/28256/pdfCopyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessda Silva, Juliana de SouzaSilva de Sousa, TamaraSilva, Caroline de Fátima RibeiroSiqueira, FernandaOnofre, Tatiana2022-03-07T19:02:55Zoai:ojs.periodicos.pucpr.br:article/28256Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:02:55Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false
dc.title.none.fl_str_mv Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
title Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
spellingShingle Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
da Silva, Juliana de Souza
Chronic kidney failure. Renal dialysis. Respiratory muscles. Maximum respiratory pressures. Quality of life.
title_short Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
title_full Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
title_fullStr Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
title_full_unstemmed Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
title_sort Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
author da Silva, Juliana de Souza
author_facet da Silva, Juliana de Souza
Silva de Sousa, Tamara
Silva, Caroline de Fátima Ribeiro
Siqueira, Fernanda
Onofre, Tatiana
author_role author
author2 Silva de Sousa, Tamara
Silva, Caroline de Fátima Ribeiro
Siqueira, Fernanda
Onofre, Tatiana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv da Silva, Juliana de Souza
Silva de Sousa, Tamara
Silva, Caroline de Fátima Ribeiro
Siqueira, Fernanda
Onofre, Tatiana
dc.subject.por.fl_str_mv Chronic kidney failure. Renal dialysis. Respiratory muscles. Maximum respiratory pressures. Quality of life.
topic Chronic kidney failure. Renal dialysis. Respiratory muscles. Maximum respiratory pressures. Quality of life.
description Introduction: Hemodialysis sessions associated with the chronic kidney disease (CKD) repercussions may cause respiratory muscle impairment and limitations of daily living activities, which may compromise the quality of life. Objective: To evaluate respiratory muscle strength and quality of life in hemodialysis patients. Methods: A cross-sectional study involving CKD patients of both sexes undergoing hemodialysis. All were evaluated during hemodialysis, using an evaluation form containing personal and clinical data, presence of comorbidities, lifestyle (including self-reported physical activity) and vital signs. Respiratory muscle strength was analyzed by maximum inspiratory (MIP) and maximum expiratory (MEP) pressures by manovacuometer and quality of life using the SF-36 questionnaire. Results: Sixty-eight patients were evaluated (69.1% men), with a mean age 54.9 ± 13.6 years. The MEP% was below of predicted (79.5 ± 25.7) and the MIP% was reduced only in women (77.8 ± 38.7). The MIP% was related to CKD time (p = 0.04) in men. The SF-36 domain that showed the most impairment was physical limitation [25.0 (13.0-67.0)], while mental health was the least impaired domain [72.0 (62.0-84.0)]. Those who reported the practice of physical activity obtained better results in vitality domain (p = 0.01). In the analysis stratified by sex, the functional capacity domain was less compromised in men who practiced self-reported physical activity (p = 0.02). Conclusion: CKD patients undergoing hemodialysis had a reduction in MEP relative to predicted, in addition to a greater impairment of MIP in men with longer CKD time and in women alone, although the clinical relevance of this finding is uncertain. Quality of life was more compromised in the physical limitation domain, where those who self-reported physical activity achieved better results in the domains of vitality (total sample) and functional capacity (men).
publishDate 2021
dc.date.none.fl_str_mv 2021-01-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/28256
10.1590/fm.2021.34113
url https://periodicos.pucpr.br/fisio/article/view/28256
identifier_str_mv 10.1590/fm.2021.34113
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/28256/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2022 PUCPRESS
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 PUCPRESS
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora PUCPRESS
publisher.none.fl_str_mv Editora PUCPRESS
dc.source.none.fl_str_mv Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont.
Fisioterapia em Movimento; v. 34 (2021): n. cont.
1980-5918
reponame:Fisioterapia em Movimento
instname:Pontifícia Universidade Católica do Paraná (PUC-PR)
instacron:PUC_PR
instname_str Pontifícia Universidade Católica do Paraná (PUC-PR)
instacron_str PUC_PR
institution PUC_PR
reponame_str Fisioterapia em Movimento
collection Fisioterapia em Movimento
repository.name.fl_str_mv Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)
repository.mail.fl_str_mv rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br
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