Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
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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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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1799138749492232192 |