Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/28594 |
Resumo: | Introduction: Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) show several factors that contribute to postural balance impairment and higher risk of falls. Objectives: To compare postural balance between HD patients and subjects without CKD, and to evaluate the factors associated with impairment of postural balance in these patients. Material and methods: A cross-sectional study was conducted, including a group of Hemodialysis patients (HG) (n= 39, 55.1 ± 7.7 years, 53.8% males) and a control group (CG) (n= 39, 55.3 ± 7.5 years, 53.8% male). Participants were submitted to the following evaluations: postural balance (Mini Balance Evaluation Systems Test - Mini-BESTest), functional mobility (Time Up and Go), gait speed (Gait Speed Measured over 4 m), muscle strength (handgrip and sit-to-stand test), and quality of life (36-Item Short Form Survey questionnaire). Results: The HG showed worse postural balance evaluated by Mini-BESTest score [22 (3) vs. 24 (2), p<0.001) when compared to CG. Postural balance was significantly correlated with gait speed (r= 0.381, p= 0.017) and muscle strength evaluated by the sit-to-stand test (r= -0.358, p<0.027). The linear regression showed an association between the postural balance and the gait speed. The multiple R-squared was 0.291 and the adjusted R-squared was 0.231. Conclusion: In the present study, HD patients showed worse postural balance when compared to the subjects without CKD. The postural balance was associated with gait speed in these patients. |
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Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional studyEquilíbrio postural de pacientes em hemodiálise comparados a indivíduos sem doença renal crônica: estudo transversalPostural BalanceAccidental FallsRenal DialysisChronic Kidney DiseaseEquilíbrio PosturalAcidentes por QuedasDiálise RenalInsuficiência Renal CrônicaIntroduction: Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) show several factors that contribute to postural balance impairment and higher risk of falls. Objectives: To compare postural balance between HD patients and subjects without CKD, and to evaluate the factors associated with impairment of postural balance in these patients. Material and methods: A cross-sectional study was conducted, including a group of Hemodialysis patients (HG) (n= 39, 55.1 ± 7.7 years, 53.8% males) and a control group (CG) (n= 39, 55.3 ± 7.5 years, 53.8% male). Participants were submitted to the following evaluations: postural balance (Mini Balance Evaluation Systems Test - Mini-BESTest), functional mobility (Time Up and Go), gait speed (Gait Speed Measured over 4 m), muscle strength (handgrip and sit-to-stand test), and quality of life (36-Item Short Form Survey questionnaire). Results: The HG showed worse postural balance evaluated by Mini-BESTest score [22 (3) vs. 24 (2), p<0.001) when compared to CG. Postural balance was significantly correlated with gait speed (r= 0.381, p= 0.017) and muscle strength evaluated by the sit-to-stand test (r= -0.358, p<0.027). The linear regression showed an association between the postural balance and the gait speed. The multiple R-squared was 0.291 and the adjusted R-squared was 0.231. Conclusion: In the present study, HD patients showed worse postural balance when compared to the subjects without CKD. The postural balance was associated with gait speed in these patients.Introdução: Pacientes com doença renal crônica (DRC) em hemodiálise (HD) apresentam fatores que contribuem para alterações no equilíbrio postural, aumentando o risco de quedas. Objetivo: Comparar o equilíbrio postural de pacientes em HD com indivíduos sem DRC, bem como verificar os fatores associados a alterações do equilíbrio postural nesses pacientes. Material e métodos: Foi realizado estudo transversal que incluiu um grupo de pacientes com DRC em Hemodiálise (GH) (n= 39, 55,1 ± 7,7 anos, 53,8% do gênero masculino) e um grupo controle (GC) com indivíduos sem DRC (n= 39, 55,3 ± 7,5 anos, 53,8% do gênero masculino). Os participantes foram submetidos a avaliações de equilíbrio postural (Mini Balance Evaluation Systems Test – Mini-BESTest), mobilidade funcional (Time Up and Go), velocidade de marcha (Gait Speed Measured over 4m), força muscular (preensão palmar e teste de sentar e levantar de 10 repetições) e qualidade de vida (36-Item Short Form Survey). Resultados: O GH apresentou pior equilíbrio postural avaliado pelo escore do Mini-BESTest [22 (3) vs. 24 (2); p<0,001] quando comparado ao GC. O equilíbrio postural nos pacientes em HD apresentou correlação significante com a velocidade de marcha (r= 0,381; p= 0,017) e a força muscular avaliada pelo teste de sentar e levantar (r= -0,358; p= 0,027). Na regressão linear múltipla foi observada associação do equilíbrio postural com a velocidade de marcha, sendo o coeficiente de determinação múltiplo de 0,291 e o coeficiente de determinação múltiplo ajustado de 0,231. Conclusão: Pacientes em HD apresentaram pior equilíbrio postural quando comparados a indivíduos sem DRC. O equilíbrio postural foi associado à velocidade de marcha nesses pacientes.Editora UFJF2019-11-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/2859410.34019/1982-8047.2019.v45.28594HU Revista; v. 45 n. 3 (2019): HU Revista 45 anos - Edição Comemorativa; 261-2691982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/28594/19825Jesus, Luciana Angélica da Silva deLucinda, Leda Marília FonsecaColares, Luísa GobbiFreire, Clara Suppes Faria Campos, Ana Flávia MoreiraBorém, Carolina TristãoCoelho, Luísa Oliveira Reboredo, Maycon Mourainfo:eu-repo/semantics/openAccess2019-12-02T19:45:05Zoai:periodicos.ufjf.br:article/28594Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2019-12-02T19:45:05HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study Equilíbrio postural de pacientes em hemodiálise comparados a indivíduos sem doença renal crônica: estudo transversal |
title |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
spellingShingle |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study Jesus, Luciana Angélica da Silva de Postural Balance Accidental Falls Renal Dialysis Chronic Kidney Disease Equilíbrio Postural Acidentes por Quedas Diálise Renal Insuficiência Renal Crônica |
title_short |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
title_full |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
title_fullStr |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
title_full_unstemmed |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
title_sort |
Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study |
author |
Jesus, Luciana Angélica da Silva de |
author_facet |
Jesus, Luciana Angélica da Silva de Lucinda, Leda Marília Fonseca Colares, Luísa Gobbi Freire, Clara Suppes Faria Campos, Ana Flávia Moreira Borém, Carolina Tristão Coelho, Luísa Oliveira Reboredo, Maycon Moura |
author_role |
author |
author2 |
Lucinda, Leda Marília Fonseca Colares, Luísa Gobbi Freire, Clara Suppes Faria Campos, Ana Flávia Moreira Borém, Carolina Tristão Coelho, Luísa Oliveira Reboredo, Maycon Moura |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Jesus, Luciana Angélica da Silva de Lucinda, Leda Marília Fonseca Colares, Luísa Gobbi Freire, Clara Suppes Faria Campos, Ana Flávia Moreira Borém, Carolina Tristão Coelho, Luísa Oliveira Reboredo, Maycon Moura |
dc.subject.por.fl_str_mv |
Postural Balance Accidental Falls Renal Dialysis Chronic Kidney Disease Equilíbrio Postural Acidentes por Quedas Diálise Renal Insuficiência Renal Crônica |
topic |
Postural Balance Accidental Falls Renal Dialysis Chronic Kidney Disease Equilíbrio Postural Acidentes por Quedas Diálise Renal Insuficiência Renal Crônica |
description |
Introduction: Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) show several factors that contribute to postural balance impairment and higher risk of falls. Objectives: To compare postural balance between HD patients and subjects without CKD, and to evaluate the factors associated with impairment of postural balance in these patients. Material and methods: A cross-sectional study was conducted, including a group of Hemodialysis patients (HG) (n= 39, 55.1 ± 7.7 years, 53.8% males) and a control group (CG) (n= 39, 55.3 ± 7.5 years, 53.8% male). Participants were submitted to the following evaluations: postural balance (Mini Balance Evaluation Systems Test - Mini-BESTest), functional mobility (Time Up and Go), gait speed (Gait Speed Measured over 4 m), muscle strength (handgrip and sit-to-stand test), and quality of life (36-Item Short Form Survey questionnaire). Results: The HG showed worse postural balance evaluated by Mini-BESTest score [22 (3) vs. 24 (2), p<0.001) when compared to CG. Postural balance was significantly correlated with gait speed (r= 0.381, p= 0.017) and muscle strength evaluated by the sit-to-stand test (r= -0.358, p<0.027). The linear regression showed an association between the postural balance and the gait speed. The multiple R-squared was 0.291 and the adjusted R-squared was 0.231. Conclusion: In the present study, HD patients showed worse postural balance when compared to the subjects without CKD. The postural balance was associated with gait speed in these patients. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28594 10.34019/1982-8047.2019.v45.28594 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28594 |
identifier_str_mv |
10.34019/1982-8047.2019.v45.28594 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28594/19825 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 45 n. 3 (2019): HU Revista 45 anos - Edição Comemorativa; 261-269 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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1796798243248537600 |