Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Jesus, Luciana Angélica da Silva de
Data de Publicação: 2019
Outros Autores: Lucinda, Leda Marília Fonseca, Colares, Luísa Gobbi, Freire, Clara Suppes Faria, Campos, Ana Flávia Moreira, Borém, Carolina Tristão, Coelho, Luísa Oliveira, Reboredo, Maycon Moura
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.
id UFJF-8_d352bbca355c895d08cc1d3379ac1976
oai_identifier_str oai:periodicos.ufjf.br:article/28594
network_acronym_str UFJF-8
network_name_str HU Revista (Online)
repository_id_str
spelling 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
_version_ 1796798243248537600