The relationship between grip strength with health-related quality of life and mortality in hemodialysis patients.

Autor: Sugizaki CSA; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Rodrigues HCN; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Ivo JFM; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Freitas ATVS; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Stringhini MLF; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Paiva SAR; Department of Internal Medicine, Botucatu Medical School, São Paulo State University-UNESP, Botucatu, São Paulo Brazil., Minicucci MF; Department of Internal Medicine, Botucatu Medical School, São Paulo State University-UNESP, Botucatu, São Paulo Brazil., Peixoto MRG; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil., Costa NA; Faculty of Nutrition, Federal University of Goias, East University Sector, Street 227 Block 68 s/n, Goiânia, Goiás Zip code 74605-080 Brazil.
Jazyk: angličtina
Zdroj: Nutrire : revista de Sociedade Brasileira de Alimentacao e Nutricao = journal of the Brazilian Society of Food and Nutrition [Nutrire] 2022; Vol. 47 (2), pp. 21. Date of Electronic Publication: 2022 Aug 29.
DOI: 10.1186/s41110-022-00171-x
Abstrakt: Purpose: Hemodialysis (HD) is a therapeutic modality that enables the highest survival for individuals with chronic kidney disease (CKD). In contrast, HD contributes to the pro-inflammatory state and may negatively affect the muscle strength and quality of life (QoL) of these individuals. To date, few studies have evaluated the association between decrease in strength and QoL in HD patients. Thus, our objective was to assess whether diminished muscle strength is associated with worse health related QoL and mortality.
Methods: We included patients aged ≥ 18 years on HD. Clinical and demographic data were collected from patients' medical records. Clinical data, nutritional status (laboratory, anthropometry, bioimpedance analysis) and health-related QoL (World Health Organization's quality of life questionnaire, WHOQOL-Bref) were analyzed at baseline. Mortality was recorded for 32 months.
Results: Among the 105 patients evaluated, the median age was 52 (43-64) years, and males were predominant (n = 73; 70%). The general median of QoL was 66.8 ± 11.9. Approximately 30% of patients were considered to have a worse QoL and 12,4% to have low muscle strength. This was not associated with QoL and mortality. HD vintage greater then to 5 years was associated with higher dissatisfaction in the perception of the environmental domain and overall QoL.
Conclusion: Our data suggest that low muscle strength was not associated with health-related QoL using the WHOQOL-Bref instrument and mortality.
Competing Interests: Competing interestsThe authors declare no competing interests.
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Databáze: MEDLINE