Pulmonary function and respiratory muscular strength in end-stage renal disease patients under hemodialysis

Autor: Aline Roberta Danaga, Luis Vicente Franco de Oliveira, Israel Reis Santos, Caroline Gonçalves, Jéssica Scheurs Tomei
Rok vydání: 2015
Předmět:
Zdroj: 1.2 Rehabilitation and Chronic Care.
DOI: 10.1183/13993003.congress-2015.pa3701
Popis: Background: Chronic kidney disease is one of the most serious public health problems and the increasing prevalence of this disease has led to a global epidemic. These patients had severe damage of the ventilatory muscle capacity and impairment of the functional physical performance. Objective: to evaluate pulmonary function and respiratory muscular strength in end-stage renal disease patients. Methods: lung function test by spirometer and respiratory muscular strength were assessed to obtain the maximal inspiratory and expiratory pressures (MIP and MEP), with patients under hemodialysis for at least three months. For the statistical analysis the significance level p≤0.05 was considered. Results: accepted lung function was obtained for twenty seven patients with a median age of 59 years and a median time of hemodialysis of 24 months. All variable assessed by spirometer was statistically different than the predicted value for the subjects (FVC, FEV1, FEV1/FVC, PEF and FEF). Seven patients presented a restrictive ventilatory pattern whereas ten patients showed an obstructive pattern. Muscular strength was assessed for fifty four patients and was lower than the predicted value for both variables MIP (97 ±38 x 127.7 ±32; p Conclusion: respiratory variables had impairment in evaluated patients and seems to be affected by the time of treatment. These findings pointed to need of early attention/intervention to improve physical performance and to avoid respiratory complications and hospitalizations.
Databáze: OpenAIRE