Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis
| Autor: | Juliana de Souza da Silva, Fernanda Siqueira, Tamara Silva de Sousa, Tatiana Onofre, Caroline de Fátima Ribeiro Silva |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Quality of life
Complementary and Manual Therapy medicine.medical_specialty Activities of daily living Chronic kidney failure medicine.medical_treatment 030232 urology & nephrology Vital signs Physical Therapy Sports Therapy and Rehabilitation 030204 cardiovascular system & hematology 03 medical and health sciences Maximum respiratory pressures 0302 clinical medicine Internal medicine Respiratory muscles medicine Respiratory muscle Orthopedics and Sports Medicine Clinical significance Renal dialysis business.industry Rehabilitation medicine.disease Physical limitations Hemodialysis business Kidney disease |
| Zdroj: | Fisioterapia em Movimento v.34 2021 Fisioterapia em Movimento Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
| ISSN: | 1980-5918 |
| DOI: | 10.1590/fm.2021.34113 |
| Popis: | 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). |
| Databáze: | OpenAIRE |
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