Step length and fall risk in adults with chronic kidney disease: a pilot study

Autor: Atsumi Kimura, William Paredes, Rima Pai, Hina Farooq, Rupinder S. Buttar, Matthew Custodio, Samhitha Munugoti, Sonia Kotwani, Lovepreet S. Randhawa, Solomon Dalezman, Antonio C. Elters, Kate Nam, Jose S. Ibarra, Sandheep Venkataraman, Matthew K. Abramowitz
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Nephrology, Vol 23, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-022-02706-w
Popis: Abstract Background Patients with chronic kidney disease commonly experience gait abnormalities, which predispose to falls and fall-related injuries. An unmet need is the development of improved methods for detecting patients at high risk of these complications, using tools that are feasible to implement in nephrology practice. Our prior work suggested step length could be such a marker. Here we explored the use of step length as a marker of gait impairment and fall risk in adults with chronic kidney disease. Methods We performed gait assessments in 2 prospective studies of 82 patients with stage 4 and 5 chronic kidney disease (n = 33) or end-stage renal disease (ESRD) (n = 49). Gait speed and step length were evaluated during the 4-m walk component of the Short Physical Performance Battery (SPPB). Falls within 6 months prior to or following enrollment were identified by questionnaire. Associations of low step length (≤47.2 cm) and slow gait speed (≤0.8 m/s) with falls were examined using logistic regression models adjusted for demographics and diabetes and peripheral vascular disease status. Results Assessments of step length were highly reproducible (r = 0.88, p
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