Postural balance in hemodialysis patients compared to individuals without chronic kidney disease: a cross-sectional study
DOI:
https://doi.org/10.34019/1982-8047.2019.v45.28594Keywords:
Postural Balance, Accidental Falls, Renal Dialysis, Chronic Kidney DiseaseAbstract
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.
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