Balance and fall risk in peritoneal dialysis patients.
Identifieur interne : 000333 ( Main/Curation ); précédent : 000332; suivant : 000334Balance and fall risk in peritoneal dialysis patients.
Auteurs : P Nar Doruk Analan [Turquie] ; Rüya Özelsancak [Turquie]Source :
- Journal of back and musculoskeletal rehabilitation [ 1878-6324 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Chutes accidentelles (MeSH), Dialyse péritonéale (MeSH), Défaillance rénale chronique (physiopathologie), Défaillance rénale chronique (thérapie), Facteurs âges (MeSH), Femelle (MeSH), Glycémie (analyse), Humains (MeSH), Indice de masse corporelle (MeSH), Mâle (MeSH), Risque (MeSH), Équilibre postural (physiologie), Études cas-témoins (MeSH).
- MESH :
- analyse : Glycémie.
- physiologie : Équilibre postural.
- physiopathologie : Défaillance rénale chronique.
- thérapie : Défaillance rénale chronique.
- Adulte, Adulte d'âge moyen, Chutes accidentelles, Dialyse péritonéale, Facteurs âges, Femelle, Humains, Indice de masse corporelle, Mâle, Risque, Études cas-témoins.
English descriptors
- KwdEn :
- Accidental Falls (MeSH), Adult (MeSH), Age Factors (MeSH), Blood Glucose (analysis), Body Mass Index (MeSH), Case-Control Studies (MeSH), Female (MeSH), Humans (MeSH), Kidney Failure, Chronic (physiopathology), Kidney Failure, Chronic (therapy), Male (MeSH), Middle Aged (MeSH), Peritoneal Dialysis (MeSH), Postural Balance (physiology), Risk (MeSH).
- MESH :
- chemical , analysis : Blood Glucose.
- physiology : Postural Balance.
- physiopathology : Kidney Failure, Chronic.
- therapy : Kidney Failure, Chronic.
- Accidental Falls, Adult, Age Factors, Body Mass Index, Case-Control Studies, Female, Humans, Male, Middle Aged, Peritoneal Dialysis, Risk.
Abstract
BACKGROUND
Vestibular, neurological and musculoskeletal functions are affected in patients with renal failure. These problems can in turn affect the balance system in peritoneal dialysis (PD) patients. Previously, postural balance changes were shown in hemodialysis patients. This is the first study that evaluates whether there are similar changes in patients with PD.
OBJECTIVE
This study aimed to compare balance and fall risk between patients undergoing PD treatment and healthy subjects, and aimed to determine the correlation between biochemical parameters and fall risk and balance assessments in PD patients.
METHODS
This controlled study included 58 patients receiving PD treatment (PD Group) and 75 healthy subjects (Control Group). The Berg Balance Scale (BBS) and Tetrax® Interactive Balance System were used for the comparison of balance between groups. For patients in the PD Group, duration of PD, blood pressure, Kt/Vurea (actual mass of urea removed via peritoneal dialysis), and serum biochemical parameters were recorded and correlation analysis was performed between these parameters and balance measurements.
RESULTS
There were no statistically significant differences between groups in terms of demographics or BBS scores (p> 0.05). The fall risk of patients in the PD Group was significantly higher than those in the Control Group (p< 0.0001) according to Tetrax measurements. Female gender, older age, higher BMI, and higher blood glucose levels were negatively correlated with balance parameters of PD patients (r> 0.3). There was no statistically significant correlation between duration of PD, blood pressure, and Kt/Vurea with balance parameters or fall risk.
CONCLUSIONS
Balance was impaired in patients undergoing PD in comparison to healthy subjects. Fall risk may be evaluated using the Tetrax® instead of BBS for this population. Serum glucose level, BMI and age appear to affect balance and fall risk. Therefore, optimization of body weight and normalization of serum glucose levels are important factors for improving balance. The duration of PD, blood pressure, and Kt/Vurea do not affect balance system.
DOI: 10.3233/BMR-160757
PubMed: 30248027
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pubmed:30248027Le document en format XML
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<term>Body Mass Index (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
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<term>Kidney Failure, Chronic (physiopathology)</term>
<term>Kidney Failure, Chronic (therapy)</term>
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<term>Middle Aged (MeSH)</term>
<term>Peritoneal Dialysis (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Risk (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Chutes accidentelles (MeSH)</term>
<term>Dialyse péritonéale (MeSH)</term>
<term>Défaillance rénale chronique (physiopathologie)</term>
<term>Défaillance rénale chronique (thérapie)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Glycémie (analyse)</term>
<term>Humains (MeSH)</term>
<term>Indice de masse corporelle (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Risque (MeSH)</term>
<term>Équilibre postural (physiologie)</term>
<term>Études cas-témoins (MeSH)</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Défaillance rénale chronique</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Kidney Failure, Chronic</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term>
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<term>Age Factors</term>
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<term>Humans</term>
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<term>Adulte d'âge moyen</term>
<term>Chutes accidentelles</term>
<term>Dialyse péritonéale</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Vestibular, neurological and musculoskeletal functions are affected in patients with renal failure. These problems can in turn affect the balance system in peritoneal dialysis (PD) patients. Previously, postural balance changes were shown in hemodialysis patients. This is the first study that evaluates whether there are similar changes in patients with PD.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>This study aimed to compare balance and fall risk between patients undergoing PD treatment and healthy subjects, and aimed to determine the correlation between biochemical parameters and fall risk and balance assessments in PD patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This controlled study included 58 patients receiving PD treatment (PD Group) and 75 healthy subjects (Control Group). The Berg Balance Scale (BBS) and Tetrax® Interactive Balance System were used for the comparison of balance between groups. For patients in the PD Group, duration of PD, blood pressure, Kt/Vurea (actual mass of urea removed via peritoneal dialysis), and serum biochemical parameters were recorded and correlation analysis was performed between these parameters and balance measurements.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>There were no statistically significant differences between groups in terms of demographics or BBS scores (p> 0.05). The fall risk of patients in the PD Group was significantly higher than those in the Control Group (p< 0.0001) according to Tetrax measurements. Female gender, older age, higher BMI, and higher blood glucose levels were negatively correlated with balance parameters of PD patients (r> 0.3). There was no statistically significant correlation between duration of PD, blood pressure, and Kt/Vurea with balance parameters or fall risk.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Balance was impaired in patients undergoing PD in comparison to healthy subjects. Fall risk may be evaluated using the Tetrax® instead of BBS for this population. Serum glucose level, BMI and age appear to affect balance and fall risk. Therefore, optimization of body weight and normalization of serum glucose levels are important factors for improving balance. The duration of PD, blood pressure, and Kt/Vurea do not affect balance system.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Vestibular, neurological and musculoskeletal functions are affected in patients with renal failure. These problems can in turn affect the balance system in peritoneal dialysis (PD) patients. Previously, postural balance changes were shown in hemodialysis patients. This is the first study that evaluates whether there are similar changes in patients with PD.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study aimed to compare balance and fall risk between patients undergoing PD treatment and healthy subjects, and aimed to determine the correlation between biochemical parameters and fall risk and balance assessments in PD patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This controlled study included 58 patients receiving PD treatment (PD Group) and 75 healthy subjects (Control Group). The Berg Balance Scale (BBS) and Tetrax® Interactive Balance System were used for the comparison of balance between groups. For patients in the PD Group, duration of PD, blood pressure, Kt/Vurea (actual mass of urea removed via peritoneal dialysis), and serum biochemical parameters were recorded and correlation analysis was performed between these parameters and balance measurements.</AbstractText>
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