Balance and fall risk in peritoneal dialysis patients.
Identifieur interne : 000303 ( Main/Exploration ); précédent : 000302; suivant : 000304Balance 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
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr">Turquie</country><wicri:regionArea>Department of Nephrology, Faculty of Medicine, Baskent University, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30248027</idno><idno type="pmid">30248027</idno><idno type="doi">10.3233/BMR-160757</idno><idno type="wicri:Area/Main/Corpus">000333</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000333</idno><idno type="wicri:Area/Main/Curation">000333</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000333</idno><idno type="wicri:Area/Main/Exploration">000333</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Balance and fall risk in peritoneal dialysis patients.</title><author><name sortKey="Analan, P Nar Doruk" sort="Analan, P Nar Doruk" uniqKey="Analan P" first="P Nar Doruk" last="Analan">P Nar Doruk Analan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Ozelsancak, Ruya" sort="Ozelsancak, Ruya" uniqKey="Ozelsancak R" first="Rüya" last="Özelsancak">Rüya Özelsancak</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Faculty of Medicine, Baskent University, Ankara, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Nephrology, Faculty of Medicine, Baskent University, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of back and musculoskeletal rehabilitation</title><idno type="eISSN">1878-6324</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (MeSH)</term><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Blood Glucose (analysis)</term><term>Body Mass Index (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Kidney Failure, Chronic (physiopathology)</term><term>Kidney Failure, Chronic (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Peritoneal Dialysis (MeSH)</term><term>Postural Balance (physiology)</term><term>Risk (MeSH)</term></keywords><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></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Blood Glucose</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Glycémie</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Adult</term><term>Age Factors</term><term>Body Mass Index</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Peritoneal Dialysis</term><term>Risk</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><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><term>Mâle</term><term>Risque</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30248027</PMID><DateCompleted><Year>2019</Year><Month>05</Month><Day>16</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-6324</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>2</Issue><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>Journal of back and musculoskeletal rehabilitation</Title><ISOAbbreviation>J Back Musculoskelet Rehabil</ISOAbbreviation></Journal><ArticleTitle>Balance and fall risk in peritoneal dialysis patients.</ArticleTitle><Pagination><MedlinePgn>253-259</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3233/BMR-160757</ELocationID><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><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Analan</LastName><ForeName>Pınar Doruk</ForeName><Initials>PD</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Özelsancak</LastName><ForeName>Rüya</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Nephrology, Faculty of Medicine, Baskent University, Ankara, Turkey.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Back Musculoskelet Rehabil</MedlineTA><NlmUniqueID>9201340</NlmUniqueID><ISSNLinking>1053-8127</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D001786">Blood Glucose</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010530" MajorTopicYN="Y">Peritoneal Dialysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Postural balance</Keyword><Keyword MajorTopicYN="N">peritoneal dialysis</Keyword><Keyword MajorTopicYN="N">risk of fall</Keyword><Keyword MajorTopicYN="N">static posturography</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>5</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30248027</ArticleId><ArticleId IdType="pii">BMR160757</ArticleId><ArticleId IdType="doi">10.3233/BMR-160757</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Turquie</li></country></list><tree><country name="Turquie"><noRegion><name sortKey="Analan, P Nar Doruk" sort="Analan, P Nar Doruk" uniqKey="Analan P" first="P Nar Doruk" last="Analan">P Nar Doruk Analan</name></noRegion><name sortKey="Ozelsancak, Ruya" sort="Ozelsancak, Ruya" uniqKey="Ozelsancak R" first="Rüya" last="Özelsancak">Rüya Özelsancak</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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