Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis
Decreased physical activity and activities of daily living (ADL) in patients on hemodialysis (HD) are associated with a poor prognosis. Additionally, comorbid peripheral arterial disease is associated with further deterioration. We conducted a cross-sectional study of ADL difficulty and life-space a...
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MDPI AG
2022-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/1/135 |
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| author | Yuma Tamura Harunori Takahashi Daiki Sakai Tomoki Tsurumi Hajime Tamiya Asuka Ueno Shinya Kawamoto Masahiro Shimoyama Takanori Yasu |
| author_facet | Yuma Tamura Harunori Takahashi Daiki Sakai Tomoki Tsurumi Hajime Tamiya Asuka Ueno Shinya Kawamoto Masahiro Shimoyama Takanori Yasu |
| author_sort | Yuma Tamura |
| collection | DOAJ |
| description | Decreased physical activity and activities of daily living (ADL) in patients on hemodialysis (HD) are associated with a poor prognosis. Additionally, comorbid peripheral arterial disease is associated with further deterioration. We conducted a cross-sectional study of ADL difficulty and life-space assessment (LSA) in three groups of patients on hemodialysis according to their ankle-brachial index (ABI) values. The 164 patients were divided into ABI Low (ABI < 0.9), Normal (0.9 ≤ ABI < 1.3), and High (1.3 ≤ ABI) groups, and compared using analysis of covariance with LSA and ADL difficulty adjusted for age. The Kihon checklist (KCL) was used to assess the presence of frailty. The LSA was lower in the Low group than in the High group (F = 3.192, <i>p</i> = 0.044). Similarly, the ADL difficulty was significantly lower in the Low group than in the Normal group (F = 3.659, <i>p</i> = 0.028). In the Low group, the proportion of patients with frailty was 47.1% and KCL physical was significantly lower, indicating that patients on HD with a lower ABI had a higher prevalence of frailty and lower LSA and ADL difficulty. In conclusion, patients on HD with decreased ABI values most likely exhibit decline in physical activity and ADL due to frailty and claudication. |
| first_indexed | 2024-03-11T09:57:09Z |
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| id | doaj.art-a3db34bdba7a4f5497d7b21d3f670eca |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:57:09Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a3db34bdba7a4f5497d7b21d3f670eca2023-11-16T15:41:55ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-0112113510.3390/jcm12010135Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on HemodialysisYuma Tamura0Harunori Takahashi1Daiki Sakai2Tomoki Tsurumi3Hajime Tamiya4Asuka Ueno5Shinya Kawamoto6Masahiro Shimoyama7Takanori Yasu8Department of Rehabilitation, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Rehabilitation, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Rehabilitation, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Rehabilitation, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Niigata 950-3198, JapanDepartment of Cardiovascular Medicine and Nephrology, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Cardiovascular Medicine and Nephrology, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Cardiovascular Medicine and Nephrology, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDepartment of Cardiovascular Medicine and Nephrology, Dokkyo Medical University Nikko Medical Center, Nikko 321-2593, JapanDecreased physical activity and activities of daily living (ADL) in patients on hemodialysis (HD) are associated with a poor prognosis. Additionally, comorbid peripheral arterial disease is associated with further deterioration. We conducted a cross-sectional study of ADL difficulty and life-space assessment (LSA) in three groups of patients on hemodialysis according to their ankle-brachial index (ABI) values. The 164 patients were divided into ABI Low (ABI < 0.9), Normal (0.9 ≤ ABI < 1.3), and High (1.3 ≤ ABI) groups, and compared using analysis of covariance with LSA and ADL difficulty adjusted for age. The Kihon checklist (KCL) was used to assess the presence of frailty. The LSA was lower in the Low group than in the High group (F = 3.192, <i>p</i> = 0.044). Similarly, the ADL difficulty was significantly lower in the Low group than in the Normal group (F = 3.659, <i>p</i> = 0.028). In the Low group, the proportion of patients with frailty was 47.1% and KCL physical was significantly lower, indicating that patients on HD with a lower ABI had a higher prevalence of frailty and lower LSA and ADL difficulty. In conclusion, patients on HD with decreased ABI values most likely exhibit decline in physical activity and ADL due to frailty and claudication.https://www.mdpi.com/2077-0383/12/1/135hemodialysisperipheral arterial diseaselife-space assessmentdifficulty in activities of daily life |
| spellingShingle | Yuma Tamura Harunori Takahashi Daiki Sakai Tomoki Tsurumi Hajime Tamiya Asuka Ueno Shinya Kawamoto Masahiro Shimoyama Takanori Yasu Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis Journal of Clinical Medicine hemodialysis peripheral arterial disease life-space assessment difficulty in activities of daily life |
| title | Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis |
| title_full | Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis |
| title_fullStr | Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis |
| title_full_unstemmed | Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis |
| title_short | Decreased Physical and Daily Living Activities in Patients with Peripheral Arterial Disease on Hemodialysis |
| title_sort | decreased physical and daily living activities in patients with peripheral arterial disease on hemodialysis |
| topic | hemodialysis peripheral arterial disease life-space assessment difficulty in activities of daily life |
| url | https://www.mdpi.com/2077-0383/12/1/135 |
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