Decreased physical function in pre-dialysis patients with chronic kidney disease

Abstract

Physical function in pre-dialysis CKD patients decreased as the disease progressed according to stage. Early intervention in CKD patients might delay the loss of physical function.

The effectiveness and safety of modest exercise in Japanese patients with chronic kidney disease: a single-armed interventional study

“…Indeed, exercise capacity is significantly reduced in both pre-dialysis [3,4] and dialysis CKD patients [5,6]. Moreover, sedentary dialysis patients showed a 62 % higher risk of death compared to non-sedentary patients [7].…”

Exercise Guidelines for Chronic Kidney Disease Patients

“…2 Physical inactivity contributes to a reduction in activities of daily living and reduced quality of life. 3 By enhancing the strength of their muscles, bones, and joints through exercising, people with CKD can improve their balance and coordination. 4 This can further prevent them from falling and likewise, protect their independence as they age.…”

Association of Fluid Status and Body Composition with Physical Function in Patients with Chronic Kidney Disease

“…Hiraki et al conducted the study to evaluate the indicators of physical dysfunction in CKD patients not on dialysis, and found that several traditional factors including aging, female, obesity and impaired renal function were associated with poor physical function [13]. Additionally, aging, sex, BMI and renal function also affect variation of body composition concurrently.…”

“…Every participant was in a seated position and two consecutive measurements were performed at intermediate forearm position with the elbow flexed at 90 degree. The mean of the maximal values for each hand was used for analysis [13]. Lower extremity muscle endurance was measured using 30-second chair-stand test [14].…”