Differences in Prevalence of Muscle Weakness (Sarcopenia) in Haemodialysis Patients Determined by Hand Grip Strength Due to Variation in Guideline Definitions of Sarcopenia

Tangvoraphonkchai, Kamonwan; Hung, Rachel; Sadeghi-Alavijeh, Omid; Davenport, Andrew

doi:10.1002/ncp.10003

Cited by 15 publications

(13 citation statements)

References 33 publications

(76 reference statements)

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“…We read the article by Tangvoraphonkchai et al “Differences in Prevalence of Muscle Weakness (Sarcopenia) in Haemodialysis Patients Determined by Hand Grip Strength Due to Variation in Guideline Definitions of Sarcopenia” with great interest 2 . We have a comment on this well‐designed paper.…”

contrasting

confidence: 57%

“…1 We read the article by Tangvoraphonkchai et al "Differences in Prevalence of Muscle Weakness (Sarcopenia) in Haemodialysis Patients Determined by Hand Grip Strength Due to Variation in Guideline Definitions of Sarcopenia" with great interest. 2 We have a comment on this welldesigned paper. The authors noted that muscle weakness was suggested in EWGSOP cutoff definitions as 32 kg for males and 22 kg for females, but these cutoff thresholds were from hand grip strength in the Turkish population from our study-not EWGSOP 1.…”

Section: Reference Cutoff Values For Muscle Strength In Different Natmentioning

confidence: 99%

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Reference Cutoff Values for Muscle Strength in Different Nations

Bahat

Tufan

2020

Nut in Clin Prac

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contrasting

confidence: 57%

Section: Reference Cutoff Values For Muscle Strength In Different Natmentioning

confidence: 99%

Reference Cutoff Values for Muscle Strength in Different Nations

Bahat

Tufan

2020

Nut in Clin Prac

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“…In nephrology, there is a vast number of terms for malnutrition, including uremic malnutrition 61 , kidney cachexia/uremic cachexia 62 , sarcopenia in kidney disease 63,64 , malnutrition, inflammation, and atherosclerosis (MIA) syndrome [65][66][67][68] or malnutritioninflammation complex syndrome (MICS), proteinenergy malnutrition 69 and protein-energy wasting 70,71 . Each definition of malnutrition validated for this group of patients includes different sets of criteria.…”

Section: Level Of Evidence B Strength 1 Commentsmentioning

confidence: 99%

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

Martins¹,

Saeki²,

Nascimento

et al. 2021

Braz. J. Nephrol.

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This nutrition consensus document is the first to coordinate the efforts of three professional organizations - the Brazilian Association of Nutrition (Asbran), the Brazilian Society of Nephrology (SBN), and the Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE) - to select terminology and international standardized tools used in nutrition care. Its purpose is to improve the training delivered to nutritionists working with adult patients with chronic kidney disease (CKD). Eleven questions were developed concerning patient screening, care, and nutrition outcome management. The recommendations set out in this document were developed based on international guidelines and papers published in electronic databases such as PubMed, EMBASE(tm), CINHAL, Web of Science, and Cochrane. From a list of internationally standardized terms, twenty nutritionists selected the ones they deemed relevant in clinical practice involving outpatients with CKD. The content validity index (CVI) was calculated with 80% agreement in the answers. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework was used to assess the strength of evidence and recommendations. A total of 107 terms related to Nutrition Assessment and Reassessment, 28 to Diagnosis, nine to Intervention, and 94 to Monitoring and Evaluation were selected. The list of selected terms and identified tools will be used in the development of training programs and the implementation of standardized nutrition terminology for nutritionists working with patients with chronic kidney disease in Brazil.

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“…Hemodialysed patients (HDPs) frequently suffer from muscle weakness [1], frailty [2], and falls [3,4]. This continuous loss of muscle mass and functions across life-time spent on dialysis therapy causes frequent health problems in HDP.…”

Section: Introductionmentioning

confidence: 99%

The effects of an intradialytic resistance training on lower extremity muscle functions

Zelko

Rosenberger

Skoumalova

et al. 2020

Disability and Rehabilitation

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Purpose: The loss of muscle functions is a significant health issue among dialysis patients. Poor muscle strength negatively affects a patient's mobility, independence and quality of life. The aim of the study was to assess the effects of an intradialytic resistance training (IRT) on lower extremity muscle functions among dialysed patients. Materials and methods: Ninety patients were allocated into an experimental group (n ¼ 57) or control group (CNG) (n ¼ 33) according to the location of the dialysis service center. Fifty-eight patients completed the study follow-up. The intervention regarded 12-week IRT, while the controls remained physically inactive during hemodialysis. In both groups of patients, we assessed lower extremity muscle functions by a diagnostics of maximal isometric force generated during hip flexion (HF), hip extension (HE), and knee extension (KE) contractions at baseline, after the 12-weeks intervention and after a further 12-weeks follow up. Results: We found that improvements in HE between baseline and post-intervention were significantly larger for the experimental than the CNG (difference 32.0, 95% CI ¼ 12.3-51.8, p ¼ 0.002). For the other primary outcomes, we found no differences between the groups, and neither for the two other indices of muscle strength (HF and KE). At 12-weeks follow-up, we found no statistically significant differences between the two groups. Conclusions: Our findings indicate that exercise during dialysis not just suppresses adverse effects in muscle strength and functioning, but effectively and safely increases lower extremities muscle function in a relatively short time. ä IMPLICATIONS FOR REHABILITATION Regular, progressive, resistance training realized during dialysis is well tolerated and safe for exercise interventions in hemodialysis patients. A 12-weeks intradialytic resistance training is effective in the prevention and clinical management of muscle function loss among hemodialysis patients. The range of improvements in muscle functions, demonstrated by the assessment of maximal isometric force, varied severely during different lower extremity movements of hemodialysis patients.

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Differences in Prevalence of Muscle Weakness (Sarcopenia) in Haemodialysis Patients Determined by Hand Grip Strength Due to Variation in Guideline Definitions of Sarcopenia

Cited by 15 publications

References 33 publications

Reference Cutoff Values for Muscle Strength in Different Nations

Reference Cutoff Values for Muscle Strength in Different Nations

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

The effects of an intradialytic resistance training on lower extremity muscle functions

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