Glittre activities of daily living test is reliable and valid in hemodialysis patients

Silva, Kenia B da; Leal, Diogo V.; Rocha, Jéssica Lumertz da; Ballico, Aline Luana; Haupenthal, Alessandro; Viana, João L.; Bündchen, Daiana Cristine

doi:10.1080/09638288.2022.2029961

Cited by 2 publications

(4 citation statements)

References 44 publications

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“…In our study, we observed that the median TGlittre time was approximately 43% longer than predicted for the Brazilian population. The underlying mechanisms for the reduction in functional capacity to exercise in these patients are multifactorial and may be associated with impaired renal function leading to anemia, uremic neuropathy, myopathy, and cardiovascular abnormalities [ 4 ]. Interestingly, we observed that in absolute values, patients with NDD-CKD spent approximately 4.3 min completing the TGlittre, which is a value well below that observed among patients on hemodialysis (4.8 min, 95% confidence interval (CI) 4.4–5.3) in the study by Figueiredo et al [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…This helps to corroborate our hypothesis that among patients on dialysis, the burden of kidney disease is greater than that among patients with NDD-CKD, substantially affecting their functional capacity to exercise [ 11 ]. Notably, we did not observe any association between TGlittre time and NDD-CKD-related comorbidities (e.g., diabetes and hypertension), which suggests that the severity of kidney disease is a more important factor in reducing the functional capacity to exercise than the cause of NDD-CKD [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…In fact, we observed an association between TGlittre time and PAL. Although no previous studies have used the TGlittre among patients with NDD-CKD, a recent study that used the TGlittre among hemodialysis patients showed a moderate correlation between TGlittre performance and moderate to vigorous physical activity evaluated by accelerometry [ 4 ]. According to these researchers, the reduced TGlittre performance observed among hemodialysis patients can be justified not only by the weekly sedentary period imposed by dialysis treatment but also by CKD-related osteosarcopenia, which negatively affects mobility and ADLs.…”

Section: Discussionmentioning

confidence: 99%

“…It has already been widely discussed in the literature that patients with CKD commonly present loss of muscle mass, muscle weakness, and deterioration of physical function [ 4 ]. An important reduction in both muscle quality and function is observed in patients with CKD [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

et al. 2023

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This study evaluated the functional capacity measured by the Glittre-ADL test (TGlittre) in patients with nondialysis-dependent chronic kidney disease (NDD-CKD) and analyzed the test’s associations with muscle strength, physical activity level (PAL), and quality of life. Methods: Thirty patients with NDD-CKD underwent the following evaluations: the TGlittre; the International Physical Activity Questionnaire (IPAQ); the Short Form-36 (SF-36); and handgrip strength (HGS). The absolute value and percentage of the theoretical TGlittre time were 4.3 (3.3–5.2) min and 143.3 ± 32.7%, respectively. The main difficulties in completing the TGlittre were squatting to perform shelving and manual tasks, which were reported by 20% and 16.7% of participants, respectively. The TGlittre time correlated negatively with HGS (r = −0.513, p = 0.003). The TGlittre time was significantly different between the PALs considered “sedentary”, “irregularly active”, and “active” (p = 0.038). There were no significant correlations between TGlittre time and the SF-36 dimensions. Patients with NDD-CKD had a reduced functional capacity to exercise with difficulties performing squatting and manual tasks. There was a relationship between TGlittre time and both HGS and PAL. Thus, the incorporation of the TGlittre in the evaluation of these patients may improve the risk stratification and individualization of therapeutic care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

et al. 2023

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Measurement properties of performance-based measures to assess physical function in chronic kidney disease: recommendations from a COSMIN systematic review

MacRae

Harasemiw

Lightfoot

et al. 2023

Clinical Kidney Journal

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Background There is wide heterogeneity in physical function tests available for clinical and research use, hindering our ability to synthesize evidence. The aim of this review was to identify and evaluate physical function measures that could be recommended for standardized use in chronic kidney disease (CKD). Methods MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, CINAHL, Scopus, and Web of Science were searched from inception to March 2022, identifying studies which evaluated a clinimetric property (validity, reliability, measurement error, and/or responsiveness) of an objectively measured performance-based physical function outcomes using the COSMIN methodology and GRADE based recommendations. Studies with individuals of all ages and of any stage of CKD were included. Results In total, 50 studies with 21 315 participants were included. Clinimetric properties were reported for 22 different physical function tests. The short physical performance battery (SPPB), Timed-up-and-go (TUG) test and Sit to stand tests (STS-5 and STS-60) had favorable properties to support their use in CKD and should be integrated into routine use. However, the majority of studies were conducted in the hemodialysis population, and very few provided information regarding validity or reliability. Conclusion The SPPB demonstrated the highest quality of evidence for reliability, measurement error, and construct validity amongst transplant, CKD and dialysis patients. This review is an important step towards standardizing a core outcome set of tools to measure physical function in research and clinical settings for the CKD population.

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Glittre activities of daily living test is reliable and valid in hemodialysis patients

Cited by 2 publications

References 44 publications

Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

Measurement properties of performance-based measures to assess physical function in chronic kidney disease: recommendations from a COSMIN systematic review

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