Handgrip strength evaluation in CKD: do we have enough evidence?

Leal, Viviane O.; Mafra, Denise

doi:10.1590/2175-8239-jbn-2020-0209

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…For this reason, the increase trend of this parameter, as it has been reported in our study, could be a good starting point to lay the foundations of its adjuvant role in the clinical management of CKD patients under conservative therapy. Another simple and reliable method useful to predict the survival rate, as well as the incidence of US in CKD patients, is the HST [ 41 , 47 ]. In fact, low HST values are associated with an increased risk for all-cause mortality in these patients, and it seems a suitable method for the evaluation of musculoskeletal function [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…Handgrip strength test (HST): to assess the upper body strength, the patient was asked to squeeze the dynamometer (Jamar plus model) while seated on a chair with the elbow of the working hand at 90° close to the side. The trial was performed with both hands, alternately, for three times, and the average score was taken into consideration [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

“…For the evaluation of body composition, we considered fat free mass (FFM), fat mass (FM), body cell mass (BCM), BCM index (BCMI), total body water (TBW), intracellular water (ICW), and extracellular water (ECW). Moreover, the skeletal muscle mass index (SMMI) was calculated [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

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Effect of Online Home-Based Training on Functional Capacity and Strength in Two CKD Patients: A Case Study

et al. 2022

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Chronic kidney disease (CKD) is a clinical condition characterized by the loss of kidney function over time, as well as several complications affecting gastrointestinal, cardiovascular, and musculoskeletal systems. Physical exercise seems to induce positive adaptations in CKD patients, without side effects. Usually, these patients show a reduced physical activity and physical performance. The aim of this case-report was to evaluate the effects of an online training protocol on functional capacity and on muscle mass, in CKD stage III patients. Methods: Two CKD (stage III according to KDIGO guidelines) participants (1 female, Patient A; 1 male, Patient B) were enrolled and they performed an online tailored-supervised combined training lasting 12 weeks, including multi-joint strength exercises using TheraBand and an aerobic session at 65–70% of the patients' heart rate reserve. Results: Both patients showed an improving trend on functional capacity (6 minutes walking test: Patient A = +3%; Patient B = +5.3%) and on strength of the upper arms (handgrip strength test-right: Patient A = +13.4%; Patient B = +19.1%; handgrip strength test-left: Patient A = +42.8%; Patient B= +12.9%), as well as a reduction in inflammation and oxidative stress biomarkers. The protocol was feasible, and no side effects were evidenced. These case studies suggest that the online combined training can produce beneficial effects in CKD patients under conservative therapy, by reducing the CKD-related complications and improving the adherence to exercise of this population of patients, overcoming logistic barriers such as transportation, availability of facilities, and working and personal-life schedule.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Effect of Online Home-Based Training on Functional Capacity and Strength in Two CKD Patients: A Case Study

et al. 2022

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“…The most commonly used measure of strength employed in the kidney literature and clinical practice is that of handgrip strength (HGS). Advocated in nutritional guidelines as marker of malnutrition in adults, 34 HGS is relatively simple to perform with several normative reference values available. Low HGS is a well-established predictor of mortality and risk of dialysis in adult CKD studies 35 and recent efforts have attempted to standardize the protocol for HGS to ensure accurate and reliable data capture across research and clinical practice.…”

Section: Bodymentioning

confidence: 99%

Physical activity and the ‘pediatric inactivity triad’ in children living with chronic kidney disease: a narrative review

Wilkinson

O’Mahoney

Highton

et al. 2022

Therapeutic Advances in Chronic Disease

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The ‘paediatric inactivity triad’ (PIT) framework consists of three complex inter-related conditions that influence physical inactivity and related health risks. In those living with chronic kidney disease (CKD), a multi-factorial milieu of components likely confound the PIT elements, resulting in a cycle of decreased physical functioning and reduced physical activity. In this review, we explore and summarize previous research on each of the three principal PIT components (exercise deficit disorder, dynapenia, and physical illiteracy) in the pediatric CKD population. We found those living with CKD are significantly physically inactive compared to their peers. Physical inactivity occurs early in the disease process and progressively gets worse as disease burden increases. Although physical activity appears to increase post-transplantation, it remains lower compared to healthy controls. There is limited evidence on interventions to increase physical activity behaviour in this population, and those that have attempted have had negligible effects. Studies reported profound reductions in muscle strength, physical performance, and cardiorespiratory fitness. A small number of exercise-based interventions have shown favourable improvements in physical function and cardiorespiratory fitness, although small sample sizes and methodological issues preclude the generalization of findings. Physical activity must be adapted and individualized to the needs and goals of the children, particularly those with acute and chronic medical needs as is the case in CKD, and further work is needed to define optimal interventions across the life course in this population if we aim to prevent physical activity declining further.

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“…A periodic assessment of muscle functions for diagnostics of physiologic impairment, performance limitations and disability is not routinely realised in clinical practice (Painter & Marcus, 2013;Otobe et al, 2019;Wilkinson et al, 2022). This problem is closely related to the lack of diagnostic protocols, including cut-off scores for muscle function assessments Basu, 2019;Roshanravan & Patel, 2019;Leal & Mafra, 2020;Schrauben & Chang, 2021;Wilkinson et al, 2022). The absence of a standard methodology also aggravates the generalisability of research evidence regarding the effectiveness of IDE Basu, 2019;Schrauben & Chang, 2021).…”

Section: The Main Effect Of Intradialytic Exercise On Muscle Function...mentioning

confidence: 99%

Intradialytic exercise in haemodialysis patients: applicability and effects on muscle function

Zelko

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Handgrip strength evaluation in CKD: do we have enough evidence?

Cited by 3 publications

References 9 publications

Effect of Online Home-Based Training on Functional Capacity and Strength in Two CKD Patients: A Case Study

Effect of Online Home-Based Training on Functional Capacity and Strength in Two CKD Patients: A Case Study

Physical activity and the ‘pediatric inactivity triad’ in children living with chronic kidney disease: a narrative review

Intradialytic exercise in haemodialysis patients: applicability and effects on muscle function

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