Factors associated with postural balance in patients with end-stage renal disease on hemodialysis

Luciana Angélica da Silva de Jesus; Bruno Valle Pinheiro; Leda Marília Fonseca Lucinda; Gabriela Barreto Gamboa Rodrigues de Oliveira; Maria Fernanda Prata Dabian Haddad; Ana Beatriz Raso Vidigal; Júlia Maeda Maciel; Lucca D'Heronville Watanabe; Cristino Carneiro Oliveira; Maycon Moura Reboredo

doi:10.1016/j.clinbiomech.2023.106033

Factors associated with postural balance in patients with end-stage renal disease on hemodialysis

Clin Biomech (Bristol, Avon). 2023 Jul:107:106033. doi: 10.1016/j.clinbiomech.2023.106033. Epub 2023 Jun 17.

Affiliations

¹ Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
² Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
³ Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil; Barbacena School of Medicine, Barbacena, Minas Gerais, Brazil; Department of Morphology, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
⁴ Barbacena School of Medicine, Barbacena, Minas Gerais, Brazil.
⁵ Department of Physiotherapy, Federal University of Juiz de Fora - Governador Valadares, Governador Valadares, Minas Gerais, Brazil; School of Physical Education, Physical Therapy, and Occupational Therapy. Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
⁶ Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil. Electronic address: mayconreboredo@yahoo.com.br.

PMID: 37352608
DOI: 10.1016/j.clinbiomech.2023.106033

Abstract

Background: Patients with end-stage renal disease on hemodialysis have postural balance impairments due to uremic syndrome and hemodialysis complications. This study evaluated the factors associated with postural balance in patients on hemodialysis.

Methods: This cross-sectional study included patients on hemodialysis [n = 93, 62.0 (16.0) years]. Postural balance was evaluated using a force plate in a static position with eyes opened and eyes closed on a firm surface and with eyes opened on a foam surface to register the center of pressure path length. Physical function was assessed by isometric handgrip force, the 5-repetition sit-to-stand test, and gait speed. The level of physical activity and quality of life were evaluated by accelerometry and the 36-Item Short Form Health Survey, respectively.

Findings: After adjustment for potential confounders, the multiple linear regression analysis showed that the presence of diabetes mellitus and neurological disease and gait speed were significantly associated with the center of pressure path length in the eyes opened test (R² = 0.263; p < 0.001). The center of pressure path length in the eyes closed test was significantly associated with the presence of neurological disease (R² = 0.177; p = 0.002). The center of pressure path length in the eyes opened on a foam surface test was significantly associated with the presence of diabetes mellitus (R² = 0.223; p < 0.001).

Interpretation: Poor postural balance was associated with the presence of diabetes mellitus and neurological disease and a slower gait speed in patients on hemodialysis.

Keywords: Chronic kidney failure; Physical functional performance; Postural balance; Posture; Renal dialysis.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cross-Sectional Studies
Hand Strength*
Humans
Kidney Failure, Chronic* / complications
Kidney Failure, Chronic* / therapy
Postural Balance
Quality of Life
Renal Dialysis