Physiotherapy School, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
Ciências Pneumológicas Post Graduation Program, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
Ther Apher Dial. 2022 Apr;26(2):337-344. doi: 10.1111/1744-9987.13714. Epub 2021 Aug 6.
Chronic kidney disease (CKD) patients have lower pulmonary function, respiratory and peripheral muscle strength values when compared to the general population, which reflects negatively in the quality of life (QoL). The aim of this study was to compare the pulmonary function, respiratory and peripheral muscle strength, and QoL between CKD patients and healthy individuals. Cross-sectional study with a consecutive sample of 39 individuals separated into three groups: nondialysis-dependent CKD in stage 5 (CKD-5), HD group (CKD-HD), and healthy individuals. The tests performed were spirometry, manovacuometry, handgrip strength (HGS), and Medical Outcomes Short-Form Health Survey (SF-36). A significant difference between groups was observed in forced expiratory volume in 1 second (FEV ) and its predicted value (p = 0.004 and p < 0.001, respectively), forced vital capacity (FVC), and its predicted value (p = 0.008 and p < 0.001, respectively), peak expiratory flow (PEF) and its predicted value (p = 0.004 and p < 0.001, respectively), maximal inspiratory pressure (MIP) and its predicted value (p = 0.022), maximal expiratory pressure (MEP) and its predicted value (p = 0.030 and p = 0.009, respectively) in which CKD-5 presented the worst values, followed by CKD-HD and healthy group. The CKD-5 had worse pulmonary function, respiratory muscle strength, and QoL. Moreover, CKD-HD also showed some impairment in pulmonary function and QoL when compared with healthy individuals. Even with the peripheral muscle strength preserved, its decrease is proportional to the pulmonary impairment in the evaluated CKD patients.
慢性肾脏病(CKD)患者的肺功能、呼吸和外周肌肉力量值低于普通人群,这反映在生活质量(QoL)上较差。本研究旨在比较 CKD 患者与健康个体的肺功能、呼吸和外周肌肉力量以及 QoL。这是一项横断面研究,连续纳入了 39 名个体,分为三组:非透析依赖性 CKD 5 期(CKD-5)、HD 组(CKD-HD)和健康个体。进行的测试包括肺活量测定、手动肺活量测定、握力(HGS)和医疗结局短期健康调查(SF-36)。在第 1 秒用力呼气量(FEV )及其预测值(p = 0.004 和 p < 0.001)、用力肺活量(FVC)及其预测值(p = 0.008 和 p < 0.001)、呼气峰流速(PEF)及其预测值(p = 0.004 和 p < 0.001)、最大吸气压力(MIP)及其预测值(p = 0.022)、最大呼气压力(MEP)及其预测值(p = 0.030 和 p = 0.009)中,组间存在显著差异,其中 CKD-5 组的这些值最差,其次是 CKD-HD 组和健康组。CKD-5 组的肺功能、呼吸肌力量和 QoL 较差。此外,与健康个体相比,CKD-HD 组的肺功能和 QoL 也存在一些损害。即使外周肌肉力量保持不变,其下降与评估的 CKD 患者的肺损伤成正比。