Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Patras, Greece.
Independent Researcher, Athens, Greece.
Adv Exp Med Biol. 2021;1337:59-64. doi: 10.1007/978-3-030-78771-4_7.
The objective of this study is to evaluate hand grip strength (HGS) in patients on hemodialysis and to investigate associated factors (anthropometric characteristics, body composition, and quality of life). An observational study of 60 patients in one hemodialysis center (Filoxenia Dialysis center, Aigio, Greece) was conducted. Measures of HGS were performed with a hydraulic dynamometer (Saehan Corporation, South Korea) on the non-fistula hand before the hemodialysis session. Demographic and clinical data (dialysis start date, comorbidities, and etiology of chronic kidney disease) were collected from the patients' medical charts. Body composition was determined by bioelectrical impedance analysis and calf circumference with inelastic tape. Quality of life was assessed via EuroQol (EQ-5D) questionnaire. Descriptive statistics were used for data analyses. The association between variables was calculated using Pearson's r correlation coefficients. The experimental design of this study was approved by the Ethics Committee of the Technological Educational Institute of Western Greece. A total of 54 patients (71.2 ± 10.9 years old, 24% diabetic, BMI of 26.34 ± 5.2) participated in this study (response rate 90%). The average duration of hemodialysis was 4.29 ± 6.36 years. The maximum HGS in the dominant was 19.19 ± 12.1 kg (female 12.04 ± 7.26 kg, male 21.82 ± 12.52 kg, p < 0.001). HGS was significantly correlated with age (r = 0.5; p < 0.001) and moderately correlated with gender (r = 0.36; p = 0.008), BMI (r = 0.3; p = 0.03), calf circumference (r = 0.4; p = 0.03), and quality of life (r = 0.37; p = 0.006). The use of hand-held dynamometry could be a fundamental element of the physical examination of patients receiving hemodialysis, particularly if they are older adults.
本研究旨在评估血液透析患者的手握力（HGS），并探讨相关因素（人体测量特征、身体成分和生活质量）。对希腊阿吉奥 Filoxenia 透析中心的 60 名血液透析患者进行了一项观察性研究。在血液透析治疗前，使用液压测力计（韩国 Saehan 公司）测量非瘘侧手的 HGS。从患者的病历中收集人口统计学和临床数据（透析开始日期、合并症和慢性肾脏病的病因）。使用生物电阻抗分析和无弹性带测量小腿围来确定身体成分。使用 EuroQol（EQ-5D）问卷评估生活质量。采用描述性统计方法进行数据分析。使用 Pearson r 相关系数计算变量之间的关联。本研究的实验设计得到了西希腊技术教育学院伦理委员会的批准。共有 54 名患者（71.2±10.9 岁，24%为糖尿病患者，BMI 为 26.34±5.2）参与了这项研究（应答率为 90%）。血液透析的平均持续时间为 4.29±6.36 年。优势手的最大 HGS 为 19.19±12.1kg（女性 12.04±7.26kg，男性 21.82±12.52kg，p<0.001）。HGS 与年龄呈显著正相关（r=0.5；p<0.001），与性别中度相关（r=0.36；p=0.008），与 BMI（r=0.3；p=0.03）、小腿围（r=0.4；p=0.03）和生活质量（r=0.37；p=0.006）呈中度相关。使用手持测力计可能是血液透析患者体格检查的基本要素，特别是对于老年患者。
