Keywords
hemodialysis
health evaluation
physical fitness
functional status
quality of life
body composition
biomarkers
How to Cite
Abstract
Introduction: Patients who undergo hemodialysis experience progressive decay of their capacities and require an integral assessment to develop measures to counteract their typical disability.
Objective: The objective is to identify the characteristics of physical fitness, functional status, quality of life, body composition, and biochemical parameters in the study population, to be used as a baseline for prescribing an intradialytic physical exercise program.
Methods: This descriptive study was conducted with 38 ambulatory patients from the hemodialysis unit of the Consorci Sanitari de Terrassa hospital. The following test were applied: Static knee extension and handgrip dynamometry, 2-Minute Step Test (2MST), 6- Minute Walk Test (6MWT), Timed Up and Go (TUG), Short Physical Performance Battery (SPPB), Barthel Index, EuroQoL-5D, Beck Depression Inventory (BDI), multifrequency bioimpedance, and analysis of serum levels of nine biomarkers.
Results: Mean values obtained were 20.49 ± 7.74 kg in handgrip; 15.23 ± 9.17 kg in knee extension; 460.86 ± 143.48 mt in the 6MWT; 49.23 ± 18.02 steps in the 2MST; 18.25 ± 11.49 seconds in TUG; 6.11 ± 3.46 points in SPPB; 86.25 ± 20.98 points in the Barthel Index; 32.35 ± 9.40% in body fat, and 7.15 ± 1.26 in MMI from body composition; 59.37 ± 19.65 points on the Euro-Qol-5D visual health scale, and 12.24 ± 7.47 points in the BDI.
Conclusion: Hemodialysis patients show low physical activity levels and reduced capacities associated with their deteriorating health status, especially in women. This study's test set is straightforward to implement, cost-effective, and accessible, making it a suitable baseline tool for assessing the effects of intradialytic physical exercise programs.
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