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. 2023 Jun;27(3):412-418.
doi: 10.1111/1744-9987.13931. Epub 2022 Oct 4.

Dynamic and static balance functions in hemodialysis patients and non-dialysis dependent CKD patients

Nobuyuki Shirai  1   2 , Suguru Yamamoto  2 , Yutaka Osawa  3 , Atsuhiro Tsubaki  4 , Shinichiro Morishita  5 , Ichiei Narita  2
Affiliations

Dynamic and static balance functions in hemodialysis patients and non-dialysis dependent CKD patients

Nobuyuki Shirai et al. Ther Apher Dial. 2023 Jun.

Abstract

Introduction: Chronic kidney disease (CKD) patients undergoing hemodialysis (HD) have a high risk of falls, whereas the impairment in balance function and their types in HD compared with non-dialysis dependent (ND) CKD have not been fully evaluated.

Methods: We conducted a cross-sectional study to assess the balance function in 91 ND-CKD and 65 HD patients. The participants underwent the timed up-and-go (TUG) test to assess dynamic balance and the length of the center of pressure (CoP) with open eyes or closed eyes to evaluate static balance.

Results: TUG, length of CoP with open eyes, and length of CoP with closed eyes were longer in HD patients compared with those with ND-CKD. Multiple regression analysis showed that dialysis treatment independently affected TUG and length of CoP with open eyes.

Conclusion: The dynamic and static balance functions are impaired in HD patients compared with ND-CKD patients.

Keywords: balance function; chronic kidney disease; hemodialysis; postural stability.

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References

REFERENCES

    1. Nickolas TL, McMahon DJ, Shane E. Relationship between moderate to severe kidney disease and hip fracture in the United States. J Am Soc Nephrol. 2006;17(11):3223-32.
    1. Wakasugi M, Kazama JJ, Taniguchi M, Wada A, Iseki K, Tsubakihara Y, et al. Increased risk of hip fracture among Japanese hemodialysis patients. J Bone Miner Metab. 2013;31(3):315-21.
    1. Mittalhenkle A, Gillen DL, Stehman-Breen CO. Increased risk of mortality associated with hip fracture in the dialysis population. Am J Kidney Dis. 2004;44(4):672-9.
    1. Tentori F, McCullough K, Kilpatrick RD, Bradbury BD, Robinson BM, Kerr PG, et al. High rates of death and hospitalization follow bone fracture among hemodialysis patients. Kidney Int. 2014;85(1):166-73.
    1. Kim JC, Kalantar-Zadeh K, Kopple JD. Frailty and protein-energy wasting in elderly patients with end-stage kidney disease. J Am Soc Nephrol. 2013;24(3):337-51.

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