Evaluation of handgrip strength during a hemodialysis session
DOI:
https://doi.org/10.33233/rbfex.v20i1.4020Keywords:
muscle strength; chronic renal insufficiency; renal dialysisAbstract
Objective: To analyze the behavior of the manual pressure force in patients with chronic renal insufficiency during a hemodialysis session, stratified by sex. Methods: The handgrip strength test was applied before the hemodialysis session, after one hour of treatment, two hours, three hours and four hours, in addition to a sociodemographic and health record (applied before the hemodialysis session) in 38 patients from a Renal Clinic in a city in the Northeast of the state of Rio Grande do Sul. The information obtained from the manual pressure force test were analyzed by histograms with representation of the mean values and standard deviation and by the Mann-Whitney and Wilcoxon test at five different times for each patient studied who were independent or connected, respectively. The confidence interval adopted was 95% (p ≤ 0.05) for all statistical analyzes. Results: It was evidenced that the handgrip strength force in the pre hemodialysis period was significantly greater in men, when compared to women, with a significant reduction in all moments of the study for all subjects (before hemodialysis, after one hour, two hours, three hours and four hours of treatment). Conclusion: This reduction also occurred when the data were stratified by sex, where it is emphasized that men had higher values.
References
Pereira ERS, Pereira AC, Andrade GB, Naghettini AV, Pinto FK, Batista SR, Marques SM et al. Prevalence of chronic renal disease in adults attended by the family health strategy. J Bras Nefrol 2016;38(1):22-30. doi: 10.5935/0101-2800.20160005
Cavalcante MCV, Lamy ZC, Lamy Filho F, França AKTC, Santos AM, Thomaz EBAF et al. Fatores associados à qualidade de vida de adultos em hemodiálise em uma cidade do nordeste do Brasil. J Bras Nefrol 2013;35(2):79-86. doi: 10.5935/0101-2800.20130014
Sesso RC, Lopes AA, Thomé FS, Lugon JRM, Carmen T. Brazilian Chronic Dialysis Survey 2016. J Bras Nefrol 2017;39(3):261-6. doi: 10.5935/0101-2800.20170049
Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, Saran R et al. Chronic kidney disease: global dimension and perspectives. Lancet 2013;382(9888):260-72. doi: 10.1016/S0140-6736(13)60687-X
Marchesan M, Krug RR, Silva JRLC, Barbosa AR, Rombaldi AJ. O exercício físico modifica a capacidade funcional de pacientes idosos em hemodiálise. Fisioter Mov 2016;29(2):351-9. doi: 10.1590/0103-5150.029.002.AO14
Marchesan M, Nunes VGS, Rombaldi AJ. O treinamento físico melhora a aptidão física e a qualidade de vida dos pacientes em hemodiálise. Rev Bras Cineantropom Desempenho Hum 2014;16(3):334-44. doi: 10.5007/1980-0037.2014v16n3p334
Cheema BSB. Tackling the survival issue in end-stage renal disease: Time to get physical on haemodialysis. Nephrology 2008;13(7):560-9. doi: 10.1111/j.1440-1797.2008.01036.x
Daltrozo MA, Krug MR, Marchesan M, Krug RR, Moreira PR, Borges DO. Relação do nível de atividade física com o índice de depressão e a qualidade de vida de pacientes com insuficiência renal crônica. ACM Arq Catarin Med 2014;43(2):17-22.
Lima FF, Miranda RCV, Silva RCR, Monteiro HL, YEN LS, Fahur BS et al. Avaliação funcional pré- e pós-programa de exercício físico de pacientes em hemodiálise. Medicina (Ribeirão Preto, Online) 2013;46(1):24-35. doi: 10.11606/issn.2176-7262.v46i1p24-35
Reid J, Helen RN, Adamson G, Davenport A, Farrington K, Fouque D et al. Stablishing a clinical phenotype for cachexia in end stage kidney disease - study protocol. BMC Nephrol 2018;19(38):1-6. doi: 10.1186/s12882-018-0819-3
Cury JL, Bunetto AF, Aydos RD. Efeitos negativos da insuficiência renal crônica sobre a função pulmonar e a capacidade funcional. Braz J Phys Ther 2010;14(2):91-8. doi: 10.1590/S1413-35552010005000008
Carrero J, Johansen KL, Lindholm B, Stenvinkel P, Cuppari L, Avesani CM. Screening for muscle wasting and dysfunction in patients with chronic kidney disease. Kidney I 2016;90(1):53-66. doi: 10.1016/j.kint.2016.02.025
Suzuki T, Ikeda H, Minami M, Matayoshi Y, Nakao H, Nakamura T et al. Beneficial effect of intradialytic electrical muscle stimulation in hemodialysis patients: A randomized controlled trial. Artificial Organs 2018;42(9):899-910. doi: 10.1111/aor.13161
Musso CG, JaureguI JR, Macias Nunez JF. Frailty phenotype and chronic kidney disease: a review of the literature. Int J Nephrol Urol 2015;47(11):1801-7. doi: 10.1007/s11255-015-1112-z
Dias JA, Ovando AC, Külkamp W, Junior NGB. Força de preensão palmar: métodos de avaliação e fatores que influenciam a medida. Rev Bras Cineantropom Desempenho Hum 2010;12(3):209-16.
Nascimento MF, Benassi R, Caboclo FD, Salvador ACS, Gonçalves LCO. Valores de referência de força de preensão manual em ambos os gêneros e diferentes grupos etários. Um estudo de revisão. EFDeportes 2010;15(151):1-10. https://www.efdeportes.com/efd151/forca-de-preensao-manual-em-ambos-os-generos.htm
Souza KK, Neto JAB, Oliveira MM. Comparação do nível de atividade física e força de preensão manual com o perfil bioquímico de doentes renais crônicos. Ciênc Saúde (Porto Alegre) 2017;10(1):10-17. doi: 10.15448/1983-652X.2017.1.24114
Bohannon R. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther 2008;31(1):3-10. doi: 10.1519/00139143-200831010-00002
Brasil. Conselho Nacional de Saúde. Resolução n° 466, de 12 de dezembro de 2012. Aprova normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília: Diário Oficial da União; 2012.
Pinto AP, Ramos CI, Meireles MS, Kamimura MA, Cuppari L. Impacto da sessão de hemodiálise na força de preensão manual. J Bras Nefrol 2015;37(4):451-7. doi: 10.5935/0101-2800.20150072
Leal VO, Stockler-Pinto MB, Farage NE, Aranha LN, Fouque D. Anjos LA, Mafra D et al. Handgrip strength and its dialysis determinants in hemodialysis patients. Nutrition 2011;27(11):1125-9. doi: 10.1016/j.nut.2010.12.012
McArdle WD, Katch FI, Katch VL. Fisiologia do exercício - Nutrição, energia e desempenho humano. Traduzido por: Campos DBP, Voeux PL. 8 ed. Rio de Janeiro: Guanabara Koogan; 2016.
Fortes MSR, Marson RA, Martinez EC. Comparação de desempenho físico entre homens e mulheres: revisão de literatura. Rev Min Ed Física 2015;23(2):54-69.
Chen CT, Shih-Hua L, Chen JS, Hsu YJ. Muscle wasting in hemodialysis patients: new therapeutic strategies for resolving an old problem. The Scientific World Journal 2013;2013(1):1-7. doi: 10.1155/2013/643954
Souza VA, Oliveira D, Mansur HN, Fernandes NMS, Bastos MG. Sarcopenia na doença renal crônica. J Bras Nefrol 2015;37(1):98-05. doi: 10.5935/0101-800.20150014
Schlüssel MM, Anjos LA, Vasconcellos MT, Kac G. Reference values of handgrip dynamometry of healthy adults: a population-based study. Clin Nutr 2008;27(4):601-7. doi: 10.1016/j.clnu.2008.04.004
Böhm J, Monteiro MB, Andrade FP, Veronese FV, Thomé FS. Efeitos agudos do exercício aeróbio intradialítico sobre a remoção de solutos, gasometria e estresse oxidativo em pacientes com doença renal crônica. J Bras Nefrol 2017;39(2):172-80. doi: 10.5935/0101-2800.20170022
Fukushima RLM, Costa JLR, Orlandi FS. Atividade física e a qualidade de vida de pacientes com doença renal crônica em hemodiálise. Fisioter Pesqui 2018;25(3):338-44. doi: 10.1590/1809-2950/18021425032018
Castro APA, Barbosa SR, Mansur HN, Ezequiel DGA, Costa MB, Paula RB. Treinamento resistido intradialítico: uma estratégia eficaz e de fácil execução. J Bras Nefrol 2019;41(2):215-23.doi: 10.1590/2175-8239-jbn-2018-0134
Lu Y, Wang Y, Lu Q. Effects of exercise on muscle fitness in dialysis patients: a systematic review and meta-analysis. Am J Nephrol 2019;50(4):291-302. doi: 10.1159/000502635
Zhang L, Luo H, Kang G, Wang W, Hu Y. The association between physical activity and mortality among patients undergoing maintenance hemodialysis. Int J Nurs Pract 2017;23(1):12505. doi: 10.1111/ijn.12505
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Thais Severo Dutra, Juliedy Waldow Kupske, Moane Marchesan, Rodrigo Fernando dos Santos Salazar, Kalina Durigon Keller, Paulo Ricardo Moreira, Rodrigo de Rosso Krug
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms: Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License which allows the sharing of work with acknowledgment of authorship and initial publication in this magazine; Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal; Authors are allowed and encouraged to publish and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase impact and citation of published work (See The Effect of Open Access).
