The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity

<i>Background and Objectives</i>: This study aimed to evaluate the association between QoL, self-assessed physical activity, and the presence and severity of muscle spasms in chronic hemodialysis patients. Patients undergoing regular in-center hemodialysis (HD) have much lower quality of...

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Main Authors: Gabriela Kot, Agata Wróbel, Kasper Kuna, Agnieszka Makówka, Michał Nowicki
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/12/2075
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author Gabriela Kot
Agata Wróbel
Kasper Kuna
Agnieszka Makówka
Michał Nowicki
author_facet Gabriela Kot
Agata Wróbel
Kasper Kuna
Agnieszka Makówka
Michał Nowicki
author_sort Gabriela Kot
collection DOAJ
description <i>Background and Objectives</i>: This study aimed to evaluate the association between QoL, self-assessed physical activity, and the presence and severity of muscle spasms in chronic hemodialysis patients. Patients undergoing regular in-center hemodialysis (HD) have much lower quality of life (QoL) than healthy individuals. However, there is limited knowledge about the impact of specific common complications of hemodialysis, particularly muscle spasms on the overall well-being of patients. <i>Materials and Methods</i>: In this prospective, single-center study, 67 chronic HD patients were surveyed regarding the prevalence of muscle spasms using a validated 9-multiple-choice-question survey, alongside the Physical Activity Questionnaire (IPAQ) and The Short Form (36) Health Survey (SF-36). Based on the muscle spasms survey answers, patients were divided into two subgroups: with (<i>n</i> = 39) and without muscle spasms (<i>n</i> = 28). <i>Results</i>: The findings revealed that patients with muscle spasms had a higher body mass index (BMI) (<i>p</i> = 0.005), a shorter dialysis vintage (<i>p</i> = 0.063), and significantly longer sitting times (<i>p</i> = 0.017). Multivariate analysis identified BMI (<i>p</i> = 0.034), sitting time (<i>p</i> = 0.009), physical functioning scores (<i>p</i> = 0.032), and dialysis vintage (<i>p</i> = 0.040) as significant predictors of muscle spasms. <i>Conclusions:</i> This study concluded that muscle spasms are associated with lower QoL among HD patients. The contributing factors to this dependance are BMI, dialysis vintage, physical functioning, and sitting time.
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spelling doaj-art-4e806a9b24c74eeebf4ab09dc23ac4b52025-08-20T02:00:39ZengMDPI AGMedicina1010-660X1648-91442024-12-016012207510.3390/medicina60122075The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical ActivityGabriela Kot0Agata Wróbel1Kasper Kuna2Agnieszka Makówka3Michał Nowicki4Faculty of Medicine, Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandFaculty of Medicine, Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandFaculty of Medicine, Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandDepartment of Nephrology, Hypertension, Transplantation and Internal Medicine, Central University Hospital, Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandDepartment of Nephrology, Hypertension, Transplantation and Internal Medicine, Central University Hospital, Medical University of Lodz, Pomorska 251, 92-213 Lodz, Poland<i>Background and Objectives</i>: This study aimed to evaluate the association between QoL, self-assessed physical activity, and the presence and severity of muscle spasms in chronic hemodialysis patients. Patients undergoing regular in-center hemodialysis (HD) have much lower quality of life (QoL) than healthy individuals. However, there is limited knowledge about the impact of specific common complications of hemodialysis, particularly muscle spasms on the overall well-being of patients. <i>Materials and Methods</i>: In this prospective, single-center study, 67 chronic HD patients were surveyed regarding the prevalence of muscle spasms using a validated 9-multiple-choice-question survey, alongside the Physical Activity Questionnaire (IPAQ) and The Short Form (36) Health Survey (SF-36). Based on the muscle spasms survey answers, patients were divided into two subgroups: with (<i>n</i> = 39) and without muscle spasms (<i>n</i> = 28). <i>Results</i>: The findings revealed that patients with muscle spasms had a higher body mass index (BMI) (<i>p</i> = 0.005), a shorter dialysis vintage (<i>p</i> = 0.063), and significantly longer sitting times (<i>p</i> = 0.017). Multivariate analysis identified BMI (<i>p</i> = 0.034), sitting time (<i>p</i> = 0.009), physical functioning scores (<i>p</i> = 0.032), and dialysis vintage (<i>p</i> = 0.040) as significant predictors of muscle spasms. <i>Conclusions:</i> This study concluded that muscle spasms are associated with lower QoL among HD patients. The contributing factors to this dependance are BMI, dialysis vintage, physical functioning, and sitting time.https://www.mdpi.com/1648-9144/60/12/2075hemodialysisIPAQmuscle spasmsSF-36quality of life
spellingShingle Gabriela Kot
Agata Wróbel
Kasper Kuna
Agnieszka Makówka
Michał Nowicki
The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
Medicina
hemodialysis
IPAQ
muscle spasms
SF-36
quality of life
title The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
title_full The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
title_fullStr The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
title_full_unstemmed The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
title_short The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
title_sort effect of muscle cramps during hemodialysis on quality of life and habitual physical activity
topic hemodialysis
IPAQ
muscle spasms
SF-36
quality of life
url https://www.mdpi.com/1648-9144/60/12/2075
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