To Assess the Respiratory Muscle Strength in Patients with Chronic Kidney Disease Undergoing Hemodialysis: Cross-sectional Study
Aim and background: Kidney damage is defined as pathological abnormalities or markers of damage, including abnormalities in blood or urine tests or imaging studies. Diabetes and hypertension are responsible for two-thirds of chronic kidney disease (CKD). To maintain homeostasis of metabolic function...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2025-05-01
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| Series: | Indian Journal of Respiratory Care |
| Subjects: | |
| Online Access: | https://www.ijrc.in/doi/IJRC/pdf/10.5005/jp-journals-11010-1163 |
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| Summary: | Aim and background: Kidney damage is defined as pathological abnormalities or markers of damage, including abnormalities in blood or urine tests or imaging studies. Diabetes and hypertension are responsible for two-thirds of chronic kidney disease (CKD). To maintain homeostasis of metabolic function in end-stage renal disease (ESRD), renal replacement therapy (RRT) is required, with hemodialysis (HD) being the most common method. Respiratory muscle strength (RMS) is predominantly affected due to HD, which shows limitations in quality of life (QOL). This study aims to assess RMS in patients undergoing HD and analyze the factors that influence RMS in HD patients.
Materials and methods: This cross-sectional study was performed on 60 patients. Patients with >3 months of dialysis, both genders, and ages 18–70 years were included. Patients with severe cardiac abnormalities or hemodynamic instability were excluded. Demographic data such as age, gender, body weight, comorbidities, vintage period, interdialytic weight gain, and QOL were assessed. The RMS (MIP, MEP) was assessed using a manovacuometer device.
Results: Among 60 participants, 65% were male and 35% were female. The mean maximal inspiratory pressure (MIP) for males was found to be 31.08 (15.32), and that of females was 28.14 (14.15). The mean maximal expiratory pressure (MEP) for males was found to be 39.05 (17.56), and that of females was 31.43 (14.84). MIP was found to be influenced by weight, interdialytic weight gain, and fatigue (<i>p</i> < 0.001, 0.014, and 0.004), and MEP by fatigue, weight, and gender (<i>p</i> < 0.002, 0.011, and 0.038). The mean and standard deviation for HAP-MAS, HAP-ASS, and fatigue were 45.27 (13.33), 33.32 (12.40), and 3.43 (1.36), respectively.
Conclusion: This study reported a reduction in RMS and concludes a reduction in QOL and physical activity in HD patients. |
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| ISSN: | 2277-9019 2321-4899 |