1. Difficulty in activities of daily living and falls in patients undergoing hemodialysis : A cross-sectional study with nondialysis controls
- Author
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Yoshihiro Tsujimoto, Shoko Tsuchikura, Masanori Emoto, Mizuki Miyabe, Shota Matsufuji, Hiroshi Kishimoto, Asako Tamaru, Yoshiaki Yano, and Tetsuo Shoji
- Subjects
medicine.medical_specialty ,Activities of daily living ,Bathing ,Cross-sectional study ,medicine.medical_treatment ,030232 urology & nephrology ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Interquartile range ,Diabetes mellitus ,falls ,Medicine ,business.industry ,self-reported outcome ,Hematology ,medicine.disease ,humanities ,転倒 ,日常生活動作 ,血液透析 ,Nephrology ,ADL difficulty ,Hemodialysis ,Toileting ,Physical therapy ,business ,human activities ,Dyslipidemia - Abstract
INTRODUCTION Impaired activities of daily living (ADL) and falls are important issues in hemodialysis patients. So far, information is limited regarding self-reported difficulty with ADL (ADL difficulty) in hemodialysis patients. Then, we compared the degree of ADL difficulty and the prevalence of fallers between hemodialysis patients and a nondialyzed control group. Also, the possible association between ADL difficulty and falls was examined. METHODS This was a single center, cross-sectional study including two groups of outpatients aged 50 years or older; 209 prevalent hemodialysis patients, and 139 nonrenal patients with diabetes mellitus, hypertension, and/or dyslipidemia (control group). ADL difficulty score was evaluated by a 48-item questionnaire including six subscales of ADLs namely locomotion, eating, toileting, dressing, bathing, and grooming. Experience of falls in the previous year period was examined by a questionnaire. FINDINGS The two groups did not differ significantly in age or sex. The hemodialysis group had a higher median (interquartile range) total score of ADL difficulty than the control group [10 (2-39) vs. 2 (0-10); p
- Published
- 2021