Functional capacity assessment in patients with chronic kidney disease through the AVD-Glittre test and its association with muscle strength and quality of life

Abstract

Introduction: The Chronic kidney disease (CKD) is a worldwide public burden of prevalence that increasingly compromises general health as the disease progresses. CKD is affecting a significant proportion of the population and rapidly due to increasing population
aging and the prevalence of diabetes, obesity, hypertension and cardiovascular diseases that contribute to CR. It is estimated that 14% of the world population has DRC. More and more patients are diagnosed with CKD, which may have a negative impact on activities of daily living (ADL) and quality of life (QoL). More recently, the Glittre test (TGlittre) was described as an instrument for assessing functional capacity during exercise. Objective: This study has a functional capacity and TGlittre in non-dialysis CKD patients, measures and adjustments of physical activity (PAL) and QOL. Methods: This is a cross-sectional study in which 30 patients with non-dialysis CKD performed the following assessments: TGlittre to determine functional capacity during exercise; International Physical Activity (IPAQ) for PAL assessment); summarized SF-36 for QOL assessment; and measurement of hand grip strength (HGS). Results: In our study, the mean age was 58.1 ± 13.9 years, while the median time after the diagnosis of CKD was 18 (2–42) months. As principles of the RDC were hypertension, diabetes, chronic and idiopathic glomerulopathy, which cause the causes in 23 (7.7%),
respectively 12 (40%), 5 (16.7%) and 3 (10%) participants. Almost half of the participants (14, 46.7% of cases) were at very high risk of CKD progression. The absolute value and percentage of the theoretical time of the TGlittre were 4.3 (3.3–5.2) s and 143.3 ± 32.7 % predicted, respectively. The main difficulties related to TGlittre were or were work-related to perform shelf tasks and manual tasks, which were performed by 6 (20%) and 5 (16.7%) participants. TGlittre time correlated with HGS (r = -04, P = -0069). The TGlittre time was statistically different between PALs considered “sedentary”, “irregularly active” and “active” (P = 0.038). No significant correlations were observed between TGlittre time and SF-36 dimensions. Conclusion: In conclusion, non-dialysis CKD patients have an ability to perform squat functioning with difficulty and manual tasks in shelf activities. Furthermore, there is a timing relationship between TGlittre and both FPM and NAF. In this way, an incorporation of tools such as the TG, HGS test and routine events with the SF-36 and IPAQ in the routine evaluation of patients with non-dialytic CKD, can improve the stratification of events that are extremely acceptable to the population guiding us towards the early individualization of therapeutic care.