Calf Circumference Predicts Falls in Older Adults on Hemodialysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorRODRIGUES, Renata G.
dc.contributor.authorDALBONI, Maria Aparecida
dc.contributor.authorCORREIA, Marilia de A.
dc.contributor.authorREIS, Luciene M. dos
dc.contributor.authorMOYSES, Rosa M. A.
dc.contributor.authorELIAS, Rosilene M.
dc.date.accessioned2023-06-21T14:20:17Z
dc.date.available2023-06-21T14:20:17Z
dc.date.issued2023
dc.description.abstractObjective: Older patients with chronic kidney disease (CKD) undergoing maintenance hemodialysis are at a higher risk of falling. However, there is no standard method to screen patients at higher risk. We have evaluated whether calf circumference (CC) measurement would be able to predict falls in this population. Methods: This is a prospective study that enrolled patients aged >= 65 years on conventional hemodialysis, followed for 6 months. The presence of falls was associated with demographical, clinical, and biochemical data. Reduced CC was set at <34 cm for men and <33 cm for women. We evaluated physical status using Duke activity status index (DASI) and hand grip strength (HGS). Results: Ninety-one patients were included (age 73.7 +/- 5.4 years, 69.2% men, 56% with diabetes). Mean CC was 32.6 +/- 3.7 cm, with a high prevalence of reduced CC (61.5%). During the follow-up, 13 falls were identified (1 had a fracture and died). These patients were older and heavier (P = .017 and P = .025, respectively). Most falls occurred in patients with sarcopenic obesity (BMI >27 kg/m2 plus reduced HGS or reduced CC). In a logistic regression model, reduced CC (hazard ratio (HR) 7.81, confidence interval (CI): 1.1353.86, P = .037), higher age (HR 1.19, CI: 1.04-1.36, P = .011), and higher body weight (relative risk (RR) 1.13, CI: 1.04-1.22, P = .003) were independently associated with falls in a fully adjusted model. Conclusion: CC measurement, an easy and nonexpensive tool, was able to predict falls in older patients on HD. Further studies should test the inclusion of CC in a fall risk assessment in older patients on hemodialysis.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationJOURNAL OF RENAL NUTRITION, v.33, n.2, p.363-367, 2023
dc.identifier.doi10.1053/j.jrn.2022.08.003
dc.identifier.eissn1532-8503
dc.identifier.issn1051-2276
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/54207
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INCeng
dc.relation.ispartofJournal of Renal Nutrition
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright W B SAUNDERS CO-ELSEVIER INCeng
dc.subjectsarcopeniaeng
dc.subjectchronic kidney diseaseeng
dc.subjectDuke activity status indexeng
dc.subjecthand grip strengtheng
dc.subject.otherriskeng
dc.subject.wosNutrition & Dieteticseng
dc.subject.wosUrology & Nephrologyeng
dc.titleCalf Circumference Predicts Falls in Older Adults on Hemodialysiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalRODRIGUES, Renata G.:Univ Nove Julho UNINOVE, Post Grad, Sao Paulo, Brazil
hcfmusp.author.externalDALBONI, Maria Aparecida:Univ Nove Julho UNINOVE, Post Grad, Sao Paulo, Brazil
hcfmusp.author.externalCORREIA, Marilia de A.:Univ Nove Julho UNINOVE, Post Grad, Sao Paulo, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcLUCIENE MACHADO DOS REIS
hcfmusp.contributor.author-fmusphcROSA MARIA AFFONSO MOYSES
hcfmusp.contributor.author-fmusphcROSILENE MOTTA ELIAS
hcfmusp.description.beginpage363
hcfmusp.description.endpage367
hcfmusp.description.issue2
hcfmusp.description.volume33
hcfmusp.origemWOS
hcfmusp.origem.pubmed36155086
hcfmusp.origem.scopus2-s2.0-85140241039
hcfmusp.origem.wosWOS:000971497000001
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/16
Artigos e Materiais de Revistas Científicas - ODS/03