Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan: A preliminary study

Ru Lan Hsieh, Hsiao Yuan Huang, Shih Ching Chen, Wen Hsuan Lin, Chia Wei Wu, Chung Hsin Chang, Wen Chung Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To study the long-term changes in physical functional performance and quality of life in hemodialysis patients living in the community in Taiwan. Methods: This prospective study monitored 27 ambulatory hemodialysis patients for 16 months living in the community in Taiwan. Physical capacity (6-minute walk test, grip strength, pinch strength and chair-rising time), maximal cardiovascular fitness test, functional performance (Functional Independence Measure) and quality of life (WHOQOL-BREF) were evaluated. Results: There were 17 men and 7 women, with a mean age of 61.3 (± 9.0) years. The results showed significantly decreased pinch strength (right hand: from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg to 4.7 kg, p=0.017) and decreased quality of life (from 89.5 to 85.3 for WHOQOL-BREF total score, p=0.026), especially in the domain of physical health and subcategories of concentrating ability, satisfaction with working ability and sex life, and "eating foods whenever wanted," over the 16-month period. Maximal cardiovascular fitness and functional performance remained stationary during the 16-month period. Conclusion: Significantly declined pinch strength and quality of life, with maintained maximal cardiovascular fitness and functional performance, were noted in ambulatory hemodialysis patients over the 16-month period of follow-up. An intensive pinch strengthening program and overall improvement in quality of life for these patients is needed.

Original languageEnglish
Pages (from-to)41-48
Number of pages8
JournalJournal of Nephrology
Volume23
Issue number1
Publication statusPublished - Jan 2010

Fingerprint

Taiwan
Pinch Strength
Renal Dialysis
Quality of Life
Aptitude
Hand
Hand Strength
Eating
Prospective Studies
Food
Health

Keywords

  • Cardiovascular fitness
  • Functional performance
  • Hemodialysis
  • Physical capacity
  • Quality of life

ASJC Scopus subject areas

  • Nephrology

Cite this

Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan : A preliminary study. / Hsieh, Ru Lan; Huang, Hsiao Yuan; Chen, Shih Ching; Lin, Wen Hsuan; Wu, Chia Wei; Chang, Chung Hsin; Lee, Wen Chung.

In: Journal of Nephrology, Vol. 23, No. 1, 01.2010, p. 41-48.

Research output: Contribution to journalArticle

Hsieh, Ru Lan ; Huang, Hsiao Yuan ; Chen, Shih Ching ; Lin, Wen Hsuan ; Wu, Chia Wei ; Chang, Chung Hsin ; Lee, Wen Chung. / Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan : A preliminary study. In: Journal of Nephrology. 2010 ; Vol. 23, No. 1. pp. 41-48.
@article{6702ca4cd90a4bd9a38f247d1e1e4511,
title = "Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan: A preliminary study",
abstract = "Purpose: To study the long-term changes in physical functional performance and quality of life in hemodialysis patients living in the community in Taiwan. Methods: This prospective study monitored 27 ambulatory hemodialysis patients for 16 months living in the community in Taiwan. Physical capacity (6-minute walk test, grip strength, pinch strength and chair-rising time), maximal cardiovascular fitness test, functional performance (Functional Independence Measure) and quality of life (WHOQOL-BREF) were evaluated. Results: There were 17 men and 7 women, with a mean age of 61.3 (± 9.0) years. The results showed significantly decreased pinch strength (right hand: from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg to 4.7 kg, p=0.017) and decreased quality of life (from 89.5 to 85.3 for WHOQOL-BREF total score, p=0.026), especially in the domain of physical health and subcategories of concentrating ability, satisfaction with working ability and sex life, and {"}eating foods whenever wanted,{"} over the 16-month period. Maximal cardiovascular fitness and functional performance remained stationary during the 16-month period. Conclusion: Significantly declined pinch strength and quality of life, with maintained maximal cardiovascular fitness and functional performance, were noted in ambulatory hemodialysis patients over the 16-month period of follow-up. An intensive pinch strengthening program and overall improvement in quality of life for these patients is needed.",
keywords = "Cardiovascular fitness, Functional performance, Hemodialysis, Physical capacity, Quality of life",
author = "Hsieh, {Ru Lan} and Huang, {Hsiao Yuan} and Chen, {Shih Ching} and Lin, {Wen Hsuan} and Wu, {Chia Wei} and Chang, {Chung Hsin} and Lee, {Wen Chung}",
year = "2010",
month = "1",
language = "English",
volume = "23",
pages = "41--48",
journal = "Journal of Nephrology",
issn = "1121-8428",
publisher = "Wichtig Publishing",
number = "1",

}

TY - JOUR

T1 - Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan

T2 - A preliminary study

AU - Hsieh, Ru Lan

AU - Huang, Hsiao Yuan

AU - Chen, Shih Ching

AU - Lin, Wen Hsuan

AU - Wu, Chia Wei

AU - Chang, Chung Hsin

AU - Lee, Wen Chung

PY - 2010/1

Y1 - 2010/1

N2 - Purpose: To study the long-term changes in physical functional performance and quality of life in hemodialysis patients living in the community in Taiwan. Methods: This prospective study monitored 27 ambulatory hemodialysis patients for 16 months living in the community in Taiwan. Physical capacity (6-minute walk test, grip strength, pinch strength and chair-rising time), maximal cardiovascular fitness test, functional performance (Functional Independence Measure) and quality of life (WHOQOL-BREF) were evaluated. Results: There were 17 men and 7 women, with a mean age of 61.3 (± 9.0) years. The results showed significantly decreased pinch strength (right hand: from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg to 4.7 kg, p=0.017) and decreased quality of life (from 89.5 to 85.3 for WHOQOL-BREF total score, p=0.026), especially in the domain of physical health and subcategories of concentrating ability, satisfaction with working ability and sex life, and "eating foods whenever wanted," over the 16-month period. Maximal cardiovascular fitness and functional performance remained stationary during the 16-month period. Conclusion: Significantly declined pinch strength and quality of life, with maintained maximal cardiovascular fitness and functional performance, were noted in ambulatory hemodialysis patients over the 16-month period of follow-up. An intensive pinch strengthening program and overall improvement in quality of life for these patients is needed.

AB - Purpose: To study the long-term changes in physical functional performance and quality of life in hemodialysis patients living in the community in Taiwan. Methods: This prospective study monitored 27 ambulatory hemodialysis patients for 16 months living in the community in Taiwan. Physical capacity (6-minute walk test, grip strength, pinch strength and chair-rising time), maximal cardiovascular fitness test, functional performance (Functional Independence Measure) and quality of life (WHOQOL-BREF) were evaluated. Results: There were 17 men and 7 women, with a mean age of 61.3 (± 9.0) years. The results showed significantly decreased pinch strength (right hand: from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg to 4.7 kg, p=0.017) and decreased quality of life (from 89.5 to 85.3 for WHOQOL-BREF total score, p=0.026), especially in the domain of physical health and subcategories of concentrating ability, satisfaction with working ability and sex life, and "eating foods whenever wanted," over the 16-month period. Maximal cardiovascular fitness and functional performance remained stationary during the 16-month period. Conclusion: Significantly declined pinch strength and quality of life, with maintained maximal cardiovascular fitness and functional performance, were noted in ambulatory hemodialysis patients over the 16-month period of follow-up. An intensive pinch strengthening program and overall improvement in quality of life for these patients is needed.

KW - Cardiovascular fitness

KW - Functional performance

KW - Hemodialysis

KW - Physical capacity

KW - Quality of life

UR - http://www.scopus.com/inward/record.url?scp=77249141059&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77249141059&partnerID=8YFLogxK

M3 - Article

C2 - 20091485

AN - SCOPUS:77249141059

VL - 23

SP - 41

EP - 48

JO - Journal of Nephrology

JF - Journal of Nephrology

SN - 1121-8428

IS - 1

ER -