Identifying early decline of daily function and its association with physical function in chronic kidney disease: performance-based and self-reported measures

To verify self-reported basic and instrumental activities of daily living (IADL) with a disability and the results of performance-based tests (namely the Taiwan performance-based IADL (TPIADL), the 2-minute step test (2MST), the 30-second chair-stand test (30-s CST), and handgrip dynamometer measure...

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Bibliographic Details
Published in:PeerJ (San Francisco, CA) CA), 2018-07, Vol.6, p.e5286-e5286, Article e5286
Main Authors: Chen, Hui-Mei, Hsiao, Shih-Ming, Kuo, Mei-Chuan, Lo, Yi-Ching, Huang, Mei-Feng, Yeh, Yi-Chun, Yen, Cheng-Fang, Chen, Cheng-Sheng
Format: Article
Language:English
Subjects:
Activities of daily living
Analysis
Chronic kidney disease
Chronic obstructive pulmonary disease
Cognitive ability
Dementia
Disability
Endurance
Fitness
Geriatrics
Global Health
Health aspects
Hospitals
Internal Medicine
Kidney diseases
Kidneys
Medicine
Mortality
Muscle strength
Nephrology
Older people
Performance-based assessment
Physical fitness
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Summary:To verify self-reported basic and instrumental activities of daily living (IADL) with a disability and the results of performance-based tests (namely the Taiwan performance-based IADL (TPIADL), the 2-minute step test (2MST), the 30-second chair-stand test (30-s CST), and handgrip dynamometer measurement) to identify disability early and assess the associations with functional fitness in patients with advanced chronic kidney disease (CKD). A cross-sectional study of 99 patients with stage 4-5 CKD and 57 healthy elderly adults were recruited. Self-reported measures were used to collect information on basic (Barthel Index) and IADL (Lawton-Brody scale). Objective measures of the TPIADL and functional fitness (2MST, 30-s CST, handgrip dynamometer) were also assessed. Only IADL, as detected by the TPIADL, were impaired to a greater extent in the CKD patients than those of healthy elderly adults. Among all the patients with CKD, a greater impairment in the TPIADL remained statistically associated with a lower ability in the 2MST. A one step increase in the 2MST score was significantly associated with an improvement of 0.2 s in the total performance time of the TPIADL. Performance-based measures, such as the TPIADL, may detect a functional limitation before it becomes measurable by traditional self-reported basic and IADL scales; functional limitation is mainly associated with cardiac endurance for advanced CKD.
ISSN:2167-8359
2167-8359
DOI:10.7717/peerj.5286