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Factors associated with fear of falling in hemodialysis patients
Purpose Fear of falling (FOF) has important clinical and psychological consequences. This study evaluated the factors associated with FOF in hemodialysis patients and compared with the FOF reported by age–gender matched individuals without chronic kidney disease. Methods This cross sectional study i...
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| Published in: | International urology and nephrology 2021-10, Vol.53 (10), p.2159-2166 |
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| container_title | International urology and nephrology |
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| creator | da Silva de Jesus, Luciana Angélica Pinheiro, Bruno Valle Koufaki, Pelagia Lucinda, Leda Marília Fonseca Gravina, Emanuele Poliana Lawall Barros, Fabrício Sciammarella Garcia, Rodrigo Schinniger Assun Oliveira, Cristino Carneiro Reboredo, Maycon Moura |
| description | Purpose
Fear of falling (FOF) has important clinical and psychological consequences. This study evaluated the factors associated with FOF in hemodialysis patients and compared with the FOF reported by age–gender matched individuals without chronic kidney disease.
Methods
This cross sectional study included hemodialysis group (
n
= 60, 55.4 ± 7.6 years, 55.0% male) and control group (
n
= 40, 55.1 ± 7.5 years, 52.5% male). FOF was assessed by the Falls Efficacy Scale International (FES-I). Physical function was evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go test, 4-m gait speed, isometric handgrip force and 10-repetition sit-to-stand test. The physical and mental components of quality of life was evaluated by 36-Item Short Form Health Survey.
Results
The FES-I score was higher in the hemodialysis group compared to the control group (28.2 ± 9.7 vs. 23.3 ± 5.1,
p
= 0.020). In addition, the prevalence of individuals with a higher concern about falling was greater in the hemodialysis group (41.7 vs. 17.5%,
p
= 0.033). Multiple linear regression showed that the FES-I score was associated with the Mini-BESTest score and the physical component summary of quality of life (coefficient of determination of 0.51 and an adjusted coefficient of determination of 0.46).
Conclusion
FOF was associated with poor postural balance and reduced physical component of quality of life in patients on hemodialysis and these patients showed higher FOF compared to individuals without chronic kidney disease. |
| doi_str_mv | 10.1007/s11255-021-02856-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2516222128</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2576142831</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-9d861413c68001f8c16db2878f6622e9f279b50f20277fd47ec70cd68a507e003</originalsourceid><addsrcrecordid>eNp9kE9PwyAYh4nRuDn9Ah5MEy9eqi8wCr1pFqcmS7zomTAKG0tbJrQx-_Yy65_EgwfyHnj4vT8ehM4xXGMAfhMxJozlQHA6ghU5HKAxZpzmhInpIRoDBZzjgtAROolxAwClADhGI0qFwBzIGN3Ole58iJmK0WunOlNl765bZ9aokHmbWVXXrl1lrs3WpvGVU_UuuphtVedM28VTdJSQaM6-5gS9zu9fZo_54vnhaXa3yDXlrMvLShR4iqkuUgNshcZFtSSCC1sUhJjSEl4uGVgChHNbTbnRHHRVCMWAGwA6QVdD7jb4t97ETjYualPXqjW-j5Kw9FFCMBEJvfyDbnwf2tQuUTzVSAxOFBkoHXyMwVi5Da5RYScxyL1fOfiVya_89Cv3LS6-ovtlY6qfJ99CE0AHIKardmXC7-5_Yj8AAlaDUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2576142831</pqid></control><display><type>article</type><title>Factors associated with fear of falling in hemodialysis patients</title><source>Springer Nature</source><creator>da Silva de Jesus, Luciana Angélica ; Pinheiro, Bruno Valle ; Koufaki, Pelagia ; Lucinda, Leda Marília Fonseca ; Gravina, Emanuele Poliana Lawall ; Barros, Fabrício Sciammarella ; Garcia, Rodrigo Schinniger Assun ; Oliveira, Cristino Carneiro ; Reboredo, Maycon Moura</creator><creatorcontrib>da Silva de Jesus, Luciana Angélica ; Pinheiro, Bruno Valle ; Koufaki, Pelagia ; Lucinda, Leda Marília Fonseca ; Gravina, Emanuele Poliana Lawall ; Barros, Fabrício Sciammarella ; Garcia, Rodrigo Schinniger Assun ; Oliveira, Cristino Carneiro ; Reboredo, Maycon Moura</creatorcontrib><description>Purpose
Fear of falling (FOF) has important clinical and psychological consequences. This study evaluated the factors associated with FOF in hemodialysis patients and compared with the FOF reported by age–gender matched individuals without chronic kidney disease.
Methods
This cross sectional study included hemodialysis group (
n
= 60, 55.4 ± 7.6 years, 55.0% male) and control group (
n
= 40, 55.1 ± 7.5 years, 52.5% male). FOF was assessed by the Falls Efficacy Scale International (FES-I). Physical function was evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go test, 4-m gait speed, isometric handgrip force and 10-repetition sit-to-stand test. The physical and mental components of quality of life was evaluated by 36-Item Short Form Health Survey.
Results
The FES-I score was higher in the hemodialysis group compared to the control group (28.2 ± 9.7 vs. 23.3 ± 5.1,
p
= 0.020). In addition, the prevalence of individuals with a higher concern about falling was greater in the hemodialysis group (41.7 vs. 17.5%,
p
= 0.033). Multiple linear regression showed that the FES-I score was associated with the Mini-BESTest score and the physical component summary of quality of life (coefficient of determination of 0.51 and an adjusted coefficient of determination of 0.46).
Conclusion
FOF was associated with poor postural balance and reduced physical component of quality of life in patients on hemodialysis and these patients showed higher FOF compared to individuals without chronic kidney disease.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-021-02856-0</identifier><identifier>PMID: 33881702</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Accidental Falls ; Balance ; Cross-Sectional Studies ; Fear ; Female ; Gait ; Hemodialysis ; Humans ; Isometric ; Kidney diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Nephrology - Original Paper ; Patients ; Physical Examination ; Quality of Life ; Renal Dialysis - psychology ; Self Report ; Urology</subject><ispartof>International urology and nephrology, 2021-10, Vol.53 (10), p.2159-2166</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature B.V.</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9d861413c68001f8c16db2878f6622e9f279b50f20277fd47ec70cd68a507e003</citedby><cites>FETCH-LOGICAL-c375t-9d861413c68001f8c16db2878f6622e9f279b50f20277fd47ec70cd68a507e003</cites><orcidid>0000-0003-3221-8744 ; 0000-0001-6546-0225 ; 0000-0002-0975-9350 ; 0000-0003-1840-1147 ; 0000-0002-1406-3729 ; 0000-0002-6455-2125 ; 0000-0002-5288-3533 ; 0000-0002-8599-2648 ; 0000-0001-8155-7414</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33881702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Silva de Jesus, Luciana Angélica</creatorcontrib><creatorcontrib>Pinheiro, Bruno Valle</creatorcontrib><creatorcontrib>Koufaki, Pelagia</creatorcontrib><creatorcontrib>Lucinda, Leda Marília Fonseca</creatorcontrib><creatorcontrib>Gravina, Emanuele Poliana Lawall</creatorcontrib><creatorcontrib>Barros, Fabrício Sciammarella</creatorcontrib><creatorcontrib>Garcia, Rodrigo Schinniger Assun</creatorcontrib><creatorcontrib>Oliveira, Cristino Carneiro</creatorcontrib><creatorcontrib>Reboredo, Maycon Moura</creatorcontrib><title>Factors associated with fear of falling in hemodialysis patients</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Purpose
Fear of falling (FOF) has important clinical and psychological consequences. This study evaluated the factors associated with FOF in hemodialysis patients and compared with the FOF reported by age–gender matched individuals without chronic kidney disease.
Methods
This cross sectional study included hemodialysis group (
n
= 60, 55.4 ± 7.6 years, 55.0% male) and control group (
n
= 40, 55.1 ± 7.5 years, 52.5% male). FOF was assessed by the Falls Efficacy Scale International (FES-I). Physical function was evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go test, 4-m gait speed, isometric handgrip force and 10-repetition sit-to-stand test. The physical and mental components of quality of life was evaluated by 36-Item Short Form Health Survey.
Results
The FES-I score was higher in the hemodialysis group compared to the control group (28.2 ± 9.7 vs. 23.3 ± 5.1,
p
= 0.020). In addition, the prevalence of individuals with a higher concern about falling was greater in the hemodialysis group (41.7 vs. 17.5%,
p
= 0.033). Multiple linear regression showed that the FES-I score was associated with the Mini-BESTest score and the physical component summary of quality of life (coefficient of determination of 0.51 and an adjusted coefficient of determination of 0.46).
Conclusion
FOF was associated with poor postural balance and reduced physical component of quality of life in patients on hemodialysis and these patients showed higher FOF compared to individuals without chronic kidney disease.</description><subject>Accidental Falls</subject><subject>Balance</subject><subject>Cross-Sectional Studies</subject><subject>Fear</subject><subject>Female</subject><subject>Gait</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Isometric</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nephrology - Original Paper</subject><subject>Patients</subject><subject>Physical Examination</subject><subject>Quality of Life</subject><subject>Renal Dialysis - psychology</subject><subject>Self Report</subject><subject>Urology</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE9PwyAYh4nRuDn9Ah5MEy9eqi8wCr1pFqcmS7zomTAKG0tbJrQx-_Yy65_EgwfyHnj4vT8ehM4xXGMAfhMxJozlQHA6ghU5HKAxZpzmhInpIRoDBZzjgtAROolxAwClADhGI0qFwBzIGN3Ole58iJmK0WunOlNl765bZ9aokHmbWVXXrl1lrs3WpvGVU_UuuphtVedM28VTdJSQaM6-5gS9zu9fZo_54vnhaXa3yDXlrMvLShR4iqkuUgNshcZFtSSCC1sUhJjSEl4uGVgChHNbTbnRHHRVCMWAGwA6QVdD7jb4t97ETjYualPXqjW-j5Kw9FFCMBEJvfyDbnwf2tQuUTzVSAxOFBkoHXyMwVi5Da5RYScxyL1fOfiVya_89Cv3LS6-ovtlY6qfJ99CE0AHIKardmXC7-5_Yj8AAlaDUw</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>da Silva de Jesus, Luciana Angélica</creator><creator>Pinheiro, Bruno Valle</creator><creator>Koufaki, Pelagia</creator><creator>Lucinda, Leda Marília Fonseca</creator><creator>Gravina, Emanuele Poliana Lawall</creator><creator>Barros, Fabrício Sciammarella</creator><creator>Garcia, Rodrigo Schinniger Assun</creator><creator>Oliveira, Cristino Carneiro</creator><creator>Reboredo, Maycon Moura</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3221-8744</orcidid><orcidid>https://orcid.org/0000-0001-6546-0225</orcidid><orcidid>https://orcid.org/0000-0002-0975-9350</orcidid><orcidid>https://orcid.org/0000-0003-1840-1147</orcidid><orcidid>https://orcid.org/0000-0002-1406-3729</orcidid><orcidid>https://orcid.org/0000-0002-6455-2125</orcidid><orcidid>https://orcid.org/0000-0002-5288-3533</orcidid><orcidid>https://orcid.org/0000-0002-8599-2648</orcidid><orcidid>https://orcid.org/0000-0001-8155-7414</orcidid></search><sort><creationdate>20211001</creationdate><title>Factors associated with fear of falling in hemodialysis patients</title><author>da Silva de Jesus, Luciana Angélica ; Pinheiro, Bruno Valle ; Koufaki, Pelagia ; Lucinda, Leda Marília Fonseca ; Gravina, Emanuele Poliana Lawall ; Barros, Fabrício Sciammarella ; Garcia, Rodrigo Schinniger Assun ; Oliveira, Cristino Carneiro ; Reboredo, Maycon Moura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-9d861413c68001f8c16db2878f6622e9f279b50f20277fd47ec70cd68a507e003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accidental Falls</topic><topic>Balance</topic><topic>Cross-Sectional Studies</topic><topic>Fear</topic><topic>Female</topic><topic>Gait</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Isometric</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nephrology - Original Paper</topic><topic>Patients</topic><topic>Physical Examination</topic><topic>Quality of Life</topic><topic>Renal Dialysis - psychology</topic><topic>Self Report</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>da Silva de Jesus, Luciana Angélica</creatorcontrib><creatorcontrib>Pinheiro, Bruno Valle</creatorcontrib><creatorcontrib>Koufaki, Pelagia</creatorcontrib><creatorcontrib>Lucinda, Leda Marília Fonseca</creatorcontrib><creatorcontrib>Gravina, Emanuele Poliana Lawall</creatorcontrib><creatorcontrib>Barros, Fabrício Sciammarella</creatorcontrib><creatorcontrib>Garcia, Rodrigo Schinniger Assun</creatorcontrib><creatorcontrib>Oliveira, Cristino Carneiro</creatorcontrib><creatorcontrib>Reboredo, Maycon Moura</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Silva de Jesus, Luciana Angélica</au><au>Pinheiro, Bruno Valle</au><au>Koufaki, Pelagia</au><au>Lucinda, Leda Marília Fonseca</au><au>Gravina, Emanuele Poliana Lawall</au><au>Barros, Fabrício Sciammarella</au><au>Garcia, Rodrigo Schinniger Assun</au><au>Oliveira, Cristino Carneiro</au><au>Reboredo, Maycon Moura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with fear of falling in hemodialysis patients</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>53</volume><issue>10</issue><spage>2159</spage><epage>2166</epage><pages>2159-2166</pages><issn>0301-1623</issn><eissn>1573-2584</eissn><abstract>Purpose
Fear of falling (FOF) has important clinical and psychological consequences. This study evaluated the factors associated with FOF in hemodialysis patients and compared with the FOF reported by age–gender matched individuals without chronic kidney disease.
Methods
This cross sectional study included hemodialysis group (
n
= 60, 55.4 ± 7.6 years, 55.0% male) and control group (
n
= 40, 55.1 ± 7.5 years, 52.5% male). FOF was assessed by the Falls Efficacy Scale International (FES-I). Physical function was evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go test, 4-m gait speed, isometric handgrip force and 10-repetition sit-to-stand test. The physical and mental components of quality of life was evaluated by 36-Item Short Form Health Survey.
Results
The FES-I score was higher in the hemodialysis group compared to the control group (28.2 ± 9.7 vs. 23.3 ± 5.1,
p
= 0.020). In addition, the prevalence of individuals with a higher concern about falling was greater in the hemodialysis group (41.7 vs. 17.5%,
p
= 0.033). Multiple linear regression showed that the FES-I score was associated with the Mini-BESTest score and the physical component summary of quality of life (coefficient of determination of 0.51 and an adjusted coefficient of determination of 0.46).
Conclusion
FOF was associated with poor postural balance and reduced physical component of quality of life in patients on hemodialysis and these patients showed higher FOF compared to individuals without chronic kidney disease.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>33881702</pmid><doi>10.1007/s11255-021-02856-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3221-8744</orcidid><orcidid>https://orcid.org/0000-0001-6546-0225</orcidid><orcidid>https://orcid.org/0000-0002-0975-9350</orcidid><orcidid>https://orcid.org/0000-0003-1840-1147</orcidid><orcidid>https://orcid.org/0000-0002-1406-3729</orcidid><orcidid>https://orcid.org/0000-0002-6455-2125</orcidid><orcidid>https://orcid.org/0000-0002-5288-3533</orcidid><orcidid>https://orcid.org/0000-0002-8599-2648</orcidid><orcidid>https://orcid.org/0000-0001-8155-7414</orcidid></addata></record> |
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| ispartof | International urology and nephrology, 2021-10, Vol.53 (10), p.2159-2166 |
| issn | 0301-1623 1573-2584 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2516222128 |
| source | Springer Nature |
| subjects | Accidental Falls Balance Cross-Sectional Studies Fear Female Gait Hemodialysis Humans Isometric Kidney diseases Male Medicine Medicine & Public Health Middle Aged Nephrology Nephrology - Original Paper Patients Physical Examination Quality of Life Renal Dialysis - psychology Self Report Urology |
| title | Factors associated with fear of falling in hemodialysis patients |
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