Lower Extremities Impaired Performance Associated with Death in CKD Patients


Individuals with Chronic Kidney Disease (CKD) have increased risks of becoming frail or disabled like the elderly, and dying from heart-related problems. While physical performance tests are frequently performed on the elderly to assess frailty and their overall health, they are seldom done on less aged CKD Patients to learn whether they are at high risks of dying prematurely.

In order to study this issue, research followed 385 CKD Patients, without stroke, and at the average age of 61years old.  They looked at walking speed and handgrip strength.  Among the major findings were:  Lower extremity performance was 30% less than predicted, but the handgrip strength met expectations.  Also each 0.1 meter per second slower Walking Speed was linked to 26% higher risk for death over the average three year follow up.  Finally, adding Walking Speed to common laboratory tests of kidney function significantly improved the prediction of the death rate.

The results indicate that impaired physical performance of the lower extremities is common in CKD patients, and is strongly linked with premature death. The findings suggest that CKD patients recommend that their healthcare providers conduct strength tests periodically to determine how burdened they actually are by their chronic kidney disease.

Reference: Slow Walking Speed Linked with Premature Death in Kidney Disease Patients. Medical Express

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