Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Factors associated sarcopenia and frailty in hemodialysis patients with chronic kidney disease: a cross-sectional study

Version 1 : Received: 10 August 2023 / Approved: 10 August 2023 / Online: 10 August 2023 (16:15:04 CEST)

How to cite: Liu, S.; Lin, C.; Hwang, S.; Han, C.; Huang, Y.; Chen, L. Factors associated sarcopenia and frailty in hemodialysis patients with chronic kidney disease: a cross-sectional study. Preprints 2023, 2023080874. https://doi.org/10.20944/preprints202308.0874.v1 Liu, S.; Lin, C.; Hwang, S.; Han, C.; Huang, Y.; Chen, L. Factors associated sarcopenia and frailty in hemodialysis patients with chronic kidney disease: a cross-sectional study. Preprints 2023, 2023080874. https://doi.org/10.20944/preprints202308.0874.v1

Abstract

The study investigated the relationships between sarcopenia, frailty, and related factors in hemodialysis patients with chronic kidney disease. A prospective cross-sectional study with convenience sampling was conducted between August 2021 and February 2022 at a hospital-affiliated hemodialysis center. Ninety-six hemodialysis patients participated in the study. Quantitative data were collected with structured interviews. Sarcopenia was determined with a rapid screening tool. Frailty was determined with the Rockwood clinical frailty score. Descriptive analysis, Person Correlations, and Linear regression analysis were used to evaluate the associations between frailty, sarcopenia, and health-related factors in hemodialysis patients. The mean age of the participants was 65.4 11.5 years, with an average of 95.0 77.5 months of hemodialysis. The most common comorbidity was hypertension (72.9%), followed by diabetes mellitus (39.6%) and cardiovascular health problems (35.4%). A significant difference in frailty between sarcopenia patients and a healthy population (X2 =9.51, p <.001) was identified. There was a strong negative correlation (r= −.853, p<.001) between sarcopenia and frailty, while moderate correlations between sarcopenia and frailty in sarcopenia patients (r= −.66, p<.001) and a healthy population (r= −.58, p<.001) were observed. Age, body weight before dialysis, and hand grip strength were found to be potential predictors of sarcopenia and frailty. Left calf circumference was significantly associated with sarcopenia (ß= −.128, p = .049). Age, body weight before dialysis, and hand grip strength are potential predictors of sarcopenia and frailty in hemodialysis patients with chronic kidney disease. Comorbidities, which may be preventable, are common in this population.

Keywords

Renal insufficiency; Comorbidity; Frailty; Renal dialysis; Sarcopenia

Subject

Public Health and Healthcare, Nursing

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