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Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
Correlation between central arterial stiffness and handgrip strength in chronic hemodialysis patients
Cut Mela Yunita Sari1, 1, Ginova Nainggolan1
1Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia and Dr. Cipto Mangunkusumo General National Hospital, Jakarta, Indonesia.
Insights
Central arterial stiffness showed no overall correlation with handgrip strength (HGS) in chronic hemodialysis patients. However, a subgroup of women with height over 150 cm exhibited a moderate negative correlation, suggesting potential links in specific populations.
Area of Science:
- Cardiovascular Physiology
- Nephrology
- Gerontology
Background:
- Central arterial stiffness is a marker of cardiovascular risk.
- Handgrip strength (HGS) reflects overall muscle strength and health.
- The relationship between arterial stiffness and HGS in hemodialysis patients is not well-established.
Purpose of the Study:
- To investigate the correlation between central arterial stiffness and HGS in patients undergoing chronic hemodialysis.
- To explore potential confounding factors influencing this relationship.
Main Methods:
- A cross-sectional study was conducted with 85 hemodialysis patients (18-60 years).
- Central arterial stiffness was measured using SphygmoCor® (central pulse wave velocity, cPWV).
- Handgrip strength (HGS) was assessed using a Jamar® dynamometer. Data were analyzed using bivariate and partial correlation.
Main Results:
- No statistically significant correlation was found between cPWV and HGS in men (r = -0.046, P = 0.763) or women (r = -0.285, P = 0.113).
- A moderate negative correlation between cPWV and HGS was observed in women over 150 cm tall (r = -0.466, P = 0.016), with cPWV explaining 21.7% of HGS variance.
- Low HGS was associated with increased cPWV across all age categories.
Conclusions:
- Central arterial stiffness is not generally associated with HGS in chronic hemodialysis patients.
- A specific subgroup of women may show a correlation, warranting further investigation.
- Confounding factors significantly influence the relationship between cPWV and HGS.
Abstract:
This study aimed to find the correlation between central arterial stiffness and handgrip strength (HGS). We conducted a cross-sectional study at the Dialysis Unit of Dr. Cipto Mangunkusumo General National Hospital, Jakarta, Indonesia, from April to May 2018. The recruited participants were aged between 18 and 60 years and underwent dialysis twice a week for over three months. Examination of central arterial stiffness and HGS was done by SphygmoCor® and Jamar® dynamometer, respectively. The obtained data were analyzed with bivariate correlation and partial correlation to confounding factors. The participants of this study comprised 45 men and 40 women. We found that there was a tendency to have increased central arterial stiffness in participants who had low HGS, although it was statistically insignificant. There was no correlation between central pulse wave velocity (cPWV) and HGS in men (r = -0.046, P = 0.763) and women (r = -0.285, P = 0.113). Stratified analysis in women with height over 150 cm showed a moderate negative correlation between cPWV and HGS (r = -0.466; r2 = 0.217; P = 0.016). cPWV accounted for 21.7% of HGS, whereas 78.3% suggested to be influenced by the confounding factors. The group with low HGS had an increased cPWV in all age categories. Central arterial stiffness was not associated with HGS in chronic HD patients.
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