Relation between forearm vascular morphofunctionality of handgrip strength in patients with stage 4 and 5 chronic kidney disease: A cross-sectional study
International Journal of Development Research
Relation between forearm vascular morphofunctionality of handgrip strength in patients with stage 4 and 5 chronic kidney disease: A cross-sectional study
Received 17th June, 2022; Received in revised form 23rd June, 2022; Accepted 08th July, 2022; Published online 22th August, 2022
Copyright © 2022, Tatyane Gomes de Oliveira. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: To evaluate the relation between handgrip strength and vascular characteristics of patients with stage IV and V chronic kidney disease (CKD) under conservative or dialysis treatment. Method: A cross-sectional study with 41 CKD patients in stages IV and V under conservative or dialysis treatment were recruited. Radial artery and cephalic vein diameters, mean radial flow velocity, arterial systolic peak and venous distensibility (ultrasonography), handgrip strength (dynamometry) and non-dominant upper limb forearm circumference (perimetry) were evaluated. Results: A relation between handgrip strength and radial artery diameter was observed at 10cm (R2= 23.4%; β= 10.80; CI95%= 1.38-20.21; p= 0.02) and at 20cm (R2= 21.3%; β=7.44; CI95%= 0.16- 14.72; p= 0.04), and with the distensibility at 20cm (R2= 25.9%; β= 6.24; CI95%= 1.39-11.09; p= 0.01). Conclusion: There was a relation between handgrip strength and vascular diameters and venous distensibility in the proximal forearm segments.