ASSOCIATION BETWEEN AV FISTULAS AND HANDGRIP STRENGTH
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Keywords
Handgrip Strength, Arteriovenous Fistula, Chronic Kidney Disease, Hemodialysis
Abstract
Introduction: Arteriovenous fistula (AVF) placement is essential for hemodialysis in chronic kidney disease (CKD) patients but may impair handgrip strength (HGS), affecting physical function and quality of life.
Objective: To evaluate the association between AVF placement and HGS in CKD patients, comparing measurements before and three months post-procedure.
Materials and Method: This quasi-experimental study at Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan from December, 2023 to May, 2024 enrolled 90 CKD patients aged 20–60 years. HGS was measured using a manual dynamometer before and three months after AVF placement. Patients with upper extremity malformations or other exclusion criteria were excluded. Data were analyzed using SPSS, with paired t-tests (p ≤ 0.05).
Results: Mean HGS decreased significantly from 21.00 ± 7.35 kg to 19.22 ± 7.92 kg post-AVF (p < 0.001). Most AVFs were brachiocephalic (80%), with 64.44% male patients.
Conclusion: AVF placement significantly reduces HGS, necessitating exercise interventions to mitigate functional decline.
References
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Muhammad Mohsin Riaz
Assistant Professor of Nephrology, Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan.
Hafiz Faisal Munir Qamar
Registrar Nephrology, Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan.
Mubashir Dilawar
Registrar Nephrology, Fatima Memorial Hospital, Lahore, Pakistan.
Aqeel Ahmed
Senior Registrar Nephrology, Gujranwala Medical College Teaching Hospital, Gujranwala, Pakistan.
Nabiha Rizvi
Assistant Professor of Nephrology, Lahore Medical and Dental College Lahore, Pakistan.
Muhammad Asif
Senior Registrar Nephrology, DG Khan Medical College Dera Ghazi Khan, Pakistan
Hafiz Nauman Munir Saqib
Medical Officer of Nephrology, Evercare Hospital, Lahore, Pakistan.