Pulmonary function, muscle strength, and quality of life have differed between chronic kidney disease patients and healthy individuals

Abstract

Chronic kidney disease (CKD) patients have lower pulmonary function, respiratory and peripheral muscle strength values when compared to the general population, which reflects negatively in the quality of life (QoL). The aim of this study was to compare the pulmonary function, respiratory and peripheral muscle strength, and QoL between CKD patients and healthy individuals. Cross-sectional study with a consecutive sample of 39 individuals separated into three groups: nondialysis-dependent CKD in stage 5 (CKD-5), HD group (CKD-HD), and healthy individuals. The tests performed were spirometry, manovacuometry, handgrip strength (HGS), and Medical Outcomes Short-Form Health Survey (SF-36). A significant difference between groups was observed in forced expiratory volume in 1second (FEV1 ) and its predicted value (p=0.004 and p < 0.001, respectively), forced vital capacity (FVC), and its predicted value (p=0.008 and p < 0.001, respectively), peak expiratory flow (PEF) and its predicted value (p=0.004 and p < 0.001, respectively), maximal inspiratory pressure (MIP) and its predicted value (p=0.022), maximal expiratory pressure (MEP) and its predicted value (p=0.030 and p=0.009, respectively) in which CKD-5 presented the worst values, followed by CKD-HD and healthy group. The CKD-5 had worse pulmonary function, respiratory muscle strength, and QoL. Moreover, CKD-HD also showed some impairment in pulmonary function and QoL when compared with healthy individuals. Even with the peripheral muscle strength preserved, its decrease is proportional to the pulmonary impairment in the evaluated CKD patients.