Effect of arteriovenous fistula and usage of arm with fistula on bone mineral density in hemodialysis patients
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Taylor and Francis Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We aimed to determine the incidence of osteoporosis in hemodialysis patients, to evaluate the differences due to arteriovenous fistula on bone mineral density (BMD) and to investigate whether usage of arm with fistula has an effect on BMD. In this cross-sectional study, 96 patients with chronic renal disease undergone to dialysis were included. Place of fistula (radial and brachial) and dominant hand were recorded. All patients were asked to complete Likerts scale in order to determine the frequency of their usage of arm with fistula. Patients were assigned in two groups: age >51 and < 50 years. Age-matched control group included 60 subjects. BMD measurements were done on lumbar vertebra, femur and both forearms. BMD measurement of proximal femur and total radius were significantly lower in patients >50 years compared to healthy controls and bone density measurement of lumbar vertebra, proximal femur, 1/3 distal and total radius were significantly lower in patients < 50 years compared to healthy controls (p < 0.05). BMD measurement was significantly lower in arms with fistula, especially with radial fistula, compared to both arms without fistula and healthy controls (p < 0.05). When all patients were evaluated, BMD scores were lowering by increasing age, duration of dialysis and fistula and decreasing usage of arm with fistula. BMD in hemodialysis patients is lower than normal population. BMD of arm with fistula is lower than arm without fistula and healthy controls. Both radial and brachial fistula affect negatively ipsilateral BMD. Movement of arm with fistula has positive effects on BMD. © 2016 Taylor & Francis.
Açıklama
Anahtar Kelimeler
Arteriovenous Fistula, Exercise, Hemodialysis, Measurement of Bone Density, Osteoporosis
Kaynak
Renal Failure
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
38
Sayı
4
Künye
Çağlıyan Türk, A., Şahin, F., Özkurt, S., Tomak, L., Güray, G. (2016). Effect of arteriovenous fistula and usage of arm with fistula on bone mineral density in hemodialysis patients. Renal Failure, 38(4), 648-653.
