Peripheral artery disease is associated with frailty in chronic hemodialysis patients

Michihiro Okuyama, Hidemi Takeuchi, Haruhito Adam Uchida, Yuki Kakio, Yuka Okuyama, Ryoko Umebayashi, Kentaro Wada, Hitoshi Sugiyama, Ken Sugimoto, Hiromi Rakugi, Shingo Kasahara, Jun Wada

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: The clinical condition of frailty is a common problem in the elderly population. However, the relationship between peripheral artery disease and frailty in hemodialysis patients remains unknown. The aim of this study was to identify the relationships between peripheral artery disease and frailty in Japanese chronic hemodialysis patients. Methods: A total of 362 chronic hemodialysis patients who regularly visited six institutions were enrolled. To evaluate frailty, the modified Fried’s frailty phenotype adjusted for Japanese were used. Peripheral artery disease was defined as ankle-brachial index <0.9. Results: Of 362 patients, 62 patients (17.1%) were categorized as peripheral artery disease group and 300 patients (82.9%) as Non-peripheral artery disease group. The prevalence of frailty in the peripheral artery disease group was significantly higher than in the Non-peripheral artery disease group (34% vs. 18%, P = 0.0103). Non-shunt side grip strength was significantly stronger in the Non-peripheral artery disease group (23.6 kg vs. 17.0 kg, P < 0.0001). Thigh circumferences were also significantly larger in the Non-peripheral artery disease group (41.7 cm vs. 39.7 cm, P = 0.0054). A multivariate logistic regression analysis demonstrated that the factors independently associated with peripheral artery disease were as follows: frailty (odds ratio = 2.06, 95% confidence interval 1.09–3.89) and myocardial infarction (odds ratio = 3.74, 95% confidence interval 2.05–6.83). Conclusions: It is concluded that peripheral artery disease is closely associated with frailty in hemodialysis patients.

Original languageEnglish
JournalVascular
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Peripheral Arterial Disease
Renal Dialysis
Arteries
Odds Ratio
Confidence Intervals
Ankle Brachial Index
Hand Strength
Thigh
Logistic Models
Myocardial Infarction
Regression Analysis
Phenotype
Population

Keywords

  • Frailty
  • hemodialysis
  • peripheral artery disease

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Peripheral artery disease is associated with frailty in chronic hemodialysis patients. / Okuyama, Michihiro; Takeuchi, Hidemi; Uchida, Haruhito Adam; Kakio, Yuki; Okuyama, Yuka; Umebayashi, Ryoko; Wada, Kentaro; Sugiyama, Hitoshi; Sugimoto, Ken; Rakugi, Hiromi; Kasahara, Shingo; Wada, Jun.

In: Vascular, 01.01.2018.

Research output: Contribution to journalArticle

Okuyama, Michihiro ; Takeuchi, Hidemi ; Uchida, Haruhito Adam ; Kakio, Yuki ; Okuyama, Yuka ; Umebayashi, Ryoko ; Wada, Kentaro ; Sugiyama, Hitoshi ; Sugimoto, Ken ; Rakugi, Hiromi ; Kasahara, Shingo ; Wada, Jun. / Peripheral artery disease is associated with frailty in chronic hemodialysis patients. In: Vascular. 2018.
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abstract = "Objectives: The clinical condition of frailty is a common problem in the elderly population. However, the relationship between peripheral artery disease and frailty in hemodialysis patients remains unknown. The aim of this study was to identify the relationships between peripheral artery disease and frailty in Japanese chronic hemodialysis patients. Methods: A total of 362 chronic hemodialysis patients who regularly visited six institutions were enrolled. To evaluate frailty, the modified Fried’s frailty phenotype adjusted for Japanese were used. Peripheral artery disease was defined as ankle-brachial index <0.9. Results: Of 362 patients, 62 patients (17.1{\%}) were categorized as peripheral artery disease group and 300 patients (82.9{\%}) as Non-peripheral artery disease group. The prevalence of frailty in the peripheral artery disease group was significantly higher than in the Non-peripheral artery disease group (34{\%} vs. 18{\%}, P = 0.0103). Non-shunt side grip strength was significantly stronger in the Non-peripheral artery disease group (23.6 kg vs. 17.0 kg, P < 0.0001). Thigh circumferences were also significantly larger in the Non-peripheral artery disease group (41.7 cm vs. 39.7 cm, P = 0.0054). A multivariate logistic regression analysis demonstrated that the factors independently associated with peripheral artery disease were as follows: frailty (odds ratio = 2.06, 95{\%} confidence interval 1.09–3.89) and myocardial infarction (odds ratio = 3.74, 95{\%} confidence interval 2.05–6.83). Conclusions: It is concluded that peripheral artery disease is closely associated with frailty in hemodialysis patients.",
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AU - Takeuchi, Hidemi

AU - Uchida, Haruhito Adam

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AU - Okuyama, Yuka

AU - Umebayashi, Ryoko

AU - Wada, Kentaro

AU - Sugiyama, Hitoshi

AU - Sugimoto, Ken

AU - Rakugi, Hiromi

AU - Kasahara, Shingo

AU - Wada, Jun

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AB - Objectives: The clinical condition of frailty is a common problem in the elderly population. However, the relationship between peripheral artery disease and frailty in hemodialysis patients remains unknown. The aim of this study was to identify the relationships between peripheral artery disease and frailty in Japanese chronic hemodialysis patients. Methods: A total of 362 chronic hemodialysis patients who regularly visited six institutions were enrolled. To evaluate frailty, the modified Fried’s frailty phenotype adjusted for Japanese were used. Peripheral artery disease was defined as ankle-brachial index <0.9. Results: Of 362 patients, 62 patients (17.1%) were categorized as peripheral artery disease group and 300 patients (82.9%) as Non-peripheral artery disease group. The prevalence of frailty in the peripheral artery disease group was significantly higher than in the Non-peripheral artery disease group (34% vs. 18%, P = 0.0103). Non-shunt side grip strength was significantly stronger in the Non-peripheral artery disease group (23.6 kg vs. 17.0 kg, P < 0.0001). Thigh circumferences were also significantly larger in the Non-peripheral artery disease group (41.7 cm vs. 39.7 cm, P = 0.0054). A multivariate logistic regression analysis demonstrated that the factors independently associated with peripheral artery disease were as follows: frailty (odds ratio = 2.06, 95% confidence interval 1.09–3.89) and myocardial infarction (odds ratio = 3.74, 95% confidence interval 2.05–6.83). Conclusions: It is concluded that peripheral artery disease is closely associated with frailty in hemodialysis patients.

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