@article{ref1,
title="Dysfunction in dynamic, but not static balance is associated with risk of accidental falls in hemodialysis patients: a prospective cohort study",
journal="BMC nephrology",
year="2022",
author="Shirai, Nobuyuki and Yamamoto, Suguru and Osawa, Yutaka and Tsubaki, Atsuhiro and Morishita, Shinichiro and Narita, Ichiei",
volume="23",
number="1",
pages="e237-e237",
abstract="BACKGROUND: Patients with chronic kidney disease undergoing hemodialysis (HD) have a high incidence of falls. Impairment of balance function is a risk factor for falls in the general elderly, and no report examining the association between balance dysfunction and fall incidence in HD patients exists. <br><br>METHODS: This prospective cohort study was conducted at a single center. The timed-up-and-go test (TUG) as a dynamic balance function was performed and length of the center of pressure (CoP) as a static balance function was measured before and after the HD session at baseline. Data of the number and detailed information of accidental falls for 1 year were collected. Multiple regression analyses were performed to assess the relationships between the number of falls and balance function. <br><br>RESULTS: Forty-three patients undergoing HD were enrolled in the study. During 1 year of observation, 24 (55.8%) patients experienced accidental falls. TUG time was longer, and CoP was shorter in the post-HD session than in the pre-HD session. Adjusted multiple regression analyses showed that the number of accidental falls was independently associated with TUG time in the pre-HD session (B 0.267, p < 0.001, R(2) 0.413) and that in the post-HD session (B 0.257, p < 0.001, R(2) 0.530), but not with CoP. <br><br>CONCLUSIONS: Dynamic balance was associated with fall incidence in maintenance HD patients. The evaluation and intervention of dynamic balance function might reduce the risk of falls in HD patients. TRIAL REGISTRATION: This study was carried out with the approval of the Niigata Rinko Hospital Ethics Committee (approval number 2005-92) (Registered on December 11, 2019) and registered in The University Hospital Medical Information Network (registration number 000040618 ).<p /> <p>Language: en</p>",
language="en",
issn="1471-2369",
doi="10.1186/s12882-022-02877-6",
url="http://dx.doi.org/10.1186/s12882-022-02877-6"
}