Hsieh R.-L.Huang H.-Y.Chen S.-C.Lin W.-H.Wu C.-W.Chang C.-H.WEN-CHUNG LEE2020-11-192020-11-1920101121-8428https://www.scopus.com/inward/record.uri?eid=2-s2.0-77249141059&partnerID=40&md5=269df2605ef600a058c8e6941a7d9e0dhttps://scholars.lib.ntu.edu.tw/handle/123456789/521764Purpose: To study the long-term changes in physical functional performance and quality of life in hemodialysis patients living in the community in Taiwan. Methods: This prospective study monitored 27 ambulatory hemodialysis patients for 16 months living in the community in Taiwan. Physical capacity (6-minute walk test, grip strength, pinch strength and chair-rising time), maximal cardiovascular fitness test, functional performance (Functional Independence Measure) and quality of life (WHOQOL-BREF) were evaluated. Results: There were 17 men and 7 women, with a mean age of 61.3 (± 9.0) years. The results showed significantly decreased pinch strength (right hand: from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg to 4.7 kg, p=0.017) and decreased quality of life (from 89.5 to 85.3 for WHOQOL-BREF total score, p=0.026), especially in the domain of physical health and subcategories of concentrating ability, satisfaction with working ability and sex life, and "eating foods whenever wanted," over the 16-month period. Maximal cardiovascular fitness and functional performance remained stationary during the 16-month period. Conclusion: Significantly declined pinch strength and quality of life, with maintained maximal cardiovascular fitness and functional performance, were noted in ambulatory hemodialysis patients over the 16-month period of follow-up. An intensive pinch strengthening program and overall improvement in quality of life for these patients is needed. ? 2010 Societ? Italiana di Nefrologia.EnglishCardiovascular fitness; Functional performance; Hemodialysis; Physical capacity; Quality of life[SDGs]SDG3adult; ambulatory care; article; clinical article; controlled study; female; fitness; food intake; Functional Independence Measure; functional status; grip strength; hemodialysis; hemodialysis patient; human; job satisfaction; male; physical capacity; pinch strength; prospective study; quality of life; sexual satisfaction; Taiwan; therapy effect; walking; Activities of Daily Living; Aged; Attention; Eating; Female; Follow-Up Studies; Hand Strength; Humans; Kidney Failure, Chronic; Longitudinal Studies; Male; Middle Aged; Physical Fitness; Prospective Studies; Quality of Life; Renal Dialysis; Sexuality; Taiwan; Walkingjournal article200914852-s2.0-77249141059