The Effect of Muscle Cramps During Hemodialysis on Quality of Life and Habitual Physical Activity
2024

Muscle Cramps and Quality of Life in Hemodialysis Patients

Sample size: 67 publication 10 minutes Evidence: moderate

Author Information

Author(s): G. Kot, A. Wróbel, K. Kuna, A. Makówka, M. Nowicki, F. Dumler, R. Castelino

Primary Institution: Medical University of Lodz

Hypothesis

This study evaluated the association between quality of life, self-assessed physical activity, and the presence and severity of muscle spasms in chronic hemodialysis patients.

Conclusion

Muscle spasms are associated with lower quality of life among hemodialysis patients, influenced by factors such as body mass index, dialysis vintage, physical functioning, and sitting time.

Supporting Evidence

  • Patients with muscle spasms had a higher body mass index (BMI) compared to those without.
  • Longer sitting times were significantly associated with the occurrence of muscle spasms.
  • Multivariate analysis identified BMI and sitting time as significant predictors of muscle spasms.

Takeaway

Patients on dialysis who have muscle cramps feel worse and are less active. Being heavier and sitting a lot makes cramps more likely.

Methodology

This was a prospective, single-center study where 67 chronic hemodialysis patients completed surveys about muscle spasms and physical activity.

Potential Biases

Potential bias due to reliance on self-reported questionnaires and the exclusion of patients with certain comorbidities.

Limitations

The study had a small sample size and relied on subjective self-reported measures.

Participant Demographics

Participants were aged 27-69 years, with a nearly equal gender distribution (35 females, 32 males).

Statistical Information

P-Value

p = 0.005 for BMI, p = 0.034 for muscle spasms predictors.

Confidence Interval

95% CI for BMI: 1.016–1.260, for dialysis vintage: 0.999–1.000.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/medicina60122075

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