Evidence map›Paper›PMID 31146702›Full record

Observational studyBMC nephrology2019

Association of gait speed and grip strength with risk of cardiovascular events in patients on haemodialysis: a prospective study.

Atsumi Kuki, Kentaro Tanaka, Akifumi Kushiyama, Yoshihide Tanaka, Shuta Motonishi, Yasuji Sugano, Toru Furuya, Takashi Ozawa

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624358 (Physical Activity in Adolescents With Chronic Kidney Disease), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06624358 narecruitingnot on this mapstarted 2025, after this paper: background citation

Physical Activity in Adolescents With Chronic Kidney Disease

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2025 to 2028Enrolled100ConditionsChronic Kidney DiseasesArmsIncrease Physical Activity
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
  4. Observational
  5. Assessment of Frailty Among Older Adults in the Physical Activity Daily Trial.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Observational
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Mobility Impairment in Patients New to Dialysis.American journal of nephrology · 2020
    Observational
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Atsumi KukiKitahachiouji Clinic, 2960-5 Ishikawa-cho, Hochiuji-shi, Tokyo, 1920032, Japan.
Kentaro TanakaHigashikurume Ekimae Clinic, 1-3-6 Honmachi, Higashikuruume-shi, Tokyo, 2030053, Japan.
Akifumi KushiyamaDepartment of Pharmacotherapy, Meiji Pharmaceutical University, 2-522-1 Noshio, Kiyose, Tokyo, 204-8588, Japan. kusiyaa-tky@umin.ac.jp.ORCID 0000-0003-1385-7487
Yoshihide TanakaKumegawa tousekinaika Clinic, 3-6-3 Onda-cho, Musashimurayama-shi, Tokyo, 189-0011, Japan.
Shuta MotonishiHigashiyamato Nangai Clinic, 4-2-8 Nangai, Higashiyamato-shi, Tokyo, 2070014, Japan.
Yasuji SuganoKitahachiouji Clinic, 2960-5 Ishikawa-cho, Hochiuji-shi, Tokyo, 1920032, Japan.
Toru FuruyaHigashikurume Clinic, 2-2-22 Shinkawa-cho, Higashikurume-shi, Tokyo, 2030013, Japan.
Takashi OzawaKodaira Kitaguchi Clinic, 2-2-11 Onuma-cho, Kodaira-shi, Tokyo, 1870001, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait speed (GS) and handgrip strength (HGS), both factors associated with frailty and sarcopenia, are reportedly associated with CV events in the general population. However, little is known about the impact of these factors on the outcome of patients on dialysis. This study aimed to evaluate whether evaluation of GS and HGS could be associated the onset of fatal/non-fatal cardiovascular (CV) events in patients on haemodialysis (HD).

methodsOne-hundred-eighty-two patients with end-stage renal disease (ESRD) undergoing HD at four dialysis clinics in April 2015 provided written informed consent to participate in the study. We excluded patients who had physical disability, were unable to walk without help, or had recently experienced CV events. Usual GS over a 4-m walk and HGS were measured at baseline, and 173 patients (men, 124; women, 49) were divided into sex-specific quartiles according to GS and HGS and were followed-up for fatal/non-fatal CV events for a median of 2 years. We examined the association of GS and HGS with CV events and determined cut-off values using Cox regression analysis adjusted for age, sex, HD duration, history of CVD, and diabetes.

resultsDuring the follow-up period, 46 CV events occurred. Both physical performance factors were significantly associated with CV events. Low GS (< 0.82 m/s for men and 0.81 m/s for women) and weak HGS (< 29.0 kg for men and 19.7 kg for women) were associated with CV events. For low vs. high GS, the hazard ratio (HR) for CV events was 2.29 [95% confidence interval (CI): 1.20-4.33; P = 0.01], and for low vs. high HGS, the HR was 2.15 [95% CI: 1.00-5.04; P < 0.05]. These HRs remained significant after adjusting for confounding factors, such as sex, age, dialysis vintage, history of CV disease, and diabetes.

conclusionsSlow GS and weak HGS in patients on HD were suggested to be independent predictors of fatal/non-fatal CV events.

Indexed as

AdultAgedAged, 80 and overCardiovascular DiseasesCohort StudiesFemaleFollow-Up StudiesHand StrengthHumansKidney Failure, ChronicMaleMiddle AgedProspective StudiesRenal DialysisRisk FactorsWalking SpeedCardiovascular eventsChronic haemodialysisPhysical activityPrognosis

Identifiers

PMID31146702
PMCPMC6543665

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.