{
  "abstract": "Objective To identify predictors of physical performance decline in patients receiving maintenance hemodialysis. Methods This prospective observational study included patients receiving maintenance hemodialysis. Participants underwent assessment of physical performance using the Short Physical Performance Battery (SPPB), the 60-second sit-to-stand (60s-STS) test, handgrip strength, bone mineral density (BMD) by dual-energy X-ray absorptiometry (DEXA), and clinical and laboratory variables. Participants were classified according to changes in SPPB score between baseline and follow-up. The minimal detectable change (MDC) of the SPPB was used as the criterion for defining physical performance decline. Statistical analysis included Student’s t-test, the Mann–Whitney test, and chi-square tests. Univariable logistic regression and multivariable penalized logistic regression with Firth correction were used to identify predictors of physical performance decline. Results Of the 103 participants, 18 (17.5%) experienced physical performance decline after a mean follow-up of 18.6 ± 10.1 months. Compared with those who maintained physical performance, participants with physical performance decline were older and had lower total and femoral bone mineral density and poorer performance on the 60s-STS test at baseline. In the multivariable penalized logistic regression analysis, lower femoral BMD (OR: 0.997; 95% CI: 0.991–0.999) and longer hemodialysis vintage (OR: 1.009; 95% CI: 1.001–1.039) were independently associated with physical performance decline. Conclusion This prospective study showed that lower femoral bone mineral density and longer hemodialysis vintage were independently associated with physical performance decline in patients receiving maintenance hemodialysis. These findings underscore the potential value of longitudinal physical performance assessment and may help identify patients at greater risk of functional decline.",
  "abstract_shown": true,
  "affiliations": [
    "Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGReab), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)",
    "Laboratório de Inflamação e Metabolismo (LIM), Universidade Federal dos Vales do Jequitinhonha e Mucuri – UFVJM",
    "Programa de Pós-Graduação em Ciências da Saúde (PPGCS), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)",
    "Departamento de Atenção à Saúde do Trabalhador, Universidade Federal de Minas Gerais (UFMG)",
    "Hospital das Clínicas, EBSERH, Universidade Federal de Minas Gerais (UFMG)",
    "MATIM, Université de Reims Champagne"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 19,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Elisângela Andrade Assis Madeira"
    },
    {
      "affs": [
        0
      ],
      "name": "Joyce Noelly Vitor Santos"
    },
    {
      "affs": [
        0
      ],
      "name": "Vitória Emanuelli Rodrigues Silva"
    },
    {
      "affs": [
        0
      ],
      "name": "Inara Caroline Marcelino Martins"
    },
    {
      "affs": [
        1
      ],
      "name": "Vanessa Gomes Brandão Rodrigues"
    },
    {
      "affs": [
        1
      ],
      "name": "Vanessa Kelly da Silva Lage"
    },
    {
      "affs": [
        1
      ],
      "name": "Ana Heloísa Santos Machado"
    },
    {
      "affs": [
        0
      ],
      "name": "Júlia Garcia de Castro Pereira"
    },
    {
      "affs": [
        2
      ],
      "name": "Frederico Lopes Alves"
    },
    {
      "affs": [
        0
      ],
      "name": "Maria Cecília Sales Mendes Prates"
    },
    {
      "affs": [
        0
      ],
      "name": "Emílio Henrique Barroso Maciel"
    },
    {
      "affs": [
        0
      ],
      "name": "Henrique Silveira Costa"
    },
    {
      "affs": [
        0
      ],
      "name": "Marcus Alessandro de Alcantara"
    },
    {
      "affs": [
        3
      ],
      "name": "Camila Danielle Cunha Neves"
    },
    {
      "affs": [
        4
      ],
      "name": "Regina Márcia Faria de Moura"
    },
    {
      "affs": [
        5
      ],
      "name": "Redha Taiar"
    },
    {
      "affs": [
        0
      ],
      "name": "Ana Cristina Rodrigues Lacerda"
    },
    {
      "affs": [
        0
      ],
      "name": "Pedro Henrique Scheidt Figueiredo"
    },
    {
      "affs": [
        0
      ],
      "name": "Vanessa Amaral Mendonça"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/63c7vabf6dzn6.bib",
  "cited_by": 0,
  "doi": "10.1186/s12882-026-05361-7",
  "fulltext_url": "https://doi.org/10.1186/s12882-026-05361-7",
  "id": "63c7vabf6dzn6",
  "issns": [
    "1471-2369"
  ],
  "landing_url": "https://doi.org/10.1186/s12882-026-05361-7",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC870-923"
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      "openalex",
      "2727|Dialysis and Renal Disease Management"
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  "pdf_url": "https://link.springer.com/content/pdf/10.1186/s12882-026-05361-7.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-25",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/63c7vabf6dzn6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:50Z",
      "native_id": "e4d21a0f4fc44e30bb8b0ef39a9537b3",
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  "subjects": [
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      "field": "medicine",
      "origin": "openalex:2727|Dialysis and Renal Disease Management",
      "subfield": "general"
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  "title": "Predictors of physical performance decline in patients receiving maintenance hemodialysis: a prospective observational study",
  "title_text": "Predictors of physical performance decline in patients receiving maintenance hemodialysis: a prospective observational study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:50Z",
  "url": "https://research.draconitic.com/paper/63c7vabf6dzn6",
  "venue": "BMC Nephrology",
  "versions": []
}