Biopsychosocial Factors Associated with Activities of Daily Living Limitations in Chronic Kidney Disease Patients

Insights from the Brazilian Population

Bibliographic Data

ID15512774
AuthorsHellen de Carvalho Lima (0000-0002-4708-1499, Universidade Federal do Vale do São Francisco), Joubert Vitor de Souto Barbosa (0000-0003-4762-0672, Universidade Federal do Rio Grande do Norte), Adson Aragão de Araújo Santos (0000-0003-2967-9486, Universidade Federal do Vale do São Francisco), Rafael Limeira Cavalcanti (0000-0001-6623-8132, Universidade Federal do Rio Grande do Norte), Adirlene Pontes de Oliveira Tenório (0000-0002-8829-8141, Universidade Federal do Vale do São Francisco), Matheus Rodrigues Lopes (0000-0002-3719-4131, Universidade Federal do Vale do São Francisco), Thais Sousa Rodrigues Guedes (0000-0002-4092-4115, Universidade Federal do Rio Grande do Norte), Achilles de Souza Andrade (0000-0001-7104-2003, Universidade Federal da Paraíba), Gerônimo José Bouzas Sanchis (0000-0002-7320-5520, Universidade Federal do Rio Grande do Norte), Rodrigo Pegado (0000-0002-7227-1075, Universidade Federal do Rio Grande do Norte), Johnnatas Mikael Lopes (0000-0002-9679-5287, Universidade Federal do Vale do São Francisco), Marcello Barbosa Otoni Gonçalves Guedes (0000-0001-6166-1273, Universidade Federal do Rio Grande do Norte, corresponding author)
Year2024
Volume21
Issue12
Pages1680-1680
Publication date2024-12-17
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph21121680
PMID39767519
OpenAlexW4405500330
LanguageEN
References cited7

Chronic kidney disease (CKD) can impair activities of daily living (ADL), reducing quality of life. The influence of biopsychosocial factors on ADL limitations among CKD patients remains unclear. This study aims to investigate associations between these factors and ADL limitations among CKD patients in the Brazilian population. We analyzed data from 839 individuals diagnosed with CKD obtained from the National Health Survey. The outcome was the presence or absence of limitations in ADL caused by CKD. Biopsychosocial factors included clinical and health status, self-perceived behavior, contextual social support, lifestyle, and household characteristics. Cox regression was employed to adjust interactions between these factors, with the prevalence ratio used as a measure of effect (α ≤ 5%). From the analyzed sample, 373 CKD patients (40.7%; 95% CI: 35.4-46.1%) reported experiencing limitations in ADL. These limitations were associated with individual and contextual factors, including lack of private health insurance, residing in a rural area, poorer self-perceived health, presence of depressive symptoms, physical/mental disabilities, use of medications, and undergoing hemodialysis. Limitations in ADL among individuals with CKD are associated with biopsychosocial factors in the Brazilian population, emphasizing the necessity for public policies that support enhanced therapeutic management and address behavioral health

Activities of daily living · Biopsychosocial model · Environmental health · Kidney disease · Physical therapy · Population · Psychiatry · Public health · Quality of life (healthcare · Social support · Chronic Kidney Disease and Diabetes · Clinical Psychology · Dialysis and Renal Disease Management · Healthcare Systems and Reforms · Medicine · Nursing · Psychology · Gerontology · Internal Medicine

Tools

Open DOIOpen Access