Biopsychosocial Factors Associated with Activities of Daily Living Limitations in Chronic Kidney Disease Patients: Insights from the Brazilian Population

Hellen de Carvalho Lima, Joubert Vitor de Souto Barbosa, Adson Aragão de Araújo Santos, Rafael Limeira Cavalcanti, Adirlene Pontes de Oliveira Tenório, Matheus Rodrigues Lopes, Thais Sousa Rodrigues Guedes, Achilles de Souza Andrade, Geronimo José Bouzas Sanchis, Rodrigo Pegado, Johnnatas Mikael Lopes and Marcello Barbosa Otoni Gonçalves Guedes ()
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Hellen de Carvalho Lima: Department of Medicine, Federal University of Vale do São Francisco, Paulo Afonso 56304-917, BA, Brazil
Joubert Vitor de Souto Barbosa: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil
Adson Aragão de Araújo Santos: Department of Medicine, Federal University of Vale do São Francisco, Paulo Afonso 56304-917, BA, Brazil
Rafael Limeira Cavalcanti: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil
Adirlene Pontes de Oliveira Tenório: Department of Medicine, Federal University of Vale do São Francisco, Paulo Afonso 56304-917, BA, Brazil
Matheus Rodrigues Lopes: Department of Medicine, Federal University of Vale do São Francisco, Paulo Afonso 56304-917, BA, Brazil
Thais Sousa Rodrigues Guedes: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil
Achilles de Souza Andrade: Department of Internal Medicine, Federal University of Paraíba, João Pessoa 58051-900, PB, Brazil
Geronimo José Bouzas Sanchis: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil
Rodrigo Pegado: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil
Johnnatas Mikael Lopes: Department of Medicine, Federal University of Vale do São Francisco, Paulo Afonso 56304-917, BA, Brazil
Marcello Barbosa Otoni Gonçalves Guedes: Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil

IJERPH, 2024, vol. 21, issue 12, 1-12

Abstract: 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.

Keywords: chronic kidney disease; quality of life; public policy; chronic limitation of activity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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