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Medicina clínica y social

On-line version ISSN 2521-2281


ROMAN, Natalia Magalí Zuarez; ORTIZ, Carlos Darío Yegros; ALFONSO, Miguel Angel Montiel  and  COMPTE, Juan Ignacio Barboza. Laparoscopic splenectomy in adult patients with hematological diseases in the general surgery department of Hospital Nacional de Itauguá. Med. clín. soc. [online]. 2022, vol.6, n.3, pp.109-114. ISSN 2521-2281.


muscle strength may decrease in patients with chronic kidney failure due to various causes.


to determine the anthropometric and clinical variables and muscle strength in adult patients with chronic kidney failure.


an observational, descriptive, cross-sectional design was applied. Men and women, older than 17 years, with chronic kidney failure who attended the National Hospital (Itauguá) and Military Hospital (Asunción), Paraguay, between April and November 2021 were included. Anthropometric, clinical and laboratory variables were determined. Muscle strength was measured with a hand dynamometer. A group of healthy young subjects was used for the comparison of muscle strength. Descriptive statistics were applied with the statistical program Epi Info 7 ™. The research was approved by the Ethics Committee of the Universidad Privada del Este, Paraguay.


119 subjects entered the study, being 62 (52%) males with a mean age 56 ± 15 years and 57 (48%) females, with a mean age 51 ± 16 years. The mean creatinine clearance was 16.4 ± 17.9 mL / min. The most common etiology was the association of arterial hypertension and diabetes mellitus (45%). The healthy group included 99 women with a mean age 25 ± 5 years and 51 men with a mean age 26 ± 5 years. When comparing strength between patients and healthy subjects, 66.4% decreased muscle strength was found among patients with chronic renal failure.


muscle strength is decreased in 66.4% of chronic kidney failure patients. Early detection and early treatment of muscle strength deficit is recommended in this group of patients.

Keywords : chronic renal failure; muscle strength; muscle strength dynamometer; anthropometry.

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