Conclusions : Compared to age-matched population s , people with ESKD/HD had significantly slower GS and reduced walk distances ; with intervention , the change in the distance walked was significant .
Background : People with end-stage kidney disease ( ESKD ) on hemodialysis ( HD )  commonly have functional impairments .
The purpose of this systematic review was to evaluate the effect of HD on spatio-temporal characteristics of gait , and effect of exercise on these parameters .
Gait speed and hospitalization among ambulatory hemodialysis patients: USRDS special study data.
AIM To assess the association of measured gait speed with hemodialysis ( HD ) patients ' hospitalization , in conjunction with , and apart from , recent fall history . METHODS  Gait speed was measured by a st and ard protocol and  falls during the past 12 mo were ascertained for a prevalent multi-center HD cohort ( n = 668 ) aged 20 - 92 . Hospitalization during the past 12 mo was identified in the patient 's clinic records , and the first hospitalization after gait speed assessment ( or the competing event of death ) was identified in the 2013 United States Renal Data System St and ard Analysis Files . RESULTS Slow gait speed , defined as < 0.8 m/s , characterized 34.7 % of the patients , and 27.1 % had experienced a recent fall . Patients with slow gait speed but without a history of recent falls were 1.79 times more likely to have been hospitalized during the past 12 mo ( OR = 1.79 , 95%CI : 1.11 - 2.88 , P = 0.02 ) , and patients with slow gait speed and a history of recent falls were over two times more likely to have been hospitalized ( OR = 2.10 , 95%CI : 1.19 - 3.73 , P = 0.01 ) , compared with patients having faster gait speed and no recent fall history . Prospect i ve examination of gait speed/fall history status in relation to first hospitalization ( or death ) incurred by the end of follow-up December 31 , 2011 also showed that slow gait speed was associated with these events in conjunction with a history of falls ( HR = 1.54 , 95%CI : 1.04 - 2.30 , P = 0.03 ) . CONCLUSION The International Task Force on Nutrition and Aging reported that gait speed is a powerful predictor for older adults of adverse outcomes such as hospitalization . In our data , gait speed -- apart from , as well as in conjunction with , recent fall history -- was associated with HD patients ' hospitalization for multiple causes . Gait speed may be a sensitive health indicator among HD patients across the age spectrum
Conclusions : Compared to age-matched population s , people with ESKD/HD had significantly slower GS and reduced walk distances ; with intervention , the change in the distance walked was significant .
Background : People with end-stage kidney disease ( ESKD ) on hemodialysis ( HD )  commonly have functional impairments .
The purpose of this systematic review was to evaluate the effect of HD on spatio-temporal characteristics of gait , and effect of exercise on these parameters .