Abstract
OBJECTIVE:
We aimed at evaluating the association between appetite and symptoms of depression and anxiety, cognitive dysfunction, fatigue, and comorbidities in patients on hemodialysis (HD).
DESIGN:
A cross-sectional study was conducted.
SETTING:
The study was conducted in an outpatient HD service of a tertiary level academic hospital.
PATIENTS:
A total of 90 patients on HD were evaluated for appetite (during the past week, how would you rate your appetite?), symptoms of depression (Beck Depression Inventory [BDI]) and anxiety (Hamilton Anxiety Rating Scale [HARS]), cognitive dysfunction (Mini Mental State Examination [MMSE]), and comorbidities (Charlson Comorbidity Index).
MAIN OUTCOME MEASURE:
Relationship between appetite and symptoms of depression and/or anxiety, cognitive dysfunction, and comorbidities was assessed.
RESULTS:
In 43 patients, the appetite was very good/good (group 1), in 22, it was fair (group 2), and in 25, it was poor/very poor (group 3). Mean and median BDI were significantly higher in group 3 as well as the percentage of patients with BDI ≥16. Mean and median HARS and the percentage of patients with HARS >13 were significantly higher in group 3. MMSE was significantly lower in group 3 as well as the percentage of patients with MMSE ≤23. Multiple linear regression analysis showed a dependence of appetite by age and BDI (P = .007 and P = .002, respectively).
CONCLUSIONS:
Anorexia is associated with older age and symptoms of depression in patients on HD.
Lingua originale | English |
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pagine (da-a) | 27-33 |
Numero di pagine | 7 |
Rivista | Journal of Renal Nutrition |
Volume | 22 |
DOI | |
Stato di pubblicazione | Pubblicato - 2012 |
Keywords
- Anorexia
- Anxiety
- Appetite
- Cognitive Dysfunction
- Depression