Research Article
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Year 2021, Volume: 5 Issue: 5, 429 - 432, 01.05.2021

Çiğdem Cindoğlu Burcu Beyazgül

https://doi.org/10.28982/josam.802547

Abstract

References

  • 1. Ene-Iordache B, Perico N, Bikbov B, Carminati S, Remuzzi A, Perna A, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): A cross-sectional study. Lancet Glob Heal. 2016;4(5):307-19. doi: 10.1016 / S2214-109X (16) 00071-1
  • 2. Dai L, Mukai H, Lindholm B, Heimbürger O, Barany P, Stenvinkel P. Clinical global assessment of nutritional status as predictor of mortality in chronic kidney disease patients. PLoS One. 2017;12(12):e0186659. doi: 10.1371/journal.pone.0186659
  • 3. Caimi G, Carollo C, Lo Presti R. Pathophysiological and clinical aspects of malnutrition in chronic renal failure. Nutr Res Rev. 2005;18(1):89-97. doi: 10.1079/NRR200599
  • 4. Hakim RM, Levin N. Malnutrition in haemodialysis patients. Am J Kidney Dis. 1993;21(2):125-37. doi: 10.1016/s0272-6386(12)81083-3
  • 5. Allison SP. Malnutrition, disease and outcome. Nutrition. 2000;16(7-8):590-3. doi: 10.1016/s0899-9007(00)00368-3
  • 6. Cederholm T, Jensen GL, Correia MITD, Gonzalez MC , Fukushima R, Higashiguchi T, et al. GLIM criteria for the diagnosis of malnutrition-a consensus report from the global clinical nutrition community. Clin Nutr. 2019;38:1-9. doi: 10.1016/j.clnu.2018.08.002
  • 7. Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: an analysis of the evidence. J Parenter Enteral Nutr. 2012;36:292-8. doi: 10.1177/0148607111414023
  • 8. Van Bokhorst-de van der Schueren MA, Guaitoli PR, Jansma EP, de Vet HC. Nutrition screening tools: does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr. 2014;33:39-58. doi: 10.1016/j.clnu.2013.04.008
  • 9. Rogowski Ł, Kusztal M, Gołębiowski T, Bulińska K, Zembroń-Łacny A, Wyka J, et al. Nutritional assessment of patients with end-stage renal disease using the MNA scale. Adv Clin Exp Med. 2018 Aug;27(8):1117-23. doi: 10.17219/acem/75604
  • 10. Green SM, Watson R. Nutritional screening and assessment tools for older adults: Literature review. J Adv Nurs. 2006;54(4):477–90. doi: 10.1111/j.1365-2648.2006.03841.x
  • 11. Hmwe N, Pathmawathi S, Tan L, Chong W. The effects of acupressure on depression anxiety and stress in patients with hemodialysis: a randomized control trial. Int J Nurs Stud. 2014;52:509–18. doi: 10.1016/j.ijnurstu.2014.11.002
  • 12. Santos P. Depression and quality of life of hemodialysis patients living in a poor region of Brazil. Rev Bras Psiquiatr. 2011;33:332–7. doi: 10.1590/S1516-44462011000400005
  • 13. Fan L, Sarnak M, Tighiouart H, Drew DA, Kantor AL, Lou KV, et al. Depression and all-cause mortality in hemodialysis patients. Am J Nephrol. 2014;40(1):12–8. doi: 10.1159/000363539
  • 14. Gerogianni S, Babatsikou F, Gerogianni G, Grapsa E, Vasilopoulos G, Zyga S, et al. Concerns of patients on dialysis: a research study. Health Sci J . 2014;8(4):423–37.
  • 15. Feroze U, Martin D, Reina-Patton A, Kalantar-Zadeh K, Kopple J. Mental health depression and anxiety in patients on maintenance dialysis. Iranian J Kidney Dis. 2010;4(3):173–80. PMID: 20622304
  • 16. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition: The Mini Nutritional Assessment. Clin Geriatr Med. 2002;18(4):737-57. doi: 10.1016/s0749-0690(02)00059-9
  • 17. Sarikaya D. Validity study of long and short (MNA-SF) form of Mini Nutritional Assessment (MNA) test in geriatric patients [Unpublished expertise thesis]. Ankara: Hacettepe University; 2013.
  • 18. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. ACTA psychiatr scand. 1983:67:361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x
  • 19. Aydemir Ö, Güvenir T, Küey L, Kültür S. Validity and Reliability Study of Hospital Anxiety and Depression Scale Turkish Form. Turkish journal of psychiatry. 1997;8(4):280-7.
  • 20. Wang LJ, Wu MS, Hsu HJ, Wu IW, Sun CY, Chou CC, et al. The relationship between psychological factors, inflammation, and nutrition in patients with chronic renal failure undergoing hemodialysis. Int J Psychiatry Med. 2012;44(2):105-18. doi: 10.2190/PM.44.2.b.
  • 21. Tsai AC, Chang TL, Chang MZ. An alternative short‐form Mini‐Nutritional Assessment for rating the risk of malnutrition in persons on haemodialysis. J Clin Nurs. 2013 Oct;22(19-20):2830-7. doi: 10.1111/jocn.12037
  • 22. Els Holvoet, Karsten Vanden Wyngaert, Amaryllis H. Van Craenenbroeck, Wim Van Biesen, Sunny Eloot. The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis. PLoS One. 2020;15(3):e0229722. doi: 10.1371/journal.pone.0229722
  • 23. Piccoli GB, Moio MR, Fois A, Sofronie A, Gendrot L, Cabiddu G, et al. The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach. Nutrients. 2017;9(4). Doi: 10.3390/nu9040372
  • 24. Ünal HÜ, Korkmaz M, Selçuk H. Pathogenesis and evaluation of malnutrition in chronic kidney patients. Current Journal of Gastroent. 2010;14(2):103-11.
  • 25. Bossola M, La Torre G, Giungi S, Tazza L, Vulpio C, Luciani G, et al. Serum albumin, body weight and inflammatory parameters in chronic hemodialysis patients: a three-year longitudinal study. Am J Nephrol. 2008;28(3):405–12. doi: 10.1159/000112597
  • 26. Friedman AN, Fadem SZ. Reassessment of albumin as a nutritional marker in kidney disease. J Am Soc Nephrol. 2010;21(2):223–30. doi: doi: 10.1681/ASN.2009020213
  • 27. Abdulan IM, Onofriescu M, Stefaniu R, Mastaleru A, Veronica M, Alexa ID, et al. The predictive value of malnutrition for functional and cognitive status in elderly hemodialysis patients. Int Urol Nephrol. 2019 Jan;51(1):155-62. doi: 10.1007/s11255-018-2000-0
  • 28. Ping-Hsun Wu, Ming-Yen Lin, Teng-Hui Huang, Yi-Ting Lin, Chi-Chih Hung, Yi-Chun Yeh, et al. Depression amongst patients commencing maintenance dialysis is associated with increased risk of death and severe infections: A nationwide cohort study. PLoS One. 2019;14(6):e0218335. doi: 10.1371/journal.pone.0218335
  • 29. Bilgic A, Akgul A, Sezer S, Arat Z, Ozdemir FN, Haberal M, et al. Nutritional Status and Depression, Sleep Disorder, and Quality of Life in Hemodialysis Patients. Journal of Renal Nutrition. 2007:17(6);381-8. doi: 10.31832/smj.546142.

Nutritional status and anxiety-depression relationship in hemodialysis patients

Year 2021, Volume: 5 Issue: 5, 429 - 432, 01.05.2021

Çiğdem Cindoğlu Burcu Beyazgül

https://doi.org/10.28982/josam.802547

Abstract

Background/Aim: Malnutrition is one of the determinants of most morbidity and mortality in end-stage renal failure (ESRD) patients receiving hemodialysis (HD). Depression is the most common psychological complication among these patients. This study aimed to determine the nutritional status and anxiety-depression level in hemodialysis patients and evaluate the relationship between the two.
Methods: This cross-sectional study included 55 routine hemodialysis patients over 18 years of age who were treated in the Department of Internal Diseases of a university hospital between November 2019 and January 2020. Two patients were excluded from the study due to renal transplantation. All patients filled out a two-part Hospital-Anxiety Depression Scale (HAD) and a two-part Mini Nutritional Assessment (MNA) questionnaire. The MNA-short form (MNA-SF) was first used to evaluate the malnutrition status of patients. Those who were identified as at-risk or malnourished with the MNA-SF were also asked to complete the long form. The HAD scale was used to evaluate the levels of depression and anxiety. SPSS 20 statistical package program for statistical analysis. P<0.05 was considered statistically significant.
Results: The mean age of the patients was 56.2 (15.9) years; 36 (66%) were female and 18 (34%) were male. Among all, 55.8% and 26.9% of the patients were at risk in terms of depression and anxiety, respectively. Depression prevalence was higher in patients with low MNA-SF scores (P=0.001) and comorbidities (P=0.007). In those with a low MNA-SF score (P=0.001), comorbidities (P=0.008), and high urea levels (P=0.003), anxiety was more common. In patients with an elevated risk of anxiety (P=0.001) and depression (P=0.007), malnutrition risk was significantly higher.
Conclusion: Depression is closely related to nutritional status in patients receiving chronic hemodialysis therapy and considered an independent risk factor for malnutrition. Early diagnosis and treatment of hemodialysis patients' psychological problems and regulation and control of nutrition programs can be practical interventions to improve the quality of life of these patients.

Keywords

Malnutrition Hemodialysis Anxiety-depression

References

  • 1. Ene-Iordache B, Perico N, Bikbov B, Carminati S, Remuzzi A, Perna A, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): A cross-sectional study. Lancet Glob Heal. 2016;4(5):307-19. doi: 10.1016 / S2214-109X (16) 00071-1
  • 2. Dai L, Mukai H, Lindholm B, Heimbürger O, Barany P, Stenvinkel P. Clinical global assessment of nutritional status as predictor of mortality in chronic kidney disease patients. PLoS One. 2017;12(12):e0186659. doi: 10.1371/journal.pone.0186659
  • 3. Caimi G, Carollo C, Lo Presti R. Pathophysiological and clinical aspects of malnutrition in chronic renal failure. Nutr Res Rev. 2005;18(1):89-97. doi: 10.1079/NRR200599
  • 4. Hakim RM, Levin N. Malnutrition in haemodialysis patients. Am J Kidney Dis. 1993;21(2):125-37. doi: 10.1016/s0272-6386(12)81083-3
  • 5. Allison SP. Malnutrition, disease and outcome. Nutrition. 2000;16(7-8):590-3. doi: 10.1016/s0899-9007(00)00368-3
  • 6. Cederholm T, Jensen GL, Correia MITD, Gonzalez MC , Fukushima R, Higashiguchi T, et al. GLIM criteria for the diagnosis of malnutrition-a consensus report from the global clinical nutrition community. Clin Nutr. 2019;38:1-9. doi: 10.1016/j.clnu.2018.08.002
  • 7. Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: an analysis of the evidence. J Parenter Enteral Nutr. 2012;36:292-8. doi: 10.1177/0148607111414023
  • 8. Van Bokhorst-de van der Schueren MA, Guaitoli PR, Jansma EP, de Vet HC. Nutrition screening tools: does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr. 2014;33:39-58. doi: 10.1016/j.clnu.2013.04.008
  • 9. Rogowski Ł, Kusztal M, Gołębiowski T, Bulińska K, Zembroń-Łacny A, Wyka J, et al. Nutritional assessment of patients with end-stage renal disease using the MNA scale. Adv Clin Exp Med. 2018 Aug;27(8):1117-23. doi: 10.17219/acem/75604
  • 10. Green SM, Watson R. Nutritional screening and assessment tools for older adults: Literature review. J Adv Nurs. 2006;54(4):477–90. doi: 10.1111/j.1365-2648.2006.03841.x
  • 11. Hmwe N, Pathmawathi S, Tan L, Chong W. The effects of acupressure on depression anxiety and stress in patients with hemodialysis: a randomized control trial. Int J Nurs Stud. 2014;52:509–18. doi: 10.1016/j.ijnurstu.2014.11.002
  • 12. Santos P. Depression and quality of life of hemodialysis patients living in a poor region of Brazil. Rev Bras Psiquiatr. 2011;33:332–7. doi: 10.1590/S1516-44462011000400005
  • 13. Fan L, Sarnak M, Tighiouart H, Drew DA, Kantor AL, Lou KV, et al. Depression and all-cause mortality in hemodialysis patients. Am J Nephrol. 2014;40(1):12–8. doi: 10.1159/000363539
  • 14. Gerogianni S, Babatsikou F, Gerogianni G, Grapsa E, Vasilopoulos G, Zyga S, et al. Concerns of patients on dialysis: a research study. Health Sci J . 2014;8(4):423–37.
  • 15. Feroze U, Martin D, Reina-Patton A, Kalantar-Zadeh K, Kopple J. Mental health depression and anxiety in patients on maintenance dialysis. Iranian J Kidney Dis. 2010;4(3):173–80. PMID: 20622304
  • 16. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition: The Mini Nutritional Assessment. Clin Geriatr Med. 2002;18(4):737-57. doi: 10.1016/s0749-0690(02)00059-9
  • 17. Sarikaya D. Validity study of long and short (MNA-SF) form of Mini Nutritional Assessment (MNA) test in geriatric patients [Unpublished expertise thesis]. Ankara: Hacettepe University; 2013.
  • 18. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. ACTA psychiatr scand. 1983:67:361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x
  • 19. Aydemir Ö, Güvenir T, Küey L, Kültür S. Validity and Reliability Study of Hospital Anxiety and Depression Scale Turkish Form. Turkish journal of psychiatry. 1997;8(4):280-7.
  • 20. Wang LJ, Wu MS, Hsu HJ, Wu IW, Sun CY, Chou CC, et al. The relationship between psychological factors, inflammation, and nutrition in patients with chronic renal failure undergoing hemodialysis. Int J Psychiatry Med. 2012;44(2):105-18. doi: 10.2190/PM.44.2.b.
  • 21. Tsai AC, Chang TL, Chang MZ. An alternative short‐form Mini‐Nutritional Assessment for rating the risk of malnutrition in persons on haemodialysis. J Clin Nurs. 2013 Oct;22(19-20):2830-7. doi: 10.1111/jocn.12037
  • 22. Els Holvoet, Karsten Vanden Wyngaert, Amaryllis H. Van Craenenbroeck, Wim Van Biesen, Sunny Eloot. The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis. PLoS One. 2020;15(3):e0229722. doi: 10.1371/journal.pone.0229722
  • 23. Piccoli GB, Moio MR, Fois A, Sofronie A, Gendrot L, Cabiddu G, et al. The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach. Nutrients. 2017;9(4). Doi: 10.3390/nu9040372
  • 24. Ünal HÜ, Korkmaz M, Selçuk H. Pathogenesis and evaluation of malnutrition in chronic kidney patients. Current Journal of Gastroent. 2010;14(2):103-11.
  • 25. Bossola M, La Torre G, Giungi S, Tazza L, Vulpio C, Luciani G, et al. Serum albumin, body weight and inflammatory parameters in chronic hemodialysis patients: a three-year longitudinal study. Am J Nephrol. 2008;28(3):405–12. doi: 10.1159/000112597
  • 26. Friedman AN, Fadem SZ. Reassessment of albumin as a nutritional marker in kidney disease. J Am Soc Nephrol. 2010;21(2):223–30. doi: doi: 10.1681/ASN.2009020213
  • 27. Abdulan IM, Onofriescu M, Stefaniu R, Mastaleru A, Veronica M, Alexa ID, et al. The predictive value of malnutrition for functional and cognitive status in elderly hemodialysis patients. Int Urol Nephrol. 2019 Jan;51(1):155-62. doi: 10.1007/s11255-018-2000-0
  • 28. Ping-Hsun Wu, Ming-Yen Lin, Teng-Hui Huang, Yi-Ting Lin, Chi-Chih Hung, Yi-Chun Yeh, et al. Depression amongst patients commencing maintenance dialysis is associated with increased risk of death and severe infections: A nationwide cohort study. PLoS One. 2019;14(6):e0218335. doi: 10.1371/journal.pone.0218335
  • 29. Bilgic A, Akgul A, Sezer S, Arat Z, Ozdemir FN, Haberal M, et al. Nutritional Status and Depression, Sleep Disorder, and Quality of Life in Hemodialysis Patients. Journal of Renal Nutrition. 2007:17(6);381-8. doi: 10.31832/smj.546142.
There are 29 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research article
Authors

Çiğdem Cindoğlu 0000-0002-1805-6438

Burcu Beyazgül 0000-0002-0417-3588

Publication Date May 1, 2021
Published in Issue Year 2021 Volume: 5 Issue: 5

Cite

APA Cindoğlu, Ç., & Beyazgül, B. (2021). Nutritional status and anxiety-depression relationship in hemodialysis patients. Journal of Surgery and Medicine, 5(5), 429-432. https://doi.org/10.28982/josam.802547
AMA Cindoğlu Ç, Beyazgül B. Nutritional status and anxiety-depression relationship in hemodialysis patients. J Surg Med. May 2021;5(5):429-432. doi:10.28982/josam.802547
Chicago Cindoğlu, Çiğdem, and Burcu Beyazgül. “Nutritional Status and Anxiety-Depression Relationship in Hemodialysis Patients”. Journal of Surgery and Medicine 5, no. 5 (May 2021): 429-32. https://doi.org/10.28982/josam.802547.
EndNote Cindoğlu Ç, Beyazgül B (May 1, 2021) Nutritional status and anxiety-depression relationship in hemodialysis patients. Journal of Surgery and Medicine 5 5 429–432.
IEEE Ç. Cindoğlu and B. Beyazgül, “Nutritional status and anxiety-depression relationship in hemodialysis patients”, J Surg Med, vol. 5, no. 5, pp. 429–432, 2021, doi: 10.28982/josam.802547.
ISNAD Cindoğlu, Çiğdem - Beyazgül, Burcu. “Nutritional Status and Anxiety-Depression Relationship in Hemodialysis Patients”. Journal of Surgery and Medicine 5/5 (May 2021), 429-432. https://doi.org/10.28982/josam.802547.
JAMA Cindoğlu Ç, Beyazgül B. Nutritional status and anxiety-depression relationship in hemodialysis patients. J Surg Med. 2021;5:429–432.
MLA Cindoğlu, Çiğdem and Burcu Beyazgül. “Nutritional Status and Anxiety-Depression Relationship in Hemodialysis Patients”. Journal of Surgery and Medicine, vol. 5, no. 5, 2021, pp. 429-32, doi:10.28982/josam.802547.
Vancouver Cindoğlu Ç, Beyazgül B. Nutritional status and anxiety-depression relationship in hemodialysis patients. J Surg Med. 2021;5(5):429-32.
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