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Body Composition Parameters Correlate to Depression Symptom Levels in Patients Treated with Hemodialysis and Peritoneal Dialysis

Author

Listed:
  • Marijana Vučković

    (Nephrology and Haemodialysis Division, Internal Medicine Department, University Hospital of Split, 21000 Split, Croatia)

  • Josipa Radić

    (Nephrology and Haemodialysis Division, Internal Medicine Department, University Hospital of Split, 21000 Split, Croatia
    Department of Internal Medicine, School of Medicine, University of Split, 21000 Split, Croatia)

  • Ela Kolak

    (Nutrition and Dietetics Department, University Hospital of Split, 21000 Split, Croatia)

  • Dora Bučan Nenadić

    (Nutrition and Dietetics Department, University Hospital of Split, 21000 Split, Croatia)

  • Mirna Begović

    (School of Medicine, University of Split, 21000 Split, Croatia)

  • Mislav Radić

    (Department of Internal Medicine, School of Medicine, University of Split, 21000 Split, Croatia
    Rheumatology, Allergology, and Clinical Immunology Division, Internal Medicine Department, University Hospital of Split, 21000 Split, Croatia)

Abstract

The aim of this study was to investigate the determinants of depression and nutritional status and their associations in patients treated with hemodialysis (HD) and peritoneal dialysis (PD) and the differences according to the type of treatment. There were fifty-three patients treated with maintenance HD and twenty patients treated with PD enrolled in this cross-sectional study. Body composition, anthropometric parameters, and clinical and laboratory parameters were collected for each participant. Depression was assessed with the Beck Depression Inventory II (BDI-II) and risk of malnutrition with the Malnutrition Inflammation Score (MIS). The results suggest a positive association between the level of depression and the percentage of fat mass and obesity parameters in PD and HD participants. Muscle mass and fat-free mass in HD, phase angle (PhA), and serum albumin levels in PD were negatively associated with the value of BDI-II. Participants treated with HD were found to have higher levels of pessimism and loss of interest in sex compared with PD. There is a need to integrate multidisciplinary psychological and nutritional assessment into the usual care of dialysis patients.

Suggested Citation

  • Marijana Vučković & Josipa Radić & Ela Kolak & Dora Bučan Nenadić & Mirna Begović & Mislav Radić, 2023. "Body Composition Parameters Correlate to Depression Symptom Levels in Patients Treated with Hemodialysis and Peritoneal Dialysis," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2285-:d:1048436
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