Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire
Appetite loss is a common phenomenon in end-stage renal disease (ESRD) patients undergoing maintenance hemodialysis (HD). We aimed to (i) adapt and validate a Spanish language version of the Council on Nutrition Appetite Questionnaire (CNAQ) and (ii) to identify psychological and biological factors...
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| Format: | Article |
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MDPI AG
2021-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/4/1371 |
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| author | Elihud Salazar-Robles Abel Lerma Martín Calderón-Juárez Armando Ibarra Héctor Pérez-Grovas Luis A. Bermúdez-Aceves Lilian E. Bosques-Brugada Claudia Lerma |
| author_facet | Elihud Salazar-Robles Abel Lerma Martín Calderón-Juárez Armando Ibarra Héctor Pérez-Grovas Luis A. Bermúdez-Aceves Lilian E. Bosques-Brugada Claudia Lerma |
| author_sort | Elihud Salazar-Robles |
| collection | DOAJ |
| description | Appetite loss is a common phenomenon in end-stage renal disease (ESRD) patients undergoing maintenance hemodialysis (HD). We aimed to (i) adapt and validate a Spanish language version of the Council on Nutrition Appetite Questionnaire (CNAQ) and (ii) to identify psychological and biological factors associated with diminished appetite. We recruited 242 patients undergoing HD from four hemodialysis centers to validate the Spanish-translated version of the CNAQ. In another set of 182 patients from three HD centers, the Appetite and Diet Assessment Tool (ADAT) was used as the gold standard to identify a cut-off value for diminished appetite in our adapted questionnaire. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Distorted Thoughts Scale (DTS), Dialysis Malnutrition Score (DMS), anthropometric, values and laboratory values were also measured. Seven items were preserved in the adapted appetite questionnaire, with two factors associated with flavor and gastric fullness (Cronbach’s alpha = 0.758). Diminished appetite was identified with a cut-off value ≤25 points (sensitivity 73%, specificity 77%). Patients with diminished appetite had a higher proportion of females and DMS punctuation, lower plasmatic level of creatinine, blood urea nitrogen, and phosphorus. Appetite score correlated with BDI score, BAI score and DTS. Conclusions: This simple but robust appetite score adequately discriminates against patients with diminished appetite. Screening and treatment of psychological conditions may be useful to increase appetite and the nutritional status of these patients. |
| first_indexed | 2024-03-10T12:10:24Z |
| format | Article |
| id | doaj.art-3b5c446ee22e4654864d53b09aaa7ebe |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T12:10:24Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-3b5c446ee22e4654864d53b09aaa7ebe2023-11-21T16:14:23ZengMDPI AGNutrients2072-66432021-04-01134137110.3390/nu13041371Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated QuestionnaireElihud Salazar-Robles0Abel Lerma1Martín Calderón-Juárez2Armando Ibarra3Héctor Pérez-Grovas4Luis A. Bermúdez-Aceves5Lilian E. Bosques-Brugada6Claudia Lerma7Centro Universitario de la Costa, Universidad de Guadalajara, Puerto Vallarta 66376, MexicoInstituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca 42160, MexicoPlan de Estudios Combinados en Medicina (PECEM), Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoDiálisis La Loma, Puerto Vallarta 48310, MexicoInstituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, MexicoCentro Estatal de Hemodiálisis, Instituto Estatal de Cancerología, Colima 28000, MexicoInstituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca 42160, MexicoInstituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, MexicoAppetite loss is a common phenomenon in end-stage renal disease (ESRD) patients undergoing maintenance hemodialysis (HD). We aimed to (i) adapt and validate a Spanish language version of the Council on Nutrition Appetite Questionnaire (CNAQ) and (ii) to identify psychological and biological factors associated with diminished appetite. We recruited 242 patients undergoing HD from four hemodialysis centers to validate the Spanish-translated version of the CNAQ. In another set of 182 patients from three HD centers, the Appetite and Diet Assessment Tool (ADAT) was used as the gold standard to identify a cut-off value for diminished appetite in our adapted questionnaire. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Distorted Thoughts Scale (DTS), Dialysis Malnutrition Score (DMS), anthropometric, values and laboratory values were also measured. Seven items were preserved in the adapted appetite questionnaire, with two factors associated with flavor and gastric fullness (Cronbach’s alpha = 0.758). Diminished appetite was identified with a cut-off value ≤25 points (sensitivity 73%, specificity 77%). Patients with diminished appetite had a higher proportion of females and DMS punctuation, lower plasmatic level of creatinine, blood urea nitrogen, and phosphorus. Appetite score correlated with BDI score, BAI score and DTS. Conclusions: This simple but robust appetite score adequately discriminates against patients with diminished appetite. Screening and treatment of psychological conditions may be useful to increase appetite and the nutritional status of these patients.https://www.mdpi.com/2072-6643/13/4/1371hemodialysisappetitedepressionanxietydistorted thoughts |
| spellingShingle | Elihud Salazar-Robles Abel Lerma Martín Calderón-Juárez Armando Ibarra Héctor Pérez-Grovas Luis A. Bermúdez-Aceves Lilian E. Bosques-Brugada Claudia Lerma Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire Nutrients hemodialysis appetite depression anxiety distorted thoughts |
| title | Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire |
| title_full | Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire |
| title_fullStr | Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire |
| title_full_unstemmed | Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire |
| title_short | Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire |
| title_sort | assessment of factors related to diminished appetite in hemodialysis patients with a new adapted and validated questionnaire |
| topic | hemodialysis appetite depression anxiety distorted thoughts |
| url | https://www.mdpi.com/2072-6643/13/4/1371 |
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