Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients
Appetite level evaluated by the appetite and diet assessment tool (ADAT) is associated with several clinical and nutritional variables. Our aim was to expand the study to psychological variables (depression symptoms, anxiety symptoms, and distorted thinking). We studied 96 chronic kidney disease pat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Nephrology
2012-06-01
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| Series: | Kidney Research and Clinical Practice |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211913212005724 |
| _version_ | 1828168352841859072 |
|---|---|
| author | Elihud Salazar Claudia Lerma Abel Lerma Tommaso Bochicchio María Paola Carolina García-Paz |
| author_facet | Elihud Salazar Claudia Lerma Abel Lerma Tommaso Bochicchio María Paola Carolina García-Paz |
| author_sort | Elihud Salazar |
| collection | DOAJ |
| description | Appetite level evaluated by the appetite and diet assessment tool (ADAT) is associated with several clinical and nutritional variables. Our aim was to expand the study to psychological variables (depression symptoms, anxiety symptoms, and distorted thinking). We studied 96 chronic kidney disease patients treated with hemodialysis three times per week. Representative variables are shown as median (percentile 25–percentile 75) or absolute values. DRI = daily recommended intake.
Appetite level
Very poor, poor (N=10)
Fair, Good (N=31)
Very Good (N=55)
Tau
Sex (F/M)
9 / 1
12 / 19*
22 / 33*
--
Age (years)
65 (46–2)
50 (29–65)
47 (33–58)*
−0.18&
Creatinine (mg/dL)
7.4 (6.9–8.6)
11.1 (8.0–13.9)*
11.3 (9.4–13.0)*
Kt/V
1.5 (1.3-1.6)
1.4 (1.2-1.5)
1.4(1.2-1.5)
−0.03
Albumin (g/dL)
3.5 (3.3-3.9)
3.6 (3.5-3.8)
3.6 (3.5-3.8)
0.09
DRI (%)
78 (74–88)
88 (80–99)*
101 (99–103)*
0.54&
Anxiety score
12 (12–20)
9 (4–16)*
5 (3–10)*
–0.26
& ⁎ p < 0.05 versus poor or poor appetite, Mann-Whitney or chi2 test.
& p < 0.05, correlation with appetite level (Kendall´s Tau coefficient)
Very poor or poor appetite level was associated with female sex, older age, lower creatinine, lower DRI, and higher anxiety symptoms. Intervention of anxiety with cognitive behavioral therapy could improve nutritional treatment among vulnerable patients. |
| first_indexed | 2024-04-12T02:33:09Z |
| format | Article |
| id | doaj.art-6b79eb000a25423390669e00c627ca3d |
| institution | Directory Open Access Journal |
| issn | 2211-9132 |
| language | English |
| last_indexed | 2024-04-12T02:33:09Z |
| publishDate | 2012-06-01 |
| publisher | The Korean Society of Nephrology |
| record_format | Article |
| series | Kidney Research and Clinical Practice |
| spelling | doaj.art-6b79eb000a25423390669e00c627ca3d2022-12-22T03:51:41ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322012-06-01312A7110.1016/j.krcp.2012.04.539Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patientsElihud Salazar0Claudia Lerma1Abel Lerma2Tommaso Bochicchio3María Paola Carolina García-Paz4Universidad de Guadalajara, Puerto Vallarta, Jalisco.Instituto Nacional de Cardiología, México, DF.Instituto Nacional de Cardiología, México, DF.Fresenius Medical Care, Cuernavaca, Morelos. México.Instituto Nacional de Cardiología, México, DF.Appetite level evaluated by the appetite and diet assessment tool (ADAT) is associated with several clinical and nutritional variables. Our aim was to expand the study to psychological variables (depression symptoms, anxiety symptoms, and distorted thinking). We studied 96 chronic kidney disease patients treated with hemodialysis three times per week. Representative variables are shown as median (percentile 25–percentile 75) or absolute values. DRI = daily recommended intake. Appetite level Very poor, poor (N=10) Fair, Good (N=31) Very Good (N=55) Tau Sex (F/M) 9 / 1 12 / 19* 22 / 33* -- Age (years) 65 (46–2) 50 (29–65) 47 (33–58)* −0.18& Creatinine (mg/dL) 7.4 (6.9–8.6) 11.1 (8.0–13.9)* 11.3 (9.4–13.0)* Kt/V 1.5 (1.3-1.6) 1.4 (1.2-1.5) 1.4(1.2-1.5) −0.03 Albumin (g/dL) 3.5 (3.3-3.9) 3.6 (3.5-3.8) 3.6 (3.5-3.8) 0.09 DRI (%) 78 (74–88) 88 (80–99)* 101 (99–103)* 0.54& Anxiety score 12 (12–20) 9 (4–16)* 5 (3–10)* –0.26 & ⁎ p < 0.05 versus poor or poor appetite, Mann-Whitney or chi2 test. & p < 0.05, correlation with appetite level (Kendall´s Tau coefficient) Very poor or poor appetite level was associated with female sex, older age, lower creatinine, lower DRI, and higher anxiety symptoms. Intervention of anxiety with cognitive behavioral therapy could improve nutritional treatment among vulnerable patients.http://www.sciencedirect.com/science/article/pii/S2211913212005724 |
| spellingShingle | Elihud Salazar Claudia Lerma Abel Lerma Tommaso Bochicchio María Paola Carolina García-Paz Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients Kidney Research and Clinical Practice |
| title | Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| title_full | Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| title_fullStr | Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| title_full_unstemmed | Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| title_short | Relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| title_sort | relationship between appetite levels and anxiety symptoms in chronic hemodialysis patients |
| url | http://www.sciencedirect.com/science/article/pii/S2211913212005724 |
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