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

Marijana Vučković, Josipa Radić (), Ela Kolak, Dora Bučan Nenadić, Mirna Begović and Mislav Radić
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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
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

IJERPH, 2023, vol. 20, issue 3, 1-11

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.

Keywords: dialysis; depression; nutritional status; body composition (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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