The relationship between depression - Malnutrition and echocardiographic-blood pressure parameters in chronic hemodialysis patients

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dc.contributor.authorKursat S.
dc.contributor.authorColak H.B.
dc.contributor.authorToraman A.
dc.contributor.authorEkmekci C.
dc.contributor.authorTekce H.
dc.contributor.authorAlici T.
dc.date.accessioned2024-07-22T08:22:16Z
dc.date.available2024-07-22T08:22:16Z
dc.date.issued2008
dc.description.abstractAims: The aim is to research the relationship between the degree of depression - malnutrition and inadequate volume control. Methods: The mean age of the 52 patients was 55 ± 14.6 years. Malnutrition score [subjective global assessment (SGA)] and depression score [Taiwanese Depression Questionnaire (TDQ)] of each chronic hemodialysis (CHD) patient were calculated. Then an echocardiographic assessment was carried out with the same device 1 day before the second HD session of the week. The 24 h blood pressure monitoring was performed 1 day before the second HD session of the week. Results: TDQ scores (TDQS) were ≥19 in 41 and <19 in 11 patients. TDQS was found to be significantly high in women (p = 0.01) who were older than 40 years (p = 0.03) and who have low family income (p = 0.03). TDQS was found to be significantly correlated with HD duration (p = 0.034), vena cava inferior collapse index (p = 0.02), malnutrition score (p = 0.011), residual renal function (ml/day) (p = 0.03), level of albumin (p = 0.0009), and iron (p = 0.015). A positive correlation was detected between TDQS and the ratio of mean nighttime blood pressure/ mean daytime blood pressure (p = 0.005, r = 0.394). Depression score was found to be significantly different between normal geometry and left ventricular hypertrophy (eLVH), concentric remodeling and eLVH, and concentric LVH and eLVH. Conclusions: The results show that lesser degrees of nocturnal dip and eLVH are associated with increased degrees of depression, implying that hypervolemia is strongly associated with depression and might be a component of strong relationships involving malnutrition, inflammation, and atherosclerosis in CHD patients. © Springer Science+Business Media B.V. 2008.
dc.identifier.DOI-ID10.1007/s11255-008-9342-y
dc.identifier.issn03011623
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19002
dc.language.isoEnglish
dc.subjectBlood Pressure Monitoring, Ambulatory
dc.subjectCircadian Rhythm
dc.subjectDepression
dc.subjectEchocardiography
dc.subjectFemale
dc.subjectHumans
dc.subjectKidney Failure, Chronic
dc.subjectMale
dc.subjectMalnutrition
dc.subjectMiddle Aged
dc.subjectPsychiatric Status Rating Scales
dc.subjectStatistics, Nonparametric
dc.subjectalbumin
dc.subjectiron
dc.subjectadult
dc.subjectage distribution
dc.subjectaged
dc.subjectarticle
dc.subjectatherosclerosis
dc.subjectblood pressure monitoring
dc.subjectblood pressure regulation
dc.subjectclinical assessment
dc.subjectcontrolled study
dc.subjectcorrelation analysis
dc.subjectdepression
dc.subjectdisease association
dc.subjectechocardiography
dc.subjectfemale
dc.subjectgeometry
dc.subjectheart left ventricle hypertrophy
dc.subjecthemodialysis patient
dc.subjecthuman
dc.subjecthypervolemia
dc.subjectinferior cava vein
dc.subjectinflammation
dc.subjectkidney function test
dc.subjectlowest income group
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmalnutrition
dc.subjectquestionnaire
dc.subjectscoring system
dc.subjectsex difference
dc.subjecttreatment duration
dc.titleThe relationship between depression - Malnutrition and echocardiographic-blood pressure parameters in chronic hemodialysis patients
dc.typeArticle

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