P1589COMPARISON OF NUTRITIONAL STATUS IN HEMODIALYSIS PATIENTS WITH AND WITHOUT ANXIETY/DEPRESSION

Abstract Background and Aims Approximately one-third of all dialysis patients have mild to moderate malnutrition, while 6-8% have severe malnutrition. In patienst receiving maintenance hemodialysis, a low serum prealbumin is an indicator of malnutrition. Depression and anxiety are the most common ps...

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Veröffentlicht in:Nephrology, dialysis, transplantation dialysis, transplantation, 2020-06, Vol.35 (Supplement_3)
Hauptverfasser: Akagun, Tulin, Türkmen, Sembol, Arslan, Aylin
Format: Artikel
Sprache:eng
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Zusammenfassung:Abstract Background and Aims Approximately one-third of all dialysis patients have mild to moderate malnutrition, while 6-8% have severe malnutrition. In patienst receiving maintenance hemodialysis, a low serum prealbumin is an indicator of malnutrition. Depression and anxiety are the most common psychological disorders in patients undergoing hemodialysis. The aim of this study was to evaluate the nutrional status in our hemodialysis patients and its association with anxiety and depression. Method In our cross-sectional study, 61 hemodialysis patients were evaluated with mini nutrional assessment (MNA) form, Beck anxiety/depression scale, clinical and laboratory data. Results Of 61 hemodialysis patients; 37 were male (mean age 60,8±11.7). 11.5 % of patients were malnourished. Severe depression and anxiety rates were 14.8% and 21.3% respectively. The clinical parameters of hemodialysis patients are shown in Table-1 and clinical and laboratory findings of the hemodialysis patients according to MNA scores are shown in Table-2. Malnourished patients and patients who were at risk of malnutrition; had lower urea, creatinine and prealbumin levels. Conclusion Anxiety was more prevalant in malnourished hemodialysis patients with lower prealbumin levels. Age (years) 60.8 ± 11.7 Male/Female (n/n) 37/24 BMI (kg/m? 26.6±5.1 Duration of dialysis (months) 5 (3-9) Urea (mg/dL) 131.8 ± 31.2 Creatinin 8.2±2.5 Albumin (g/dL) 4.1±0.3 C-reactive protein (mg/dL) 0.83 (0.29-2.08) Hemoglobin (g/dL) 11.8±1.4 Prealbumin (mg/dL) 28.8±5.7 Mini Nutritional Assessment (MNA) score 1: ≥24: well nourished (n, %) 34 (55.7 %) 2: 17-23.5: at risk of malnutrition (n, %) 20 (32.8 %) 3:
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/gfaa142.P1589