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

Aims 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...

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Veröffentlicht in:International urology and nephrology 2008-09, Vol.40 (3), p.793-799
Hauptverfasser: Kursat, Seyhun, Colak, Hulya Bahadir, Toraman, Aysun, Ekmekci, Cenk, Tekce, Hikmet, Alici, Tamer
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container_issue 3
container_start_page 793
container_title International urology and nephrology
container_volume 40
creator Kursat, Seyhun
Colak, Hulya Bahadir
Toraman, Aysun
Ekmekci, Cenk
Tekce, Hikmet
Alici, Tamer
description Aims 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
doi_str_mv 10.1007/s11255-008-9342-y
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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 &lt;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.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-008-9342-y</identifier><identifier>PMID: 18409016</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Blood Pressure Monitoring, Ambulatory ; Circadian Rhythm ; Depression - complications ; Depression - epidemiology ; Echocardiography ; Female ; Humans ; Kidney Failure, Chronic - psychology ; Kidney Failure, Chronic - therapy ; Male ; Malnutrition - complications ; Malnutrition - epidemiology ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Original Article ; Psychiatric Status Rating Scales ; Statistics, Nonparametric ; Urology</subject><ispartof>International urology and nephrology, 2008-09, Vol.40 (3), p.793-799</ispartof><rights>Springer Science+Business Media B.V. 2008</rights><rights>Springer Science+Business Media, B.V. 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-971b5d218cd7bb92fb4be33d3e944f014ccdccf6e18235079a0f4ffd3756864a3</citedby><cites>FETCH-LOGICAL-c369t-971b5d218cd7bb92fb4be33d3e944f014ccdccf6e18235079a0f4ffd3756864a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-008-9342-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-008-9342-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18409016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kursat, Seyhun</creatorcontrib><creatorcontrib>Colak, Hulya Bahadir</creatorcontrib><creatorcontrib>Toraman, Aysun</creatorcontrib><creatorcontrib>Ekmekci, Cenk</creatorcontrib><creatorcontrib>Tekce, Hikmet</creatorcontrib><creatorcontrib>Alici, Tamer</creatorcontrib><title>The relationship between depression–malnutrition and echocardiographic-blood pressure parameters in chronic hemodialysis patients</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Aims 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 &lt;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. 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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 &lt;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.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>18409016</pmid><doi>10.1007/s11255-008-9342-y</doi><tpages>7</tpages></addata></record>
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subjects Blood Pressure Monitoring, Ambulatory
Circadian Rhythm
Depression - complications
Depression - epidemiology
Echocardiography
Female
Humans
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Malnutrition - complications
Malnutrition - epidemiology
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Original Article
Psychiatric Status Rating Scales
Statistics, Nonparametric
Urology
title The relationship between depression–malnutrition and echocardiographic-blood pressure parameters in chronic hemodialysis patients
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