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

Int J Environ Res Public Health. 2023 Jan 27;20(3):2285. doi: 10.3390/ijerph20032285.

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: body composition; depression; dialysis; nutritional status.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Composition
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Humans
  • Kidney Failure, Chronic* / therapy
  • Malnutrition* / complications
  • Malnutrition* / etiology
  • Nutritional Status
  • Peritoneal Dialysis*
  • Renal Dialysis / adverse effects

Grants and funding

This research is part of the project “Digitalization and improvement of nutritional care for patients with chronic diseases” co-financed by the European Regional Development Fund through the Operational Program, “Competitiveness and Cohesion 2014–2020” KK.01.1.1.04.0115.