THE ASSOCIATION BETWEEN NUTRITIONAL STATUS AND DEPRESSION IN CKD PATIENTS

 

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THE ASSOCIATION BETWEEN NUTRITIONAL STATUS AND DEPRESSION IN CKD PATIENTS

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Nadi Syah
Putra
Nadi Syah Putra nadisyahputra440@gmail.com Universitas Syiah Kuala Nephrology Banda Aceh Indonesia *
Ricky Virnardo ric_vir_014@yahoo.co.id Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Riyandy Pratama pratamariyandy1@gmail.com Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Era Muliana era.muliana1973@gmail.com Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Teuku Muhammad Reza Tandi tmrezatandi@usk.ac.id Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Desi Salwani desi.salwani@usk.ac.id Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Abdullah Abdullah abdullah_sawang@yahoo.co.id Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
Maimun Syukri maimun_62@usk.ac.id Universitas Syiah Kuala Nephrology Banda Aceh Indonesia -
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Depression happens in 25% of patients who are undergoing hemodialysis.  Malnutrition in chronic kidney disease often results from low-protein diets, on the other hand, depression can lead to poor nutritional intake and outcomes. 

A cross-sectional study was performed on hemodialysis patients. Samples were collected by consecutive sampling from outpatients and inpatients who were undergoing chronic hemodialysis in dr. Zainoel Abidin Hospital, Banda Aceh. Samples were collected from October to December 2020. Inclusion criteria were patients aged over 18 years old,  undergoing hemodialysis for at least 6 months, and willing to participate in research. Patients with severe sepsis, malignancy, autoimmune disease, or on steroid treatment were excluded from this study. Depression was measured by the HADS-D (Hospital Anxiety and Depression Scale-Depression) questionnaire. Nutritional status was measured with the 7SGA (Seven-Subjective Global Assessment) questionnaire.

A total of 222 hemodialysis patients were enrolled in this study, and depression was found in 73 (32.9%) patients.  Median age in this study was 47.3 (22.6-75.6) years old.  The gender in this study was predominantly male patient 146 patients (65.8%). Median duration of dialysis was 23.8 (6.1-116.9) months. Hypertension and diabetes were found in 130 patients (58.6%) and 139 patients (62.6%). Only 28 (12.6%) well-nourished patients, 117 (52.7%) were mildly-moderate malnourished, and 77(34.7%) were severely malnourished. Pearson's chi-square was performed to determine the association between depression and malnourished groups. A significant difference was found between depression and the malnourished group. Non-depression group has a higher patients with well(17.8%) and mildly-moderate malnourished (48.3%), while the depression group has a higher severely malnourished patients (41.6%) (p=0,006). 

This study demonstrated a statistically significant association between depression and malnutrition status in patients undergoing hemodialysis (p < 0.05). this findings indicate that, majority non-depression patients were well-nourished and mildly-moderate malnourished categories, and the depression group was significantly associated with severe malnutrition status.

Kewords