Baris Afsar1, Alper Kirkpantur. 1. Division of Nephrology, Department of Internal Medicine, Konya Numune State Hospital, 42690 Konya, Turkey. afsarbrs@yahoo.com
Abstract
OBJECTIVE: Cognitive impairment, depression, sleep disorders and impaired quality of life are very common in hemodialysis (HD) patients. However, whether there are any seasonal changes of cognitive impairment, depression, sleep disorders and quality of life in HD patients is not known. METHODS: The laboratory parameters, depressive symptoms, health-related quality of life, sleep quality (SQ) and cognitive function, were measured twice. RESULTS: A total of 66 HD patients were enrolled. Pre-dialysis systolic blood pressure (BP) and pre-dialysis diastolic BP were higher, whereas predialysis creatinine and sodium were lower in January compared to July. Among domains of Short Form 36 (SF-36), physical functioning, role-physical limitation, general health perception, vitality, role emotional, Physical Component Summary Score (PCS) were higher, whereas Beck Depression Inventory (BDI) score was lower in July compared to January. Stepwise linear regression analysis revealed that only change in albumin and smoking status were related with seasonal change of BDI scores. Additionally only change in Mental Component Summary score of SF-36 were related with change in PCS score of SF-36 scores. CONCLUSIONS: Depressive symptoms and quality of life but not SQ and cognitive function showed seasonal variability in HD patients.
OBJECTIVE:Cognitive impairment, depression, sleep disorders and impaired quality of life are very common in hemodialysis (HD) patients. However, whether there are any seasonal changes of cognitive impairment, depression, sleep disorders and quality of life in HDpatients is not known. METHODS: The laboratory parameters, depressive symptoms, health-related quality of life, sleep quality (SQ) and cognitive function, were measured twice. RESULTS: A total of 66 HDpatients were enrolled. Pre-dialysis systolic blood pressure (BP) and pre-dialysis diastolic BP were higher, whereas predialysis creatinine and sodium were lower in January compared to July. Among domains of Short Form 36 (SF-36), physical functioning, role-physical limitation, general health perception, vitality, role emotional, Physical Component Summary Score (PCS) were higher, whereas Beck Depression Inventory (BDI) score was lower in July compared to January. Stepwise linear regression analysis revealed that only change in albumin and smoking status were related with seasonal change of BDI scores. Additionally only change in Mental Component Summary score of SF-36 were related with change in PCS score of SF-36 scores. CONCLUSIONS:Depressive symptoms and quality of life but not SQ and cognitive function showed seasonal variability in HDpatients.
Authors: Baris Afsar; Dimitrie Siriopol; Gamze Aslan; Ozgur C Eren; Tuncay Dagel; Ugur Kilic; Asiye Kanbay; Alexandru Burlacu; Adrian Covic; Mehmet Kanbay Journal: Int Urol Nephrol Date: 2018-01-17 Impact factor: 2.370
Authors: Andrew S P Lim; Chris Gaiteri; Lei Yu; Shahmir Sohail; Walter Swardfager; Shinya Tasaki; Julie A Schneider; Claire Paquet; Donald T Stuss; Mario Masellis; Sandra E Black; Jacques Hugon; Aron S Buchman; Lisa L Barnes; David A Bennett; Philip L De Jager Journal: PLoS Med Date: 2018-09-04 Impact factor: 11.069