Assessment of Factors Related to Diminished Appetite in Hemodialysis Patients with a New Adapted and Validated Questionnaire
Por:
Salazar-Robles, Elihud, Lerma, Abel, Calderon-Juarez, Martin, Ibarra, Armando, Perez-Grovas, Hector, Bermudez-Aceves, Luis A., Bosques-Brugada, Lilian E., Lerma, Claudia
Publicada:
1 abr 2021
Resumen:
Appetite loss is a common phenomenon in end-stage renal disease (ESRD)
patients undergoing maintenance hemodialysis (HD). We aimed to (i) adapt
and validate a Spanish language version of the Council on Nutrition
Appetite Questionnaire (CNAQ) and (ii) to identify psychological and
biological factors associated with diminished appetite. We recruited 242
patients undergoing HD from four hemodialysis centers to validate the
Spanish-translated version of the CNAQ. In another set of 182 patients
from three HD centers, the Appetite and Diet Assessment Tool (ADAT) was
used as the gold standard to identify a cut-off value for diminished
appetite in our adapted questionnaire. The Beck Depression Inventory
(BDI), Beck Anxiety Inventory (BAI), Distorted Thoughts Scale (DTS),
Dialysis Malnutrition Score (DMS), anthropometric, values and laboratory
values were also measured. Seven items were preserved in the adapted
appetite questionnaire, with two factors associated with flavor and
gastric fullness (Cronbach's alpha = 0.758). Diminished appetite was
identified with a cut-off value <= 25 points (sensitivity 73%,
specificity 77%). Patients with diminished appetite had a higher
proportion of females and DMS punctuation, lower plasmatic level of
creatinine, blood urea nitrogen, and phosphorus. Appetite score
correlated with BDI score, BAI score and DTS. Conclusions: This simple
but robust appetite score adequately discriminates against patients with
diminished appetite. Screening and treatment of psychological conditions
may be useful to increase appetite and the nutritional status of these
patients.
Filiaciones:
Centro Universitario de la Costa, Universidad de Guadalajara, Puerto Vallarta, 66376, Mexico
Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca, 42160, Mexico
Plan de Estudios Combinados en Medicina (PECEM), Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, 04510, Mexico
Diálisis La Loma, Puerto Vallarta, 48310, Mexico
Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, 14080, Mexico
Centro Estatal de Hemodiálisis, Instituto Estatal de Cancerología, Colima, 28000, Mexico
Gold, Green Published, All Open Access, Green
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