Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients

Abstract

ObjectiveMaintenance hemodialysis (MHD) patients often have impaired quality of life (QOL), anxiety, depression, and reduced daily physical activity (DPA) and physical performance. The contributions of these latter factors to reduced QOL in MHD are poorly understood. We examined the association of QOL with anxiety, depression, DPA, and physical performance.MethodsSeventy-two relatively healthy adult MHD patients, vintage ≥6 months, and 39 normals of similar age range and gender distribution were studied. QOL was assessed using the Kidney Disease Quality of Life-Short Form (KDQOL-SF). Anxiety and depression were each evaluated with two questionnaires. DPA and physical performance were assessed with a physical activity monitor, Human Activity Profile, and 6-minute walk, sit-to-stand, and stair-climbing tests.ResultsMost KDQOL components were reduced in MHD patients versus normals. KDQOL components in patients were commonly inversely correlated with measures of anxiety and depression (P < 0.05) and were more reduced in patients with both anxiety and depression. KDQOL was often impaired in patients with either anxiety or depression. However, most KDQOL scores did not differ between patients and normals without anxiety or depression. DPA, Human Activity Profile, and physical performance often correlated with KDQOL scores in adjusted models, but after further adjustment for anxiety and depression, DPA, Human Activity Profile, and physical performance correlated less frequently with KDQOL scores. This reduction in significant correlations after adjustment for anxiety and depression was particularly pronounced for the association between KDQOL and DPA.ConclusionIn relatively healthy MHD patients, KDQOL scores are usually decreased in those with anxiety and/or depression but are usually normal in those without anxiety or depression. Lower DPA in MHD patients with reduced KDQOL scores often appears to be associated with anxiety and depression. The relationship between QOL and physical performance appears to be less influenced by anxiety and/or depression. These data suggest that treatment of anxiety and depression in MHD patients may improve their QOL, DPA, and possibly physical performance.

Temporal sleep patterns between healthy and depressed individuals

“…Several reports indicated that increased physical activity predicted less depression [13], [28], [29] and vice versa [30][31][32]. We found a significant positive association between activity levels and SOL for depressed people.…”

The effects of self‐performance management video program on patients receiving hemodialysis

“…The physiological index and anxiety of patients receiving hemodialysis have an impact on the quality of life, complications, and mortality (Borges et al, ; Li et al, ). In this study, we found that positive change in anxiety and physiological index of patients receiving hemodialysis could occur not only in the existing medical staff‐led program but also in self‐performance management of this study.…”

“…As a result of reviewing the previous literatures, patients receiving hemodialysis have high anxiety levels, decreased self‐care, and high risk of health problems due to physiological index (Borges et al ., ; Choi & Lee, ; Feroze et al ., ; Li et al ., ; Tsai et al ., ). The self‐performance management video program developed in this study will improve self‐care knowledge and behavior, reduce anxiety, and change physiological indicators positively (Figure ).…”

Avaliação da qualidade de vida em pacientes em hemodiálise e sua relação com índice de massa corporal e creatinina sérica

“…O paciente em hemodiálise que trabalha pode produzir a percepção de pouca produtividade que ocorre por causa da dedicação ao tratamento, as reações adversas que acontecem e, em muitos casos, problemas como ansiedade e depressão que prejudicam e impedem o trabalho e a QV dessa população (LI et al, 2016).…”