Association of socio-demographic characteristics nutritional status risk of malnutrition and depression with quality of life among elderly haemodialysis patients

Nor Fadhlina Zakaria, . and Lim Zhi Yu, . and Zulfitri ‘Azuan Mat Daud, . and Fatin Izzaty Mohd Shahrin, . and Noraida Omar, . Association of socio-demographic characteristics nutritional status risk of malnutrition and depression with quality of life among elderly haemodialysis patients. pp. 1-11. ISSN 1394-035X

Introduction: A compromised quality of life (QOL) as a result of haemodialysis (HD) is a rising global issue. Elderly HD patients face more challenges than younger counterparts. This study determined the association of socio-demographic characteristics nutritional status risk of malnutrition and depression with QOL among elderly HD patients. Methods: A cross-sectional study was conducted among 112 HD elderly patients in selected dialysis centres in Selangor Malaysia. The patients completed interview-based questionnaires on socio-demographic characteristics risk of malnutrition (Dialysis Malnutrition Score DMS) depression (Patient Health Questionaire-9 PHQ-9) and QOL (KDQOL-36). Anthropometric measurements 24-hour dietary recall and food intake information were obtained from them and biochemical data from their medical records. Results: Just over half (50.9) of the patients had a normal body mass index while 85.7 had optimal albumin levels. The proportion of patients who met the recommended energy and protein intakes were 19.0 and 3.4 respectively. Patients were at moderate risk of malnutrition had minimal depression level and perceived better QOL in terms of effects and symptoms of kidney disease. There was a significant positive correlation between protein intake and the physical domain of QOL (p0.02) and negative correlation between risk of malnutrition with physical and mental composites of QOL (p0.001). There was significant negative correlation between depression and physical composite mental composite burden effects and the symptoms of kidney disease (p0.001). Conclusion: The present findings provide better insight on QOL for future screening preventive measures and intervention. Further investigation regarding factors associated with QOL among elderly patients is recommended.

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Abstract

Introduction: A compromised quality of life (QOL) as a result of haemodialysis (HD) is a rising global issue. Elderly HD patients face more challenges than younger counterparts. This study determined the association of socio-demographic characteristics nutritional status risk of malnutrition and depression with QOL among elderly HD patients. Methods: A cross-sectional study was conducted among 112 HD elderly patients in selected dialysis centres in Selangor Malaysia. The patients completed interview-based questionnaires on socio-demographic characteristics risk of malnutrition (Dialysis Malnutrition Score DMS) depression (Patient Health Questionaire-9 PHQ-9) and QOL (KDQOL-36). Anthropometric measurements 24-hour dietary recall and food intake information were obtained from them and biochemical data from their medical records. Results: Just over half (50.9) of the patients had a normal body mass index while 85.7 had optimal albumin levels. The proportion of patients who met the recommended energy and protein intakes were 19.0 and 3.4 respectively. Patients were at moderate risk of malnutrition had minimal depression level and perceived better QOL in terms of effects and symptoms of kidney disease. There was a significant positive correlation between protein intake and the physical domain of QOL (p0.02) and negative correlation between risk of malnutrition with physical and mental composites of QOL (p0.001). There was significant negative correlation between depression and physical composite mental composite burden effects and the symptoms of kidney disease (p0.001). Conclusion: The present findings provide better insight on QOL for future screening preventive measures and intervention. Further investigation regarding factors associated with QOL among elderly patients is recommended.

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Item Type:	Article
AGROVOC Term:	Quality of life
AGROVOC Term:	Human diseases
AGROVOC Term:	Risk assessment
AGROVOC Term:	Risk factors
AGROVOC Term:	Nutritional status
AGROVOC Term:	Malnutrition
AGROVOC Term:	Anthropometry
AGROVOC Term:	Food intake
AGROVOC Term:	Questionnaires
AGROVOC Term:	Body mass
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:54
URI:	http://webagris.upm.edu.my/id/eprint/8217

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