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Depressive Symptoms Moderate the Association Between Appetite and Health Status in Patients With Heart Failure
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linköping Univ, Linköping, Sweden.
Linköping Univ, Div Nursing Sci, Dept Med & Hlth Sci, Linköping, Sweden; Linköping Univ, Dept Cardiol, Linköping, Sweden; Univ Calif Irvine, Program Nursing Sci, Irvine, CA USA.
Univ Kentucky, Coll Nursing, Lexington, KY USA.
Linköping Univ, Div Nursing Sci, Dept Med & Hlth Sci, Linköping, Sweden.
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2018 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 2, p. E15-E20Article in journal (Refereed) Published
Abstract [en]

Background: Decreased appetite and depressive symptoms are clinical problems in patients with heart failure. Both may result in impaired health status.

Objective: The aims of this study were to investigate the association between appetite and health status in patients with heart failure and to explore whether depressive symptoms moderate this association.

Methods: In this cross-sectional study, patients with heart failure (n = 186; mean age, 71 years), New York Heart Association class II to IV, participated. Data on appetite (Council of Nutrition Appetite Questionnaire), depressive symptoms (Patient Health Questionnaire-9), and health status (EQ-5D 3-level scale [EQ-5D-3L] descriptive system, EQ-5D-3L index, and EQ Visual Analog Scale) were collected by self-rating questionnaires. Pearson correlation was used to investigate the association between appetite and health status. Multiple regression was performed to examine whether depressive symptoms moderate the association between appetite and health status.

Results: There was a significant association between appetite and health status for EQ-5D-3L descriptive system, mobility (P < .001), pain/discomfort (P < .001), and anxiety/depression (P < .001). This association was also shown in EQ-5D-3L index (P < .001) and EQ Visual Analog Scale (P < .001). Simple slope analysis showed that the association between appetite and health status was only significant for patients without depressive symptoms (B = 0.32, t = 4.66, P < .001).

Conclusions: Higher level of appetite was associated with better health status. In moderation analysis, the association was presented for patients without depressive symptoms. Decreased appetite is an important sign of poor health status. To improve health status, health professionals should have greater attention on appetite, as well on signs of depressive symptoms.

Place, publisher, year, edition, pages
2018. Vol. 33, no 2, p. E15-E20
Keywords [en]
appetite, association, depression, health status, heart failure, nutritional status
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-361906DOI: 10.1097/JCN.0000000000000428ISI: 000440241700003PubMedID: 28574973OAI: oai:DiVA.org:uu-361906DiVA, id: diva2:1252206
Funder
Swedish Heart Lung FoundationMedical Research Council of Southeast Sweden (FORSS)Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-11-05Bibliographically approved

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