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Depressive Symptoms Moderate the Association Between Appetite and Health Status in Patients With Heart Failure
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- Andreae, Christina, 1969- (author)
- Uppsala universitet,Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden,Centrum för klinisk forskning i Sörmland (CKFD),Linköping Univ, Linköping, Sweden
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- Strömberg, Anna, 1967- (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,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
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- Chung, Misook L. (author)
- Univ Kentucky, Coll Nursing, Lexington, KY USA,College of Nursing, University of Kentucky, Lexington, USA.
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- Lippincott Williams & Wilkins, 2018
- 2018
- English.
- In: Journal of Cardiovascular Nursing. - : Lippincott Williams & Wilkins. - 0889-4655 .- 1550-5049. ; 33:2, s. E15-E20
- Journal article (peer-reviewed)
Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- appetite
- association
- depression
- health status
- heart failure
- nutritional status
- Health and Caring Sciences
- Hälsovetenskap
Publication and Content Type
- ref (subject category)
- art (subject category)
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