ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2014
Relation between anxiety, depression, and physical activity and performance in maintenance hemodialysis patients.
Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 68 citations in OpenAlex.
- Impact of virtual reality exercises on anxiety and depression in hemodialysis.Scientific reports · 2023Trial
- Metabolic Syndrome and Psychological Effects of Exercise in Hemodialysis Patients.International journal of environmental research and public health · 2021Trial
- Prevalence and Levels of Symptoms of Anxiety, Depression and Suicidal Ideation Amongst Elite Male Soccer Players: An Age- and Education-Matched Controlled Study.International journal of environmental research and public health · 2026Article
- Anxiety, Social Support and Coping Strategies in Patients Undergoing Maintenance Haemodialysis.Nursing open · 2026Article
- Exploring Anxiety Triggers in Non-sedated Upper Gastrointestinal Endoscopy: A Prospective Analysis.Digestive diseases and sciences · 2025Observational
- Article
- Living with dialysis: Activities of daily life, social participation, and quality of life among hemodialysis patients in Chhattisgarh.Journal of family medicine and primary care · 2025Article
- Cognitive impairment is a risk factor for decreased physical performance in the elderly.Heliyon · 2024Article
- The Interplay of Anxiety, Depression, Sleep Quality, and Socioeconomic Factors in Somali Hemodialysis Patients.Brain sciences · 2024Article
- The Mediating Effect of Symptom Burden in the Depression and Quality of Life in Patients with Maintenance Hemodialysis.Psychology research and behavior management · 2024Article
- Novel risk-factor analysis and risk-evaluation model of falls in patients receiving maintenance hemodialysis.Renal failure · 2023Article
- Self-Reported Physical Inactivity and Mood Disturbances in End-Stage Kidney Disease (ESKD) Patients on Chronic Dialysis Treatment.Journal of clinical medicine · 2023Article
- Review
- Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Investigation of Anxiety and Health Locus of Control in Patients Undergoing Hemodialysis.Advances in experimental medicine and biology · 2023Article
- Prevalence of depression and anxiety and their predictors among patients undergoing maintenance hemodialysis in Northern China: a cross-sectional study.Renal failure · 2022Article
- Physical Fitness for Depression in Adolescents and Adults: A Meta-Analysis.Iranian journal of public health · 2022Review
- The Effect of Nutrition and Exercise on Body Composition, Exercise Capacity, and Physical Functioning in Advanced CKD Patients.Nutrients · 2022Review
- Evaluating the effect of intradialytic cycling exercise on quality of life and recovery time in hemodialysis patients: A randomized clinical trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022Article
- Depression symptoms and quality of life in patients receiving renal replacement therapy in Jordan: A cross-sectional study.Annals of medicine and surgery (2012) · 2021Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 3 countries.
Funding
Abstract
objectiveMaintenance hemodialysis (MHD) patients have a high prevalence of anxiety and depression and decreased daily physical activity (DPA) and exercise capacity. Because affective disorders may affect DPA and physical performance, we investigated possible relationships between anxiety or depression and DPA and physical performance in relatively healthy MHD patients. DESIGN AND
methodsThis cross-sectional study included 72 relatively healthy MHD patients and 39 normal adults. DPA was measured for 7 days with an Actigraph Activity Monitor®. Physical performance was assessed using the 6-minute walk (6-MWT), sit-to-stand (STS), and stair-climbing tests. Subjects completed the Beck Anxiety Inventory (BAI), the Beck Depression Inventory-II (BDI), and the Hospital Anxiety and Depression Scale (HADS). Main outcome measures were physical activity counts (expressed as vector magnitude), in the 6-MWT, STS, stair-climbing test, BAI, BDI, and HADS scores.
resultsAnxiety and depression by BAI and BDI were identified in 43% and 33% of MHD patients and 2.5% and 5% of normals, respectively (P < .0001 for each comparison). MHD patients without anxiety or depression had decreased DPA and physical performance compared with normals, indicating that these disorders were also independent of anxiety or depression. MHD patients with anxiety and depression generally had the most impaired DPA and physical performance. Higher BAI and BDI scores were each associated with impaired physical performance. In fully adjusted analyses, DPA in MHD patients was negatively correlated with the BDI (r = -0.33, P = .01) but not with the BAI. DPA on the day of hemodialysis (P = .01), and day 1 (P = .03) and day 2 (P = .03) after dialysis each correlated negatively with degree of depression by BDI. In MHD patients, BAI was negatively correlated with 6-MWT (P = .03) and STS (P = .04).
conclusionsIn relatively healthy adult MHD patients, anxiety and depression are common and are associated with impaired physical performance. There was a trend toward stronger negative associations between BDI scores and DPA than between BAI scores and DPA.
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