Associations of nutrition impact symptoms with depression in patients with advanced cancer

期刊论文
发表日期：

2024年6月19日

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Koji Amano,
Satomi Okamura,
Yoshinobu Matsuda,
Vickie E. Baracos,
Naoharu Mori,
Tomofumi Miura,
Ryohei Tatara,
Takaomi Kessoku,
Keita Tagami,
Hiroyuki Otani,
Masanori Mori,
Tomohiko Taniyama,
Nobuhisa Nakajima,
Erika Nakanishi,
Jun Kako,
Tatsuya Morita,
Mitsunori Miyashita

摘要

Purpose

Advanced cancer patients have nutrition impact symptoms (NISs), while many of them have depressive moods. This study aimed to determine the associations of NISs with depression.

Methods

This study was a secondary analysis. The dietary intake and 19 NISs in patients receiving palliative care were evaluated using 10-point scales, and the patients were categorized into two groups (non-depression and depression groups) using the cutoff based on the Patient Health Questionnaire-9 (PHQ-9). To determine associations between depression and the number of NISs with a score of ≥ 4, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the logistic regression model were calculated.

Results

A total of 225 participants were divided into the non-depression group (n = 148) and the depression group (n = 77). The prevalence of depression was 34.2%. Dietary intake was lower, and the number of NISs with a score of ≥ 4 was higher in the depression group (both p < 0.001). All NISs were more severe in the depression group. Significant differences were observed in 15 of the 19 NISs. In the logistic regression model, significantly higher adjusted ORs were observed in the groups with 4–6 NISs and 7 or more NISs with a score of ≥ 4 (10.76 [95% CI, 2.07–55.91], p = 0.016; 17.02 [95% CI, 3.08–94.22], p < 0.001) than in the group with no NISs with a score of ≥ 4.

Conclusion

Having four or more NISs with a score ≥ 4 was associated with depression.