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"M. Dulce Estêvão"

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"M. Dulce Estêvão"

Original Article
[English]
Muscle Strength and Biochemical Markers as Predictors of Depression in Hemodialysis Patients: A Cross-Sectional Study
Soudabeh Zare, Motahareh Hasani, M. Dulce Estêvão, Rahim Tahmasebi, Leila Azadbakht, Farzad Shidfar, Javad Heshmati, Somayeh Ziaei
Clin Nutr Res 2023;12(4):293-303.   Published online October 24, 2023
DOI: https://doi.org/10.7762/cnr.2023.12.4.293

Patients with chronic renal failure, many of which treated with hemodialysis, present a high prevalence of impaired muscle strength which suggest that muscle mass parameters may be used as markers for changes in muscle in these patients. Measurement of handgrip strength (HGS) is a common, simple, and quick measure of muscle function an indicator of overall muscle strength which has been associated with physical activity and several anthropometric traits. Intercellular adhesion molecule-1 (ICAM-1) and insulin-like growth factor-1 (IGF-1) are biochemical markers associated with inflammatory processes which are a common consequence of dialysis. Additionally, hemodialysis patients frequently present signs of malnutrition and depression. This cross-sectional study aimed to evaluate if muscle and biochemical markers could be used to predict the risk of depression in hemodialysis patients. Several anthropometric parameters, nutrient intake, depression state and the serum levels of ICAM-1 and IGF-1 were determined and Pearson’s correlation coefficient and/or Spearman’s correlation coefficient were used to test the correlation between them. Our results do not show a correlation between HGF, IGF-1 and ICAM-1 with the depression status of the patients, but mid-arm muscle circumference (MAMC) was statistically and positively correlated with depression. Additionally, ICAM-1 levels were negatively correlated with HGS, MAMC, and IGF-1. Overall, the results of the present study suggest that HGS may be used as an indicator of cardiovascular diseases and MAMC may be a good predictor of the level of depression in hemodialysis patients, although further studies are required.

Citations

Citations to this article as recorded by  
  • The Insulin-like Growth Factor Family as a Potential Peripheral Biomarker in Psychiatric Disorders: A Systematic Review
    Carlos Fernández-Pereira, Roberto Carlos Agís-Balboa
    International Journal of Molecular Sciences.2025; 26(6): 2561.     CrossRef
  • The relationship between anemia and sleep disturbances among older Chinese adults: The mediating role of handgrip strength
    Jie Li, Zunyi Ma, Xiaojiang Zhao, Qian Wu
    PLOS One.2025; 20(10): e0333673.     CrossRef
  • Grip strength and depressive symptoms in Chinese middle-aged and older adults: the mediating effects of cognitive function
    Xinzheng Wang, Lifei Wu, Huifen Zhou, Jiandong He
    Frontiers in Aging Neuroscience.2024;[Epub]     CrossRef
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