The Relationship between Depression and Physical Activity in Patients undergoing Hemodialysis and Peritoneal Dialysis

Abstract

Chronic kidney disease is a common problem of patients referred to nephrology clinics and is one of the problems of the health care system. Depression assessment is one of common discussed topics in relation to chronic illness. Today, physical activity is one of the most effective ways to reduce depression and increase the quality of life of patients. The aim of present study was to evaluate depression with physical activity in patients undergoing hemodialysis and peritoneal dialysis. Materials and methods: In a cross-sectional study, 30 patients undergoing hemodialysis and 20 patients undergoing peritoneal dialysis referred to the nephrology clinic of Tabriz University of Medical Sciences were included in the study. Preliminary information of both groups of patients, including age, sex, level of education, marital status, disease duration and occupation of patients were recorded in the study checklist. To assess depression, both groups of patients were evaluated using the Beck depression inventory-II questionnaire. Beck physical activity questionnaire was also used to measure patients' physical activity. Results: Depression score was 16.40±11.83 in hemodialysis patients and 13.60±7.98 in peritoneal dialysis patients (P=0.360). According to the Beck Depression Inventory, 21 patients (70.0%) in the hemodialysis group and 12 patients (60.0%) in the peritoneal dialysis group had depression (P=0.548). The score of physical activity in patients undergoing hemodialysis was 5.38±1.32 and in patients undergoing peritoneal dialysis was 5.34±1.06 (P=0.906). The score of physical activity was inversely related to the level of depression which was statistically significant in the group under hemodialysis (r=-0.552 and P=0.001) but in the group under peritoneal dialysis, there was no significant relationship (r=-0.379 and P=0.100).