The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study
by
1,2,†
, 3,4,†, 5, 5,6, 7, 8,9, 8,10, 6,10, 11, 12, 13, 14, 15, 16, 17, 18,19, 20,21, 22,23,24, 1,* and 22,*
, 3,4,†, 5, 5,6
, 7, 8,9, 8,10, 6,10, 11, 12, 13, 14, 15, 16, 17, 18,19, 20,21, 22,23,24, 1,* and 22,*
1
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112-19, Taiwan
2
Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi 115-20, Vietnam
3
Director Office, Military Hospital 103, Hanoi 121-08, Vietnam
4
Department of Cardiology, Cardiovascular Center, Military Hospital 103, Hanoi 121-08, Vietnam
5
Hemodialysis Department, Nephro-Urology-Dialysis Center, Bach Mai Hospital, Hanoi 115-19, Vietnam
6
International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110-31, Taiwan
7
Division of Military Scientific Information, Vietnam Military Medical University, Hanoi 121-08, Vietnam
8
Director Office, Thai Nguyen National Hospital, Thai Nguyen 241-24, Vietnam
9
President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen 241-17, Vietnam
10
Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen 241-17, Vietnam
11
Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam
12
Department of Hemodialysis, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam
13
Director Office, Hai Phong International Hospital, Hai Phong 047-08, Vietnam
14
Hemodialysis Division, Hai Phong International Hospital, Hai Phong 047-08, Vietnam
15
Director Office, Bai Chay Hospital, Ha Long 011-21, Vietnam
16
Director Office, Quang Ninh General Hospital, Ha Long 011-08, Vietnam
17
Director Office, General Hospital of Agricultural, Hanoi 125-16, Vietnam
18
Faculty of Nursing, Hanoi University of Business and Technology, Hanoi 116-22, Vietnam
19
Nursing Office, Thien An Obstetrics and Gynecology Hospital, Hanoi 112-06, Vietnam
20
Department of Infectious Diseases, Vietnam Military Medical University, Hanoi 121-08, Vietnam
21
Division of Military Science, Military Hospital 103, Hanoi 121-08, Vietnam
22
School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan
23
Nutrition Research Center, Taipei Medical University Hospital, Taipei 110-31, Taiwan
24
Research Center of Geriatric Nutrition, Taipei Medical University, Taipei 110-31, Taiwan
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Academic Editor: Peter Pribis
Nutrients 2022, 14(12), 2364; https://doi.org/10.3390/nu14122364
Received: 12 April 2022
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Revised: 22 May 2022
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Accepted: 2 June 2022
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Published: 7 June 2022
(This article belongs to the Special Issue The Role of Nutrition in Understanding Anxiety and Depression)
During the COVID-19 pandemic, it is essential to evaluate hemodialysis patients’ dietary knowledge, especially among those with COVID-19 related symptoms, in order to identify appropriate strategies in managing their mental health. The study’s purposes were to test the psychometric properties of the hemodialysis dietary knowledge (HDK) scale, and to investigate the modifying impact of HDK on the associations of suspected COVID-19 symptoms (S-COVID-19-S) with anxiety and depression among hemodialysis patients. A cross-sectional study was conducted from July 2020 to March 2021 at eight hospitals across Vietnam. Data of 875 hemodialysis patients were analyzed, including socio-demographic, anxiety (the generalized anxiety disorder scale, GAD-7), depression (the patient health questionnaire, PHQ-9), S-COVID-19-S, HDK, health literacy, and digital healthy diet literacy. Confirmatory factor analysis (CFA) and logistic regression models were used to analyze the data. The HDK scale demonstrates the satisfactory construct validity with good model fit (Goodness of Fit Index, GFI = 0.96; Adjusted Goodness of Fit Index, AGFI = 0.90; Standardized Root Mean Square Residual, SRMR = 0.05; Root Mean Square Error of Approximation, RMSEA = 0.09; Normed Fit Index, NFI = 0.96; Comparative Fit Index, CFI = 0.96, and Parsimony goodness of Fit Index, PGFI = 0.43), criterion validity (as correlated with HL (r = 0.22, p < 0.01) and DDL (r = 0.19, p < 0.01), and reliability (Cronbach alpha = 0.70)). In the multivariate analysis, S-COVID-19-S was associated with a higher likelihood of anxiety (odds ratio, OR, 20.76; 95% confidence interval, 95%CI, 8.85, 48.70; p < 0.001) and depression (OR, 12.95; 95%CI, 6.67, 25.14, p < 0.001). A higher HDK score was associated with a lower likelihood of anxiety (OR, 0.70; 95%CI, 0.64, 0.77; p < 0.001) and depression (OR, 0.72; 95%CI, 0.66, 0.79; p < 0.001). In the interaction analysis, the negative impacts of S-COVID-19-S on anxiety and depression were mitigated by higher HDK scores (p < 0.001). In conclusion, HDK is a valid and reliable tool to measure dietary knowledge in hemodialysis patients. Higher HDK scores potentially protect patients with S-COVID-19-S from anxiety and depression during the pandemic.
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Keywords:
hemodialysis; psychometric properties; anxiety; depression; suspected COVID-19 symptoms; health literacy; digital healthy diet literacy; hemodialysis dietary knowledge; Vietnam
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MDPI and ACS Style
Dang, L.T.; Luong, T.C.; Nguyen, D.H.; Hoang, T.A.; Nguyen, H.T.; Nguyen, H.C.; Duong, T.H.; Tran, T.T.; Pham, L.V.; Ngo, T.V.; Nguyen, H.T.; Trieu, N.T.; Do, T.V.; Trinh, M.V.; Ha, T.H.; Phan, D.T.; Do, B.N.; Yang, S.-H.; Wang, T.-J.; Duong, T.V. The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study. Nutrients 2022, 14, 2364. https://doi.org/10.3390/nu14122364
AMA Style
Dang LT, Luong TC, Nguyen DH, Hoang TA, Nguyen HT, Nguyen HC, Duong TH, Tran TT, Pham LV, Ngo TV, Nguyen HT, Trieu NT, Do TV, Trinh MV, Ha TH, Phan DT, Do BN, Yang S-H, Wang T-J, Duong TV. The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study. Nutrients. 2022; 14(12):2364. https://doi.org/10.3390/nu14122364
Chicago/Turabian StyleDang, Loan T., Thuc C. Luong, Dung H. Nguyen, Trung A. Hoang, Hoai T. Nguyen, Hoang C. Nguyen, Thai H. Duong, Tu T. Tran, Linh V. Pham, Tuan V. Ngo, Hoi T. Nguyen, Nga T. Trieu, Thinh V. Do, Manh V. Trinh, Tung H. Ha, Dung T. Phan, Binh N. Do, Shwu-Huey Yang, Tsae-Jyy Wang, and Tuyen Van Duong. 2022. "The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study" Nutrients 14, no. 12: 2364. https://doi.org/10.3390/nu14122364
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