Proteinuria Is Associated with Quality of Life and Depression in Adults with Primary Glomerulopathy and Preserved Renal Function 英文参考文献.docVIP
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Proteinuria Is Associated with Quality of Life and Depression in Adults with Primary Glomerulopathy and Preserved Renal Function 英文参考文献
ProteinuriaIsAssociatedwithQualityofLifeand
DepressioninAdultswithPrimaryGlomerulopathyand
PreservedRenalFunction
AlexandreBragaLibo′rio1,3*,Joa?oPauloLimaSantos2,Nata′liaFeitosaArraesMinete2,Cec?′liade
AlencarDio′genes2,ArianePontesSoares2,AnaiaraLucenaQueiroz3,DulceMariaSilvaBarreto3
1Post-GraduatePrograminPublicHealth,UNIFOR,Fortaleza,Ceara′, Brazil,2MedicalCourse,UniversityofFortaleza,UNIFOR,Fortaleza,Ceara′, Brazil,3HospitalGeralde
Fortaleza,Fortaleza,Ceara′, Brazil
Abstract
Background:ThereisnoinformationaboutHRQoL,depressionandassociatedfactorsinadultwithnephroticsyndrome-
associatedglomerulopathy.
Methodology/Principal Findings: Patients with primary glomerulopathy where compared with age and sex-matched
hemodialysis patients and healthy subjects. Laboratory data, medical history, comorbid conditions were collected to
evaluate factors associated with HRQoL (SF-36) and Depression (Hamilton Depression Rating Scale - HAMD).
Glomerulopathy patients had low HRQoL in all eight SF-36 domains and two composite scores (physical and mental) in
comparisonwithhealthysubjects.HAMDscorealsowaselevatedandtherewashighdepressionprevalence.Overall,these
data were comparable between glomerulopathy and hemodialysis patients. Using multiple regression analysis, factors
associated with low HRQoL physical composite score were: last 24h-urine protein excretion (20.183, 95%CI 20.223 to
20.710 for each gram of proteinuria, p=0.01) and cyclosporine use (215.315, 95%CI 225.913 to 22.717, p=0.03). Low
HRQoLmentalcompositescorewasassociatedwithlast24h-urineproteinexcretion(20.157,95%CI20.278to20.310for
eachgramofproteinuria,p=0.03)andHMADscorewasindependentlyassociatedwithage(0.155,95%CI0.318to0.988for
eachyear,p=0.04),femalesex(4.788,95%CI1.005to8.620,0=0.03),diseaseduration(0.074,95%CI0.021to0.128foreach
month,p=0.01)andlast24h-urineproteinexcretion(0.050,95%CI0.018to0.085foreachgramofproteinuria,p=0.02).
Conclusions/Significance:Nephrotic-syndromeassociatedglomerulopathyp
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