Nutritional status associated with different methods of screening depression in heart failure patients

Introduction: Assessment of nutritional status has been used under different conditions. Objective: Associate nutritional status with different methods for screening for depression in patients with heart failure. Method: Study observational, cross-sectional and prospective study. The diagnosis of nutritional status was carried out through the validated questionnaire Mini nutritional assessment (MNA), anthropometry and tetrapolar bioimpedance. The depression was tracked by the Beck Depression Inventory (BDI-I) and Questionarie Health Patient-9 (PHQ-9). Data distribution was assessed using the Kolmogorov-Smirnov tests and Shapiro-Wilk, p-value <0.05 was considered significant. Results: 76 patients were evaluated, screened by different methods, 51.3% with functional class II (New York Heart Association). The prevalence of depression by BDI-I: 67.1% and PHQ-9: 44.7%. Regarding nutritional status, 58% had a risk score and 85% had a obesity. Depression instruments, simultaneously, showed an association between the groups with and without depression for the diagnosis of nutritional risk (BDI-I:p=0.02; PHQ-9:p=0.001); increased waist circumference (BDI-I:p=0.03; PHQ-9:p=0.05). The diagnosis of nutritional risk (OR:3.11; 95%CI [1.17-8.31]) increased the chance to develop depression. Conclusion: We conclude that the investigation in the nutritional psychiatry axis in patients with heart failure allowed to know a phenotype with a higher nutritional risk associated with depression and with high rates of obesity.