Journal of Renal Nutrition
Volume 17, Issue 5 , Pages 343-349 , September 2007

Serum Levels of Folate and Cobalamin Are Lower in Depressed Than in Nondepressed Hemodialysis Subjects

  • Louise Clement, MS, RD, LD, CSR

      Affiliations

    • South Plains Kidney Disease Center, Lubbock, Texas.
    • Corresponding Author InformationAddress reprint requests to Louise Clement, MS, RD, LD, CSR, South Plains Kidney Disease Center, 1607 W. Loop 289, Lubbock, TX 79416.
  • ,
  • Mallory Boylan, PhD, RD, LD

      Affiliations

    • Department of Nutrition, Hospitality, and Retailing, Texas Tech University, Lubbock, Texas.
  • ,
  • Virginia G. Miller, PhD, RN, CS, FNP

      Affiliations

    • School of Nursing, Texas Tech University Health Sciences Center, Lubbock, Texas.
  • ,
  • Mary Rockwell, RD, LD, CSR

      Affiliations

    • Dialysis Center of Lubbock, Lubbock, Texas.
  • ,
  • Kendra Allred, MS, RD, LD

      Affiliations

    • Department of Nutrition, Hospitality, and Retailing, Texas Tech University, Lubbock, Texas.

References 

  1. Drayer RA, Piraino B, Reynolds CF, et al. Characteristics of depression in hemodialysis patients: symptoms, quality of life and mortality risk. Gen Hosp Psychiatry. 2006;28:306–312
  2. Takaki J, Nakao M, Yano E. The relationship of quality of life and depression to mortality in hemodialysis patients. Dial Transplant. 2005;34:568–575
  3. al-Hihi E, Awad A, Hagedorn A. Screening for depression in chronic hemodialysis patients. Mo Med. 2003;100:266–268
  4. Wilson B, Spittal J, Heidenheim P, et al. Screening for depression in chronic hemodialysis patients: comparison of the Beck Depression Inventory, primary nurse, and nephrology team. Hemodial Int. 2006;10:35–41
  5. Bottiglieri T, Laundy M, Crellin R, et al. Homocysteine, folate, methylation, and monoamine metabolism in depression. J Neurol Neurosurg Pschiatry. 2000;69:228–232
  6. Tiemeier H, vanTuijl HR, Hofman A, et al. Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study. Am J Psychiatry. 2002;159:2009–2101
  7. Ramos MI, Allen LH, Haan MN, et al. Plasma folate concentrations are associated with depressive symptoms in elderly Latina women despite folic acid fortification. Am J Clin Nutr. 2004;80:1024–1028
  8. Tolmunen T, Voutilainen S, Hintikka J, et al. Dietary folate and depressive symptoms are associated in middle-aged Finnish men. J Nutr. 2003;133:3233–3236
  9. Morris MS, Fava M, Jacques PF, et al. Depression and folate status in the US population. Psychother Psychosom. 2003;7:80–87
  10. Fugh-Berman A, Cott JM. Dietary supplements and natural products as psychotherapeutic agents. Psychosom Med. 1999;61:712–781
  11. Moat SJ, Ashfield-Watt PA, Powers HJ, et al. Effect of riboflavin status on the homocysteine-lowering effect of folate in relation to the MTHFR (C677T) genotype. Clin Chem. 2003;49:295–302
  12. Ubbink JB, Vermaak WJ, van der Merwe A, et al. Vitamin B-12, vitamin B-6, and folate nutritional status in men with hyperhomocysteinemia. Am J Clin Nutr. 1993;57:47–53
  13. Selhub J, Bagley LC, Miller J, et al. B vitamins, homocysteine, and neurocognitive functioning. Am J Clin Nutr. 2000;71(Suppl):614S–620S
  14. Loehrer F, Angst C, Brunner F, et al. Evidence for disturbed S-adenosylmethionine:S-adenosylhomocysteine ratio in patients with end-stage renal failure: a cause for disturbed methylation reactions. Nephrol Dial Transplant. 1998;13:656–661
  15. Bostom AG, Shemin D, Lapane KL, et al. High dose B-vitamin treatment of hyperhomocysteinemia in dialysis patients. Kidney Int. 1996;49:147–152
  16. Righetti M, Serbelloni P, Milani S, et al. Homocysteine-lowering vitamin B treatment decreases cardiovascular events in hemodialysis patients. Blood Purif. 2006;24:379–386
  17. Walrath LL, Johnstone S. In: Handbook for utilization of SF-36 quality of life survey with dialysis patients (Fresenius Medical Care-North America). 2003;p. 11
  18. Craven JL, Rodin GM, Littlefield C. The Beck depression inventory as a screening device for major depression in renal dialysis patients. Int J Psychiatry Med. 1988;18:365–374
  19. Mollaoglu M. Depression and health-related quality of life in hemodialysis patients. Dial Transplant. 2004;33:544–555
  20. Biris A, Messinis L, Antoniads G, et al. Quality of life, spouse marital adjustment and depression in a sample of end stage renal disease patients in Greece. Hippokratia. 2002;6:55–60
  21. Lindenbaum J, Healton EB, Savage DG, et al. Neuropsychiatric disorders caused by cobalamin deficiency in the absence of anaemia or macrocytosis. N Engl J Med. 1988;318:1720–1728
  22. Papakostas GI, Petersen T, Lebowitz BD, et al. The relationship between serum folate, vitamin B12, and homocysteine levels in major depressive disorder and the timing of improvement with fluoxetine. Int J Neuropsychopharmacol. 2005;8:523–528
  23. Lewis S, Lawlor D, Davey Smith G, et al. The thermolabile variant of MTHFR is associated with depression in the British Women’s Heart and Health Study and a meta-analysis. Mol Psychiatry. 2006;11:352–360

 This research was supported by a grant from the National Kidney Foundation Council on Renal Nutrition.

PII: S1051-2276(07)00116-1

doi: 10.1053/j.jrn.2007.05.007

Journal of Renal Nutrition
Volume 17, Issue 5 , Pages 343-349 , September 2007