A systematic review of central sleep apnea in adult patients with chronic kidney disease

Nigam, Gaurav; Pathak, Charu; Riaz, Muhammad Bilal

doi:10.1007/s11325-016-1317-0

Cited by 32 publications

(18 citation statements)

References 23 publications

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“…Although individuals with symptoms and history suggestive of CKD, OSAS and CSAS were exempted from this study, it is important to note that both OSAS and CSAS are implicated in excessive daytime sleepiness and nighttime insomnia (American Academy of Sleep Medicine 2014). In addition, association has been established between CKD and OSAS (Nigam et al 2017), and also between CKD and CSAS (Nigam et al 2016). Previous studies had reported a prevalence level of 10% in a community-based sample (Drake et al 2004), while Waage et al (2009), reported a prevalence of 23.3% among oil rig workers.…”

Section: Discussionmentioning

confidence: 96%

Prevalence, predictors and effects of shift work sleep disorder among nurses in a Nigerian teaching hospital

Fadeyi

Ayoka

Fawale

et al. 2018

Sleep Science Practice

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Background: This study evaluated the prevalence, predictors and effects of Shift Work Sleep Disorder (SWSD) among nurses in a Nigerian teaching hospital. Methods: Eighty-eight nurses (44 each from the pool of shift and non-shift nurses), who emerged by simple random sampling, participated in the study. Socio-demographic data and health complaints were obtained with questionnaires. Each participant was assessed with Epworth sleepiness scale (ESS), insomnia severity index (ISI) and sleep log, while SWSD cases were ascertained by applying the International Classification of Sleep Disorders (ICSD-2) criteria. Body mass index, blood pressure, body temperature and salivary cortisol levels were also determined. Results: Generally, results showed that the shift group; comprising of shift nurses, recorded higher values of biophysical profiles and more health complaints than the non-shift group (control); comprising of non-shift nurses. Also, 19 (43.2%) of the shift nurses fulfilled the criteria for SWSD, on this basis, the shift group was divided into two: SWSD (n = 19) and No SWSD (n = 25). And within the shift group, the SWSD group had higher systolic (p = 0.014), diastolic (p = 0.012), and mean arterial (p = 0.009) blood pressures; they also recorded higher temperature (p = 0.001) , higher salivary cortisol levels (p = 0.027) and more health complaints. Conclusion:The results of this study indicate that rotating shift work among nurses is associated with increased level of health complaints and physiologic indices of stress as well as sleep impairment.

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Section: Discussionmentioning

confidence: 96%

Prevalence, predictors and effects of shift work sleep disorder among nurses in a Nigerian teaching hospital

Fadeyi

Ayoka

Fawale

et al. 2018

Sleep Science Practice

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“…The influence of central and obstructive events was not separately analysed. The prevalence of central sleep apnea in CKD is about 10% (Nigam et al ., ). Central apneas could be consequences of CKD, as in end‐stage renal disease they are more common in the predialysis nights.…”

Section: Discussionmentioning

confidence: 97%

Chronic kidney disease in European patients with obstructive sleep apnea: the ESADA cohort study

Marrone

Battaglia

Steiropoulos

et al. 2016

Journal of Sleep Research

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The cross-sectional relationship of obstructive sleep apnea with moderate to severe chronic kidney disease, defined as an estimated glomerular filtration rate <60 mL min ∙1.73 m , was investigated in a large cohort of patients with suspected obstructive sleep apnea studied by nocturnal polysomnography or cardiorespiratory polygraphy. Data were obtained from the European Sleep Apnea Database, where information from unselected adult patients with suspected obstructive sleep apnea afferent to 26 European sleep centres had been prospectively collected. Both the Modification of Diet in Renal Disease and the Chronic Kidney Disease-Epidemiology Collaboration equations were used for the assessment of estimated glomerular filtration rate. The analysed sample included 7700 subjects, 71% male, aged 51.9 ± 12.5 years. Severe obstructive sleep apnea (apnea-hypopnea index ≥30) was found in 34% of subjects. The lowest nocturnal oxygen saturation was 81 ± 10.2%. Chronic kidney disease prevalence in the whole sample was 8.7% or 6.1%, according to the Modification of Diet in Renal Disease or the Chronic Kidney Disease-Epidemiology Collaboration equations, respectively. Subjects with lower estimated glomerular filtration rate were older, more obese, more often female, had worse obstructive sleep apnea and more co-morbidities (P < 0.001, each). With both equations, independent predictors of estimated glomerular filtration rate <60 were: chronic heart failure; female gender; systemic hypertension; older age; higher body mass index; and worse lowest nocturnal oxygen saturation. It was concluded that in obstructive sleep apnea, chronic kidney disease is largely predicted by co-morbidities and anthropometric characteristics. In addition, severe nocturnal hypoxaemia, even for only a small part of the night, may play an important role as a risk factor for kidney dysfunction.

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“…Similarly, a small sample study (n=91) linked snoring to proteinuria and high serum urea and creatinine concentration (27). High prevalence of OSA was found in nondialysis patients with CKD and the prevalence and severity of OSA increased with progression of CKD stage (28,29). It was also observed that severe OSA was also independently associated with higher serum cystatin C levels in patients without CKD; serum cystatin C is considered to be a biomarker reflecting clinically latent renal dysfunction (30).…”

Section: Discussionmentioning

confidence: 99%

Sleep and CKD in Chinese Adults: A Cross-Sectional Study

Huang

Hou

et al. 2017

CJASN

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A systematic review of central sleep apnea in adult patients with chronic kidney disease

Cited by 32 publications

References 23 publications

Prevalence, predictors and effects of shift work sleep disorder among nurses in a Nigerian teaching hospital

Prevalence, predictors and effects of shift work sleep disorder among nurses in a Nigerian teaching hospital

Chronic kidney disease in European patients with obstructive sleep apnea: the ESADA cohort study

Sleep and CKD in Chinese Adults: A Cross-Sectional Study

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