Association between sleep quality and cardiovascular disease in maintenance hemodialysis patients: a prospective cohort study

Tian, Han; Wang, Lulu; He, Qingyun; Xu, Xinxin; Zhang, Yan; Yang, Junwei; Ye, Hong; Jiang, Lei

doi:10.1080/0886022x.2023.2278310

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…One study reported that females had a higher risk of sleep disorders than males, [ 21 ] while another study found no significant gender difference in sleep quality. [ 22 ] ALB levels did not consistently show an association with sleep quality across the studies. [ 23 – 25 ] These findings suggest that clinicians should closely monitor these factors in hemodialysis patients and take appropriate steps to improve sleep quality in this population.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors related to sleep disorders in patients undergoing hemodialysis using a nomogram model

Liu,

Wang,

2024

Medicine

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This study aimed to investigate the risk factors related to sleep disorders in patients undergoing hemodialysis using a nomogram model. A cross-sectional survey was conducted in a hospital in Zhejiang province, China from January 1, 2020, to November 31, 2022 among patients undergoing hemodialysis. Dietary intake was assessed applying a Food Frequency Questionnaire. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index. Evaluation of risk factors related to sleep disorders in patients undergoing hemodialysis was using a nomogram model. This study included 201 patients and 87 individuals (43.3%, 87/201) exhibited sleep disorders. The average age of included patients was 51.1 ± 9.0 years, with males accounting for 55.7% (112/201). Results from nomogram model exhibited that potential risk factors for sleep disorders in patients undergoing hemodialysis included female, advanced age, increased creatinine and alanine aminotransferase levels, as well as higher red meat consumption. Inversely, protective factors against sleep disorders in these patients included higher consumption of poultry, fish, vegetables, and dietary fiber. The C-index demonstrated a high level of discriminative ability (0.922). This study found that age, sex, and dietary factors were associated with sleep disorders in hemodialysis patients. Hemodialysis patients with sleep disorders require urgent dietary guidance.

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Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors related to sleep disorders in patients undergoing hemodialysis using a nomogram model

Liu,

Wang,

2024

Medicine

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Beyond sleep duration: protocol for a systematic review of multidimensional sleep health in relation to cardiovascular disease and mortality

Kobayashi Frisk,

Lisik,

Zou

2024

Front. Sleep

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Adequate sleep duration has recently been recognized as a major determinant of cardiovascular health by the American Heart Association. This is a significant step toward recognizing sleep as a major lifestyle factor and pillar of health, along with physical activity and nutrition. However, healthy sleep is not only a matter of duration. Other dimensions, such as timing, regularity, efficiency, satisfaction with sleep, and daytime alertness are also deemed important to consider. We have designed a systematic review protocol according to the PRISMA-P guidelines with the objective of determining which sleep dimensions are predictors of all-cause mortality and major adverse cardiovascular events (MACE; cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, and unstable angina requiring hospitalization), and whether or not the use of multiple dimensions of sleep yields superior predictive value to the use of sleep duration alone in predicting the above-mentioned outcomes. We will implement a systematic search strategy in 10 databases with independent manual screening by two reviewers. The aim is to comprehensively identify longitudinal studies which have examined the relationship between sleep duration and at least one other dimension of sleep and mortality or MACE. Meta-analysis will be performed after data extraction to address these objectives quantitatively. We anticipate that several sleep dimensions beyond sleep duration have been studied in relationship to all-cause mortality and MACE, and that a combination of multiple sleep dimensions can better predict these outcomes than sleep duration alone. Such findings would lay important groundwork to establish multidimensional sleep health as a major determinant of cardiovascular health.

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Relationship between daily physical activity and quality of sleep in maintenance hemodialysis patients

Trbojević-Stanković,

Stanimirović,

Ristanović

et al. 2024

Medicinska istraživanja

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Introduction/Aim: Hemodialysis patients are often sedentary and experience a high prevalence of sleep disorders. In this study, we aimed to assess the level of physical activity and quality of sleep among patients on maintenance hemodialysis and assess the relationship between these issues. Material and Methods: Seventy-one hemodialysis patients filled in the International Physical Activity Questionnaire (IPAQ) and the Pittsburgh Sleep Quality Index (PSQI) to assess their level of physical activity and their quality of sleep, respectively. Basic demographic, clinical and treatment-related characteristics were obtained from an electronic medical data system, as well as the results of standard laboratory analyses. The results were analyzed with Student t-test, Pearson chi-square test, linear by linear association, and Spearman correlation. Results: Nearly half of the patients (46.5%) were poor sleepers with an overall PSQI of 5.7 ± 4.4. Older age was significantly associated with worse sleep quality (p=0.019). Patients reported low, moderate or vigorous levels of daily physical activity in 42.3%, 50.7% and 7% of cases, respectively. No statistically significant associations were noted between demographic characteristics, dialysis vintage, comorbidities and the level of physical activity. Distribution of good and poor sleepers was almost identical among patients with low and moderate physical activity (47% vs 53% and 50% vs 50% respectively), whereas patients with vigorous activity were mostly good sleepers (20% vs 80%), but the difference was not statistically significant (p=0.591). Conclusion: We observed no statistically significant association between the level of physical activity and quality of sleep in this cohort. Further research with a larger sample might additionally elucidate this issue.

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Association between sleep quality and cardiovascular disease in maintenance hemodialysis patients: a prospective cohort study

Cited by 3 publications

References 41 publications

Evaluation of risk factors related to sleep disorders in patients undergoing hemodialysis using a nomogram model

Evaluation of risk factors related to sleep disorders in patients undergoing hemodialysis using a nomogram model

Beyond sleep duration: protocol for a systematic review of multidimensional sleep health in relation to cardiovascular disease and mortality

Relationship between daily physical activity and quality of sleep in maintenance hemodialysis patients

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