Dietary Factors and Sleep Quality Among Hemodialysis Patients in Malaysia

Ho, Ling Ling; Chan, Yoke Mun; Daud, Zulfitri Azuan Mat

doi:10.1053/j.jrn.2021.02.003

Cited by 6 publications

(6 citation statements)

References 55 publications

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“…In addition, we found that prolonged sleep latency was the most common form of sleep disturbance in MHD patients, followed by daytime dysfunction with less use of sleep drugs. Previous study has also found that sleep latency has the greatest impact on MHD patients, and fewer patients use hypnotic drugs ( 16 ). This may be due to the increased daytime sleep in MHD patients during hemodialysis, resulting in difficulty in falling asleep at night, and thus significantly prolonged sleep latency.…”

Section: Discussionmentioning

confidence: 95%

“…However, complications caused by hemodialysis, especially sleep disturbance, are often ignored ( 24 ). Studies have shown that there are many factors associated with sleep disturbance in MHD patients, such as gender, diet, depression and serum PTH levels ( 14 , 16 ). In this study, we found that age, Alb and Ca 2+ were independent risk factors for sleep disturbance in MHD patients, and confirmed that age, Alb and anxiety were associated with the severity of sleep disturbance in MHD patients.…”

Section: Discussionmentioning

confidence: 99%

“…This contradictory result has blurred the role of serum PTH level in the sleep disturbance associated with MHD. Furthermore, studies have shown that diet regulation and melatonin can improve the sleep quality of MHD patients ( 16 , 17 ). These lines of evidence suggest that there are many factors associated with sleep disturbance in MHD patients, and the role of some factors, such as age and PTH, needs to be confirmed by more studies.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors and prediction model of sleep disturbance in patients with maintenance hemodialysis: A single center study

Miao

et al. 2022

Front. Neurol.

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ObjectivesThis study aimed to explore the risk factors and develop a prediction model of sleep disturbance in maintenance hemodialysis (MHD) patients.MethodsIn this study, 193 MHD patients were enrolled and sleep quality was assessed by Pittsburgh Sleep Quality Index. Binary logistic regression analysis was used to explore the risk factors for sleep disturbance in MHD patients, including demographic, clinical and laboratory parameters, and that a prediction model was developed on the basis of risk factors by two-way stepwise regression. The final prediction model is displayed by nomogram and verified internally by bootstrap resampling procedure.ResultsThe prevalence of sleep disturbance and severe sleep disturbance in MHD patients was 63.73 and 26.42%, respectively. Independent risk factors for sleep disturbance in MHD patients included higher 0.1*age (OR = 1.476, 95% CI: 1.103–1.975, P = 0.009), lower albumin (OR = 0.863, 95% CI: 0.771–0.965, P = 0.010), and lower 10*calcium levels (OR = 0.747, 95% CI: 0.615–0.907, P = 0.003). In addition, higher 0.1*age, lower albumin levels, and anxiety were independently associated with severe sleep disturbance in MHD patients. A risk prediction model of sleep disturbance in MHD patients showed that the concordance index after calibration is 0.736, and the calibration curve is approximately distributed along the reference line.ConclusionsOlder age, lower albumin and calcium levels are higher risk factors of sleep disturbance in MHD, and the prediction model for the assessment of sleep disturbance in MHD patients has excellent discrimination and calibration.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors and prediction model of sleep disturbance in patients with maintenance hemodialysis: A single center study

Miao

et al. 2022

Front. Neurol.

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“…In a recent review, it was described that meal time and sleep hygiene are two of the most important aspects to investigate in the link between diet and sleep (19). And in hemodialysis patients has been studied also how the patients use to skip meal on dialysis day (20).…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, sleep disturbances are increasingly being studied and associated with the intake of both macro and micro nutrients, mainly in the general population, where hours of sleep have been associated with different nutritional outcomes (19). Hemodialysis patients often have frequent sleep disturbances, as well as poor appetite, malnutrition, and body composition (20,21).…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality After Intradialytic Oral Nutrition: A New Benefit of This Anabolic Strategy? A Pilot Study

et al. 2022

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BackgroundSince disturbances of appetite and sleep are closely related and both affect metabolic disorders, it would be expected that a renal specific oral nutritional supplement (RS-ONS) that covers the energy the patient does not consume on the HD day, could contribute to improve the nutritional status and body composition, as well as sleep quality. There is still scarce information related to this topic.AimTo evaluate the effect of the use of intra-dialytic RS-ONS vs. RS-ONS at home on sleep quality, nutritional status, and body composition in patients on HD.MethodsAdult patients < 65 years, with ≥3 months on HD were invited to participate in an open randomized pilot study (ISRCTN 33897). Patients were randomized to a dialysis-specific high-protein supplement provided during the HD session (Intradialytic oral nutrition [ION]) or at home (control), during non-HD days (thrice weekly, for both) 12 weeks. The primary outcome was sleep quality defined by the Pittsburgh Sleep Quality Index (PSQI) score. Nutritional assessment included Malnutrition Inflammation Score (MIS), bioelectrical impedance analysis, anthropometry, 3-day food records, and routine blood chemistries.ResultsA total of 23 patients completed the study. Age was median 35 (range 24–48 years), 42% were women. At baseline, the PSQI score was median 4 (range 2–7), and MIS showed a median of 6 (range 5–8); there were no baseline differences between groups. After intervention, both groups improved their MIS scores and similarly when we analyzed the whole cohort (pre- vs. post-intervention P < 0.01). Patients in the ION group improved the overall PSQI score to median 3 (2–5), and assessment of sleep duration and sleep disturbances (pre- vs. post-intervention P < 0.05), with a trend toward an effect difference compared to patients consuming the supplement at home (P for treatment-effect across arms 0.07 for PSQI score and 0.05 for sleep latency).ConclusionOral supplementation improved nutritional status in the whole cohort, but only ION improved the PSQI score. More studies are needed to explore the nutritional strategies that influence the relationship between sleep and nutritional status in HD patients.

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Associations between sleep problems and cardiometabolic risk in maintenance hemodialysis patients: A multicenter study

Yang,

Zhang,

et al. 2024

Heliyon

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Dietary Factors and Sleep Quality Among Hemodialysis Patients in Malaysia

Cited by 6 publications

References 55 publications

Risk factors and prediction model of sleep disturbance in patients with maintenance hemodialysis: A single center study

Risk factors and prediction model of sleep disturbance in patients with maintenance hemodialysis: A single center study

Sleep Quality After Intradialytic Oral Nutrition: A New Benefit of This Anabolic Strategy? A Pilot Study

Associations between sleep problems and cardiometabolic risk in maintenance hemodialysis patients: A multicenter study

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