Effects of sleep disordered breathing on functional capacity and quality of life in chronic kidney disease Egyptian patients

Abstract

Overall, SDB appears to partly contribute to the total diminished functional capacity of HD patients. Thus, CKD patients maintained on HD with SDB had significantly lower sleep quality and QoL as compared to those not maintained on HD with or without SDB.

Can A Nursing Intervention Improve the Sleep Pattern Disorders in Patients Undergoing Hemodialysis in Morning and Afternoon Shifts?

“…The effect of these parameters on sleep is still debatable, with some studies -agreeing with our findings -denying such relation [23,32], while other studies confirmed it [33,34]. Meanwhile, Khalil [35] in an Egyptian study found that and the levels of urea and creatinine might increase the incidence of sleep disorders in ESRD patients who are not maintained on hemodialysis. This issue needs further studies.…”

Physical Activity and Quality of Sleep in Patients with End-Stage Renal Disease on Hemodialysis: A Preliminary Report

“…Their performance in physical activities further aggravates the anxiety of these patients and their physical and mental burden by affecting the quality of sleep as evidenced by the research of Kwabena and Awuah [ 1 ]. According to Roumelioti et al [ 14 ], dialysis dependency was associated with poor sleep quality, and hemodialysis patients with sleep-disordered breathing were found to have poor sleep quality compared with those not on hemodialysis [ 15 ]. Our results showed that patients were classified as bad sleepers at the total PSQI score (8.8 ± 2.8) compared to previous studies which classified patients as poor sleepers when having score > 5.5 in PSQI [ 16 ].…”

A comparison of quality of sleep between patients with chronic kidney disease not on hemodialysis and end-stage renal disease on hemodialysis in a developing country

“…[13]. In another study, hemodialysis patients with sleep disordered breathing were found to have poor sleep quality compared with those not on hemodialysis [20]. However, this study only assessed sleep quality in patients who had sleep-disordered breathing.…”

“…History of heart failure was also found to be associated with poor sleep quality in another study [34]. Multiple other predictors of poor sleep quality have been found in other studies but not in our study including young age [7,12,16,19], older age [11,13,34], female sex [11,15,31,35], white race [19], employment [7], diabetes mellitus [6], duration of hemodialysis [12,30], reduced frequency of hemodialysis [11], body pain [6,16], pruritis [16], CRP [7], serum phosphorous [7,8,15,32], albumin, body mass index [7] and quality of life [9,12,19,20,29]. Difference in predictors of poor sleep quality is likely explained by difference in patient population, sample size, variation in inclusion of predictor variables and assessment tools for sleep quality.…”