Predictors of Sleep Quality in Hemodialysis Patients

Güney, İ̇brahim; Atalay, Hüseyin; Solak, Yalçın; Altintepe, Luftullah; Toy, Hasan; Tonbul, Halil Zeki; Türk, Süleyman

doi:10.1177/039139881003300304

Cited by 29 publications

(40 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[29] An association between age and sleep quality in ESRD patients is also reported by some studies. [182530] In our study, however, age was independently associated with only one of the sleep quality domains, “day dysfunction due to sleepiness.” Although age is found to be independently associated with sleep quality, this association may be, at least in part, mediated by the presence of comorbid diseases, less physical activity, and nutritional status in older patients. [1831–33] We also found female gender an independent predictor of sleep latency.…”

Section: Discussioncontrasting

confidence: 78%

Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Masoumi¹

2015

Sleep Medicine

View full text Add to dashboard Cite

Background:Sleep disturbances are common among uremic patients; however, limited data are available on predictors of sleep quality in this population. We assessed sleep quality in patients on hemodialysis (HD) and peritoneal dialysis (PD) and investigated predictors related to sleep quality.Methods:Patients on maintenance HD and PD were consecutively included from two medical centers in Isfahan city (Iran). They completed the Pittsburgh sleep quality index (PSQI) and hospital anxiety and depression scale. Laboratory tests were done for iron state, kidney function, and electrolytes. Univariate and multivariate analyses were performed to find predictors of sleep quality.Results:About 90 patients were evaluated (53 males, age = 54.2 ± 15.2 years, disease duration = 5.3 ± 4.5 years). Poor sleep quality was frequent in 86.6% of the cases in each group of HD and PD patients. Patients on HD had poorer sleep quality in terms of total PSQI scores and two dimensions of sleep latency and sleep efficiency (P < 0.05). Anxiety (β = 0.232, P = 0.027), depression (β = 0.317, P = 0.004), and being on HD (β = 2.095, P = 0.009) were independent predictors of overall poor sleep quality.Conclusions:Poor sleep quality is highly frequent in patients on maintenance dialysis and mood disorders and being on HD are predictive factors. Further studies are required for better understanding of risk factors associated with poor sleep quality and thus possible treatments in these patients.

show abstract

Section: Discussioncontrasting

confidence: 78%

Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Masoumi¹

2015

Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…In our study, patients younger than 65 years more often had poorer quality of sleep than older patients, but the difference was not statistically significant. Other studies showed positive correlation between the employment and better quality of sleep in patients on HD, which was not the case in our study, probably due to the extremely small number of working patients (20). Also, no significant correlation has been noticed between the smoking habit and comorbidities and sleep quality, which was shown in earlier researches as well (8,14,19,21).…”

Section: Discussioncontrasting

confidence: 73%

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

Aljušević¹,

Vatic²,

Trbojević-Stanković³

2017

Med podmladak

View full text Add to dashboard Cite

Introduction: Sleep disorders are common among patients treated with chronic dialysis. Still, these conditions are seldom diagnosed and often undertreated, because they are attributed to the renal disease itself and/or considered a reaction to dialysis treatment. Aim: The aim of this study was to assess the prevalence of poor sleep quality and its relations with demographic and clinical characteristics of patients undergoing chronic hemodialysis (HD). Material and Methods: A cross-sectional observational study was performed on 82 patients (49 men, mean age 64.77 ± 10.00 years, range 30-85) on HD maintenance in a University Hospital Center in Belgrade. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). Other relevant data were collected by general questionnaire and from patients' medical histories. Data were analyzed with Chi-square, Fisher and T test, using the SPSS (version 21.0). Results: The mean PSQI was 6.74 ± 3.99. Poor quality of sleep (PSQI>5) was present in 47 (57.3%) patients. Patients treated with hemodiafiltration statistically more often had significantly better quality of sleep (p=0.047), whereas patients receiving dialysis treatment in the afternoon shift more frequently had poor quality of sleep (p=0.017). Age, sex, employment status, comorbidities, dialysis vintage and adequacy were not related to the quality of sleep significantly. Conclusion: The type of dialysis treatment and dialysis shift are closely interrelated with the quality of sleep in patients on chronic HD treatment.

show abstract

“…Mean serum albumin level of participants was slightly over 3.4 g/dl in both groups (3.6±0.3 g/dl and 3.6±0.4 g/dl, p=0.206) (Table-III). Similarly many studies did not demonstrate a difference 10,21,25,26. Serum creatinine level, which is the renal failure criteria and reflects muscle mass and nutritional status, was significantly different in two groups (good vs poor sleepers) (8.5±1.6 mg/dl and 6.9±2.1 mg/dl, respectively; p=0.043), (Table-III).…”

Section: Discussionmentioning

confidence: 79%

What to eat for a better sleep in haemodialysis patients: Potential role of B vitamins intake and appetite

Ongan¹,

Yüksel²

2017

Pak J Med Sci

View full text Add to dashboard Cite

Objective:Sleeping disorders are common among Haemodialysis-HD patients. In addition to well-known factors, food consumption impact on sleep quality needs being discovered. Aim was to examine the nutrition-related factors that may influence sleep quality in HD patients.Methods:One hundred and three patients in three HD centres participated. Data were collected with Pittsburgh Sleep Quality Index-PSQI and Questionnaire Form about socio-demographic characteristics and appetite. Biochemical findings were obtained; food consumption for three consecutive days was recorded. Independent Samples t/Mann Whitney U tests for mean comparison; Logistic Regression Analysis for determining variables affecting sleep quality, were used.Results:Mean age was 59.19±14.57 years. 51.5% were women. 37.9% had good (PSQI<5) and 62.1% had poor (PSQI≥5) sleep quality. Appetite had significant impact on sleep quality; poor sleeping risk was 4.194 fold higher in patients with bad appetite than those with good appetite (p=0.038). Biochemical findings of poor and good sleepers were similar, except for potassium and creatinine. Vitamins B1, B6 and folate intake of good and poor sleepers were significantly different. Patients with good sleep quality consumed significantly higher amounts of above B vitamins (p=0.030, p=0.036, p=0.034, respectively).Conclusions:Favourable effect of appetite and certain nutrients intake on sleep quality in HD patients was shown. Improving nutritional status of HD patients has potential to increase their sleep quality.

show abstract

Predictors of Sleep Quality in Hemodialysis Patients

Abstract: Depression, MCS score and employment status were the most important predictors of sleep quality in HD patients.

Cited by 29 publications

References 21 publications

Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis

Quality of sleep in hemodialysis patients: The role of demographic and clinical characteristics

What to eat for a better sleep in haemodialysis patients: Potential role of B vitamins intake and appetite

Contact Info

Product

Resources

About