Nocturnal dialysis improves sleep apnea more than daytime dialysis: a meta-analysis of crossover studies

Lavoie, Matthew R; Patel, Jagatkumar A.; Camacho, Macario

doi:10.1016/j.sleep.2019.06.005

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…Another study found that missing or shortening dialysis sessions were associated with more severe sleep disturbances among maintenance hemodialysis patients [20]. Studies have also found that sleep apnea was improved with nocturnal hemodialysis [21,22]. Taken together these studies demonstrate that loss of kidney function and resulting disorders such as anemia may contribute to an increased risk of EDS among patients with CKD.…”

Section: Introductionmentioning

confidence: 92%

Associations between nutritional factors and excessive daytime sleepiness in older patients with chronic kidney disease

et al. 2021

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Section: Introductionmentioning

confidence: 92%

Associations between nutritional factors and excessive daytime sleepiness in older patients with chronic kidney disease

et al. 2021

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“…Using the criteria from the International Restless Legs Syndrom Study Group (IRLSSG) for the diagnosis and severity of RLS, patients on automated PD presented higher RLS severity compared with the HD group [ 43 ]. And previous PSG measurements also revealed that daytime dialysis may result in more obstructive and central apnoea as compared with nocturnal PD and HD [ 44 , 45 ]. A review by Chu et al [ 46 ] ascribed this sleep-disordered breathing to three different mechanisms: fluid accumulation resulting in pharyngeal narrowing, anaemia reducing the oxygen level and UT accumulation causing systemic inflammation, which in turn can cause pharyngeal narrowing and destabilization of chemoreceptors.…”

Section: Discussionmentioning

confidence: 99%

The complexity of sleep disorders in dialysis patients

Eloot

Holvoet

Dequidt

et al. 2021

Clinical Kidney Journal

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Background Dialysis patients experience a high burden of physical and emotional symptoms directly affecting their sleep and quality of life. In this study, objective and subjective measurements to quantify sleep were performed, compared with those of healthy controls, and associated with burden of comorbidity and uraemic toxicity. Methods A total of 64 dialysis patients were included—10 peritoneal dialysis, 42 in-centre daytime haemodialysis (HD) and 12 in-centre nocturnal HD patients—as well as one-to-one age- and gender-matched healthy controls. Assumed and actual sleep time, sleep efficiency and fragmentation index were measured by actigraphy for at least two consecutive nights. Patients and controls also completed Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) questionnaires. The patients’ blood was sampled to determine concentrations of a representative series of uraemic toxins and the Davies–Stoke comorbidity index was derived from medical records. Results Apart from the assumed sleep time, all objectively and subjectively measured sleep parameters were worse in the dialysis group compared with the healthy controls. No differences were seen in any of the measured sleep parameters among the different dialysis groups. None of the objectively measured sleep parameters were associated with ISI or PSQI scores in dialysis patients, while sleep times were related to the subjective scores in the healthy cohort. Objectively assessed sleep parameters were associated to neither the uraemic toxicity load nor the Davies–Stoke score. Conclusions Independent of the modality, dialysis patients have sleep quality much worse than age- and gender-matched healthy controls. The objectively measured sleep parameters could not be associated to the subjective score, uraemic toxicity or comorbidity score, highlighting the need for objective measurements of sleep and clinical guidelines to aid patient management.

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Is kidney a new organ target in patients with obstructive sleep apnea? Research priorities in a rapidly evolving field

et al. 2021

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Nocturnal dialysis improves sleep apnea more than daytime dialysis: a meta-analysis of crossover studies

Cited by 4 publications

References 39 publications

Associations between nutritional factors and excessive daytime sleepiness in older patients with chronic kidney disease

Associations between nutritional factors and excessive daytime sleepiness in older patients with chronic kidney disease

The complexity of sleep disorders in dialysis patients

Is kidney a new organ target in patients with obstructive sleep apnea? Research priorities in a rapidly evolving field

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