Sleep disorders in children and adolescents on regular hemodialysis

El-Baroudy, N R; Falaki, Mona El; Hagras, Amal; Galal, Rasha; Azmy, Radwa; Sayed, Basma B El; Walaan, Marian; Sawires, Happy

doi:10.1007/s00431-020-03611-w

Cited by 10 publications

(7 citation statements)

References 23 publications

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“…Age consistently emerged as a risk factor for poor sleep quality in hemodialysis patients. A previous study [ 18 ] found that older age was associated with significantly higher scores on the Pediatric Sleep Questionnaire, indicating poorer sleep quality in children and adolescents undergoing regular hemodialysis. Similarly, Chu et al [ 19 ] reported that advanced age was associated with higher rates of sleep disturbance and sleep-disordered breathing in hemodialysis patients.…”

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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“…Children on dialysis show poor sleep quality [56][57][58] and prevalence of sleep-disordered breathing is estimated around 40% [56,59]. One study reported higher AHI in patients compared to controls [58], but another study in children on automatic peritoneal dialysis found mild SDB in children with ESRD [57].…”

Section: Fluid Overload Dialysis and Sleep-disordered Breathingmentioning

confidence: 99%

Sleep Apnea and the Kidney

Marrone

Bonsignore

2020

Curr Sleep Medicine Rep

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Purpose of Review There are some uncertainties about the interactions between obstructive sleep apnea (OSA) and chronic kidney disease (CKD). We critically reviewed recent studies on this topic with a focus on experimental and clinical evidence of bidirectional influences between OSA and CKD, as well as the effects of treatment of either disease. Recent Findings Experimental intermittent hypoxia endangers the kidneys, possibly through activation of inflammatory pathways and increased blood pressure. In humans, severe OSA can independently decrease kidney function. Treatment of OSA by CPAP tends to blunt kidney function decline over time, although its effect may vary. OSA may increase cardiovascular complications and mortality in patients with end-stage renal disease (ESRD), while it seems of little harm after renal transplantation. Excessive fluid removal may explain some of the improvements in OSA severity in ESRD and after transplantation. Summary Severe OSA and CKD do interact negatively, mainly through hypoxia and fluid retention. The moderate mutually interactive benefits that treatment of each disease exerts on the other one warrant further studies to improve patient management.

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“…Hemodialysis (HD) is the main therapy for patients with end-stage renal disease (ESRD), which leads to health problems [ 1 ]. Poor sleep quality is prevalent among HD patients, affecting 41–85% [ 2 , 3 ]. Poor sleep quality, as an common risk factor, affects all aspects of HD patients and predicts the quality of life [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Poor sleep quality is prevalent among HD patients, affecting 41–85% [ 2 , 3 ]. Poor sleep quality, as an common risk factor, affects all aspects of HD patients and predicts the quality of life [ 3 ]. Furthermore, there is a positive correlation between sleep disturbances and increased morbidity and mortality related to cardiovascular diseases and infectious complications, the two major causes of death in HD patients [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Association of dietary fiber with subjective sleep quality in hemodialysis patients: a cross-sectional study in China

Zhang

Liu

et al. 2023

Annals of Medicine

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Background Poor sleep quality is a common problem among hemodialysis (HD) patients. Dietary fiber is a key component of a healthy diet and is beneficial for a variety of health outcomes; however, evidence of an association between dietary fiber consumption and subjective sleep quality has not been established among HD patients. Therefore, we determined the association between dietary fiber consumption and the subjective sleep quality in Chinese maintenance HD patients, taking into account fiber type and source. Methods Dietary intake was assessed with a validated food frequency questionnaire in a cross-sectional study including 741 maintenance HD patients between December 2021 and January 2022. The daily intake of dietary fiber was categorized into three groups. The lowest tertile was used as the reference category. Sleep quality of patients was accurately calculated using the Pittsburgh sleep quality index standard questionnaire. Multivariable logistic regression model and restricted cubic spline analysis were performed to assess the relationship between dietary fiber consumption and poor sleep quality. Results Compared with the lowest tertile group of dietary fiber intake, the highest tertile group had a lower prevalence of poor sleep quality. After adjustment for potential confounders, a higher intake of total dietary fiber (OR tertile 3 (T3) to tertile 1 (T1) = 0.51, 95% CI: 0.31–0.85), total insoluble dietary fiber (OR T3 to T1 =0.54, 95% CI: 0.33–0.89), and soluble dietary fiber in vegetables (OR T3 to T1 =0.61, 95% CI: 0.40–0.93) were associated with a lower prevalence of poor sleep quality. Furthermore, significant linear trends were also observed ( p < 0.05). No significant interactions were observed in subgroup analyses. Conclusion A higher intake of dietary fiber was inversely associated with the poor sleep quality. These findings support the current recommendations that dietary fiber is essential for health and well-being. Key messages This study was conducted because there was not prior evidence connecting sleep quality and dietary fiber consumption in hemodialysis patients. In the present study a cross-sectional design was used to assess the association between dietary fiber consumption and poor sleep quality. Intake of total dietary fiber, total insoluble dietary fiber, and soluble dietary fiber in vegetables were negatively associated with poor sleep quality among maintenance hemodialysis patients.

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Sleep disorders in children and adolescents on regular hemodialysis

Cited by 10 publications

References 23 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

Sleep Apnea and the Kidney

Association of dietary fiber with subjective sleep quality in hemodialysis patients: a cross-sectional study in China

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