Korean J Nephrol.  1999 Nov;18(6):953-958.

Sleep Disturbance in Hemodialysis Patients

• Kim JC
• Song KU
• Koo JR
• Kim KH
• Chun RW
• Kim HJ
• Chae DW
• Noh JW

Abstract

Sleep disturbance and restless legs syndrome (RLS) among uremic patients is known to be high, but data on the prevalence, clinical significance, and causative factors are limited. A semiquantitative sleep and RLS questionnaire was distributed to 62 chronic hemodialysis(HD) patients. 74.5N had sleep complaints and frequent awakening was the most frequent specific sleep complaints followed by daytime sleepiness. Presence of diabetes mellitus(DM), RLS, depres- sion, high CRP level, low intact parathyroid hormone level, low subjective global assessment score, and short HD duration were associated with more sleep complaints. 58.3N had RLS and presence of DM, low serum albumin level were also associated with more severe RLS. But Kt/V, protein catabolic rate, hematocrit, plasma bicarbonate level, use of erythropoietin and sleep medication were not associated with sleep complaints and RLS. Sleep problems and RLS are comrnon in HD patients and seem to be associated with malnutrition. Presence of DM, de- pression, and RLS are likely to contribute the high prevalence of sleep disturbance.

MeSH Terms

Erythropoietin
Hematocrit
Humans
Malnutrition
Parathyroid Hormone
Plasma
Prevalence
Renal Dialysis*
Restless Legs Syndrome
Serum Albumin
Surveys and Questionnaires
Erythropoietin
Parathyroid Hormone
Serum Albumin