Sleeping disorders in early chronic kidney disease
Rosa Maria De Santo1, Marilù Bartiromo, Maria Concetta Cesare
1Laboratory for Psychological Counseling, Dialysis Unit Neoren, Montesarchio (BN), and Postgraduate School of Nephrology at the Second University of Naples, Naples, Italy. bluetoblue@libero.it
Seminars in Nephrology
|January 18, 2006
Summary
Sleep disorders are highly prevalent in early-stage chronic kidney disease (CKD) patients, affecting over 80%. This highlights a significant issue for individuals newly diagnosed with kidney disease, impacting their quality of life.
Area of Science:
- Nephrology
- Sleep Medicine
- Internal Medicine
Background:
- Maintenance hemodialysis patients exhibit a high prevalence of sleep disorders.
- Factors influencing sleep disorders in dialysis patients include biochemical markers, blood pressure, quality of life, and comorbidities.
- Limited research exists on sleep disorders in earlier stages of chronic kidney disease (CKD).
Purpose of the Study:
- To investigate the prevalence of sleep disorders in patients with early-stage chronic kidney disease.
- To assess the relationship between sleep disorders and comorbidities in CKD patients.
Main Methods:
- Fifty-two patients with chronic kidney disease (CKD) were enrolled and their renal function characterized.
- Comorbidities were assessed using the Charlson Comorbidity Index.
- Sleep disorders were evaluated using the Sleep Disorder Questionnaire (SDQ), a 26-item instrument.
Main Results:
- A high prevalence of sleep disorders (80.7%) was observed in early-stage CKD patients.
- This prevalence was noted even when the comorbidity index was low.
- Sleep disorders impact CKD patients early in the disease progression.
Conclusions:
- Sleep disorders are a significant issue affecting a large majority of patients in the early stages of CKD.
- The findings suggest that sleep disturbances are present from the early diagnosis of CKD, potentially impacting progression towards end-stage renal disease.
- Further research with larger cohorts is needed to confirm these findings and explore interventions.
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