Sleep disorders in pediatric chronic kidney disease patients

Stella Stabouli1, Eleni Papadimitriou2, Nikoleta Printza2

  • 1Pediatric Nephrology Unit, 1st Pediatric Department, Hippokration Hospital, Aristotle University of Thessaloniki, 49 Konstantinoupoleos Street, 54642, Thessaloniki, Greece. sstaboul@auth.gr.

Insights

Children with chronic kidney disease (CKD) have a high prevalence of sleep disorders, significantly impacting their health-related quality of life (HRQOL). Early identification and management of these sleep issues are crucial for improving patient outcomes.

Area of Science:

  • Pediatric Nephrology
  • Sleep Medicine
  • Quality of Life Research

Background:

  • Sleep disorders are common in childhood, affecting 25-43% of the pediatric population.
  • Chronic kidney disease (CKD) may exacerbate sleep disturbances in children.
  • Health-related quality of life (HRQOL) is a critical outcome measure in pediatric chronic conditions.

Purpose of the Study:

  • To determine the prevalence of sleep disorders in children with CKD.
  • To explore associations between sleep disorders and CKD-related factors.
  • To assess the impact of sleep disorders on HRQOL in pediatric CKD patients.

Main Methods:

  • Systematic literature search of PubMed, Embase, and Cochrane Library Databases.
  • Inclusion of seven relevant studies focusing on sleep disorders in children with CKD.
  • Assessment of sleep disturbances primarily through questionnaires, with one study using polysomnography.

Main Results:

  • All reviewed studies reported an increased prevalence of sleep disorders in children with CKD.
  • Prevalence of sleep disorders ranged from 32-85% depending on CKD status (dialysis, transplant, non-dialysis).
  • Restless legs syndrome was the most common disorder (10-35%); sleep disorders were linked to reduced HRQOL.

Conclusions:

  • Children with CKD exhibit a significantly higher prevalence of sleep disorders.
  • Sleep disturbances are associated with poorer HRQOL in this vulnerable pediatric population.
  • Further research and clinical attention to sleep issues in pediatric CKD are warranted.

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