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Sleep Disorders in CKD: A Review
Anjana Gopal1, Janine Farragher2, Sarbjit V Jassal3
1Ajmera Transplant Centre, University Health Network and Division of Nephrology, University of Toronto, Toronto, Ontario, Canada.
Summary
Sleep disorders like insomnia and sleep apnea are common in chronic kidney disease (CKD) but often missed. Addressing these sleep issues in CKD patients may improve quality of life.
Area of Science:
- Nephrology
- Sleep Medicine
- Internal Medicine
Background:
- Sleep disorders are frequent in chronic kidney disease (CKD) patients, contributing to high morbidity and mortality.
- Common disturbances include insomnia, sleep apnea, restless legs syndrome, and periodic limb movement disorder.
- CKD symptoms often overlap with sleep disorder symptoms, complicating diagnosis.
Purpose of the Study:
- To review the pathophysiology, diagnosis, and treatment of sleep disorders in CKD patients.
- To highlight the challenges in managing these conditions due to overlapping symptoms and treatment complexities.
- To emphasize the potential benefits of treating sleep disorders in CKD.
Main Methods:
- Literature review focusing on pathophysiology, diagnosis, and treatment strategies.
- Analysis of the interplay between CKD and sleep disturbances.
- Discussion of individualized treatment approaches.
Main Results:
- Sleep disorders are underrecognized in CKD, exacerbating patient outcomes.
- Diagnosis is challenging due to symptom overlap.
- Treatment requires careful individualization to manage potential adverse effects.
Conclusions:
- Effective management of sleep disorders in CKD is crucial.
- Individualized treatment strategies can improve patient quality of life.
- Further research and clinical attention are needed for this patient population.
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