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Sleep Hygiene Among People With CKD
Ginger Chu1,2,3, Ritin Fernandez1, Shilpanjali Jesudason4,5
1School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia.
Kidney International Reports
|April 23, 2026
Summary
Good sleep hygiene practices are common in chronic kidney disease (CKD) patients, yet poor sleep and high fatigue persist. Sleep hygiene alone is insufficient for improving sleep and fatigue in CKD.
Area of Science:
- Nephrology
- Sleep Medicine
- Patient Health Outcomes
Background:
- Sleep disturbances and fatigue are prevalent in individuals with chronic kidney disease (CKD).
- Good sleep hygiene is recommended for CKD patients, but research on its specific application and impact is limited.
- Understanding sleep hygiene's role is crucial for managing sleep quality and fatigue in this population.
Purpose of the Study:
- To examine sleep hygiene practices among individuals with chronic kidney disease (CKD).
- To explore the relationship between sleep hygiene, sleep outcomes, and fatigue in the CKD population.
- To identify factors contributing to poor sleep and fatigue in CKD patients.
Main Methods:
- A cross-sectional survey was conducted in 4 nephrology units across Australia.
- Participants (n=231) completed assessments for sleep hygiene (Sleep Hygiene Index [SHI]), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), and fatigue (Functional Assessment of Chronic Illness Therapy - Fatigue [FACIT-F]).
- Linear regression models were used to analyze the associations between sleep hygiene, fatigue, and sleep outcomes.
Main Results:
- The mean age of participants was 63 years, with 67% being male and 62% on hemodialysis.
- Overall sleep hygiene was generally good (mean SHI: 13.7 ± 7.7), but sleep outcomes were poor (mean PSQI: 9.1 ± 4.5) and fatigue was high (mean FACIT-F: 27.1 ± 10.0).
- Poor sleep hygiene was independently associated with increased fatigue (β: -0.54) and poorer sleep quality (β: 0.16). Only 17% of participants were aware of sleep hygiene.
Conclusions:
- While sleep hygiene is linked to fatigue and sleep outcomes in CKD patients, it appears insufficient on its own.
- Poor sleep and high fatigue remain common despite generally good sleep hygiene practices in this cohort.
- A multifaceted approach is necessary to effectively improve sleep and reduce fatigue in individuals with chronic kidney disease.
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