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DOI: 10.5935/1984-0063.20200102
Dietary nutrients’ intake and sleep quality in peritoneal dialysis patients
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Sleep disturbances are common in dialysis patients. However, there is a lack of information on nutritional determinants of sleep disorders in dialysis patients. The objective of the current study was to investigate the association between nutrients’ intake and sleep quality in peritoneal dialysis patients. The cross-sectional study was done on 114 peritoneal dialysis patients referred to Alzahra and Khorshid hospitals, Isfahan, Iran. Information on sleep quality and dietary intakes were collected using Pittsburgh sleep quality index and 168-item food frequency questionnaire respectively. Anthropometric measurements were done by a trained dietitian based on standard protocols. Socio-demographic and clinical data were obtained through a structured questionnaire. The binary logistic regression model was used to detect the association between nutrients’ intake and sleep quality. Our results indicated that there was not any significant difference in basic (socio-demographic and clinical) characteristics between peritoneal dialysis patients with good and poor sleep quality (p>0.05). The results of logistic regression indicated a positive significant association between dietary intake of carbohydrate (OR:3;95% CI:1.32-6.81; p<0.05), fat (OR:3;95% CI:1.32-6.81; p<0.05), and fiber (OR:2.53;95% CI: 1.12-5.67; p<0.05) with poor sleep quality in crude and adjusted models (p<0.05). However, there was not any significant association between dietary intake of protein and poor sleep quality (p>0.05). The results of the present study indicated that dietary intake of nutrients affect sleep quality in dialysis patients. These results help healthcare professionals in making nutritional interventions to improve sleep quality in dialysis patients.
Publikationsverlauf
Eingereicht: 20. Oktober 2020
Angenommen: 05. Januar 2021
Artikel online veröffentlicht:
30. November 2023
© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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REFERENCES
- 1 Merlino G, Gigli GL, Valente M. Sleep disturbances in dialysis patients. J Nephrol. 2008 Mar/Apr;21(Suppl 13):S66-S70.
- 2 Gusbeth-Tatomir P, Boisteanu D, Seica A, Buga C, Covic A. Sleep disorders: a systematic review of an emerging major clinical issue in renal patients. Int Urol Nephrol. 2007;39(4):1217-26.
- 3 Parker KP. Sleep disturbances in dialysis patients. Sleep Med Rev. 2003;7(2):131-43.
- 4 Güney İ, Biyik M, Yeksan M, Biyik Z, Atalay H, Solak Y, et al. Sleep quality and depression in peritoneal dialysis patients. Ren Fail. 2008;30(10):1017-22.
- 5 Lai X, Chen W, Bian X, Wang T, Li J, Wang H, et al. Predictors of poor sleep quality and excessive daytime sleepiness in peritoneal dialysis patients. Ren Fail. 2015 Feb;37(1):61-5.
- 6 Yang JY, Huang JW, Peng YS, Chiang SS, Yang CS, Yang CC, et al. Quality of sleep and psychosocial factors for patients undergoing peritoneal dialysis. Perit Dial Int. 2007 Nov/Dec;27(6):675-80.
- 7 Elder SJ, Pisoni RL, Akizawa T, Fissell R, Andreucci VE, Fukuhara S, et al. Sleep quality predicts quality of life and mortality risk in haemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrol Dial Transplant. 2008 Mar;23(3):998-1004.
- 8 Mucsi I, Molnar MZ, Rethelyi J, Vamos E, Csepanyi G, Tompa G, et al. Sleep disorders and illness intrusiveness in patients on chronic dialysis. Nephrol Dial Transplant. 2004 Jul;19(7):1815-22.
- 9 Burrowes JD, Russell GB, Unruh M, Rocco MV. Is nutritional status associated with self-reported sleep quality in the HEMO study cohort?. J Ren Nutr. 2012 Sep;22(5):461-71.
- 10 Li J, Guo Q, Ye X, Lin J, Yi C, Mao H, et al. Prevalence and risk factors of sleep disturbance in continuous ambulatory peritoneal dialysis patients in Guangzhou, southern China. Int Urol Nephrol. 2012 Jun;44(3):929-36.
- 11 Moghaddam JF, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh sleep quality index (PSQI-P). Sleep Breath. 2012 Mar;16(1):79-82.
- 12 Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010;20(2):150-8.
- 13 Allemand LDS, Nóbrega OT, Lauar JP, Veiga JPR, Meloc CVS, Camargosa EF. Sleep profile of elderly patients undergoing hemodialysis. Geriatr Gerontol Aging. 2017;11(1):32-6.
- 14 Masoumi M, Naini AE, Aghaghazvini R, Amra B, Gholamrezaei A. Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. Int J Prevent Med. 2013 Feb;4(2):165-72.
- 15 Eryavuz N, Yuksel S, Acarturk G, Uslan I, Demir S, Demir M, et al. Comparison of sleep quality between hemodialysis and peritoneal dialysis patients. Int Urol Nephrol. 2008 Apr;40(3):785-91.
- 16 Golem DL, Martin-Biggers JT, Koenings MM, Davis KF, Byrd- Bredbenner C. An integrative review of sleep for nutrition professionals. Adv Nutr. 2014 Nov;5(6):742-59.
- 17 Rahe C, Czira ME, Teismann H, Berger K. Associations between poor sleep quality and different measures of obesity. Sleep Med. 2015 Oct;16(10):1225-8.
- 18 Bruno RM, Palagini L, Gemignani A, Virdis A, Di Giulio A, Ghiadoni L, et al. Poor sleep quality and resistant hypertension. Sleep Med. 2013 Nov;14(11):1157-63.
- 19 Knutson KL, Ryden AM, Mander BA, Van Cauter E. Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med. 2006 Sep;166(16):1768-74.
- 20 St-Onge MP, Roberts AL, Chen J, Kelleman M, O’Keeffe M, RoyChoudhury A, et al. Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals. Am J Clin Nutr. 2011 Aug;94(2):410-6.
- 21 Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovás JM. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr. 2015 Nov;6(6):648-59.
- 22 Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health. 2014;56(5):359-68.
- 23 Peuhkuri K, Sihvola N, Korpela R. Diet promotes sleep duration and quality. Nutr Res. 2012 May;32(5):309-19.
- 24 Jaussent I, Dauvilliers Y, Ancelin ML, Dartigues JF, Tavernier B, Touchon J, et al. Insomnia symptoms in older adults: associated factors and gender differences. Am J Geriatr Psychiatry. 2011 Jan;19(1):88-97.
- 25 Tanaka E, Yatsuya H, Uemura M, Murata C, Otsuka R, Toyoshima H, et al. Associations of protein, fat, and carbohydrate intakes with insomnia symptoms among middle-aged Japanese workers. J Epidemiol. 2013;23(2):132-8.
- 26 Liu X, Wu D, Qi X, Niu Y, Li W, Lu Y, et al. The associations between carbohydrate and protein intakes with habitual sleep duration among adults living in urban and rural areas. Clin Nutr. 2018 Oct;37(5):1631-7.
- 27 Shi Z, McEvoy M, Luu J, Attia J. Dietary fat and sleep duration in Chinese men and women. Int J Obes. 2008 Dec;32(12):1835-40.
- 28 Kleiser C, Wawro N, Stelmach-Mardas M, Boeing H, Gedrich K, Himmerich H, et al. Are sleep duration, midpoint of sleep and sleep quality associated with dietary intake among Bavarian adults?. Eur J Clin Nutr. 2017 May;71(5):631-7.