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Restless legs syndrome in end stage renal disease patients undergoing hemodialysis
- Source :
- BMC Neurology, Vol 19, Iss 1, Pp 1-7 (2019), BMC Neurology
- Publication Year :
- 2019
- Publisher :
- BMC, 2019.
-
Abstract
- Background The prevalence of Restless legs syndrome (RLS) in End Stage Renal Disease (ESRD) patients is higher than that in the general population. However, the associations of RLS within the ESRD population are inconsistent and RLS is usually neglected in dialysis centers, although it impairs the life quality among ESRD patients. We aim to investigate the prevalence of RLS in patients with ESRD undergoing maintenance hemodialysis and evaluate the risk factors of developing RLS and the effect of RLS on quality of life among ESRD patients. Methods ESRD patients undergoing maintenance hemodialysis in Shanghai General Hospital dialysis unit from July 2016 to October 2016 were enrolled in the study. RLS was diagnosed according to the criteria of the International Restless Legs Syndrome Study Group (IRLSSG). IRLSSG Severity Scale was used to evaluate the severity of RLS. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality, and Hospital Anxiety and Depression Scale (HADS) was used to estimate anxiety and depression. Serologic and historic variables were analyzed to determine predictors of RLS in the ESRD population. Results A total of 137 ESRD patients were enrolled. The prevalence of RLS among the ESRD patients was 20.44%. The risk of RLS was increased significantly in females (OR = 2.729, p = 0.032) and daily alcohol drinkers (OR = 4.716, p = 0.022). RLS increased the risks of sleep disorders (25/28, 89.3% vs 73/109, 67.0%, p = 0.02) and sedative hypnotics intake (7/28, 25.0% vs 10/109, 9.2%, p = 0.047) and impaired the sleep quality (7/109 vs 11/28, p = 0.001) according to PSQI sum scores. Conclusion A high RLS prevalence among the ESRD patients undergoing hemodialysis was confirmed. ESRD patients who are women and drinking alcohol have a higher risk of RLS. The sleep quality was significantly impaired and sleeping medication use was more common among the ESRD patients with RLS.
- Subjects :
- Male
medicine.medical_treatment
Anxiety
Hospital Anxiety and Depression Scale
urologic and male genital diseases
lcsh:RC346-429
Pittsburgh Sleep Quality Index
0302 clinical medicine
Risk Factors
Prevalence
030212 general & internal medicine
Restless legs syndrome
Sleep disorder
education.field_of_study
Depression
General Medicine
Middle Aged
Female
Hemodialysis
Alcohol
Research Article
Adult
Sleep Wake Disorders
China
medicine.medical_specialty
Hemodialysis--Patients
Population
End stage renal disease
03 medical and health sciences
Kidneys--Diseases
Renal Dialysis
RLS
Restless Legs Syndrome
Internal medicine
mental disorders
medicine
Humans
Alcohol intake
ESRD
education
Dialysis
lcsh:Neurology. Diseases of the nervous system
Aged
business.industry
medicine.disease
Quality of Life
Kidney Failure, Chronic
Neurology (clinical)
Sleep
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 14712377
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Neurology
- Accession number :
- edsair.doi.dedup.....9b3ab28547a7ff4e0ccdd058c577a26a