The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients

ÇELİK, FATMA; TURGUTALP, Kenan; KÖSE, Esra; Kiykim, Ahmet

The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients

Esra KÖSE, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Kenan TURGUTALP, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

AHMET ALPER KIYKIM, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Fatma ÇELİK (Dicle Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Diyarbakır, Türkiye)

Türk Nefroloji Diyaliz ve Transplantasyon Dergisi

3 1

Yıl: 2014 Cilt: 23 Sayı: 1 Sayfa Aralığı: 14 - 19 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients

Öz:

AMAÇ: Hemodiyaliz (HD) hastalarında uyku bozukluğu ve bununla ilişkili solunum sıkıntısı sık görülmektedir. Beslenme alışkalığı ile uyku kalitesi arasındaki ilişki iyi bilinmemektedir. Bu çalışmanın amacı, uyku kalitesi ile beslenme alışkanlığı arasındaki ilişkiyi araştırmaktır. GEREÇ ve YÖNTEMLER: Çalışmaya 84 HD hastası alındı. Veriler, sosyo-demografik özellikler, biyokimyasal bulgular ve antropometri hakkında sorular içeren anket sayesinde toplandı. BULGULAR: Hastaların % 51,.2sinin uyku kalitesi kötü idi. Bu hastalar uyku kalitesi iyi olan hastalara kıyasla daha yaşlı idi (44,0±13,0 ve 37,4±11,8 yıl, p<0,01). uyku kalitesi iyi olan hastalar anlamlı bir şekilde daha fazla et, sakatat, peynir, yumurta ve meyve tüketmeydeydi (p<0,01). Kötü uyku kalitesi olan hastaların, albümin (p<0,01), pre-albümin, (p=0,02) ve total lenfosit sayısı (p=0,02) uyku kalitesi iyi olan hastalara kıyasla anlamlı bir şekilde daha düşüktü. Gastrointestinal şikayeti (abdominal şişkinlik) fazla olan hastaların uyku kalitesi bozuktu. SONUÇ: Beslenme durumu ile uyku kalitesi arasında ilişki mevcuttur. Uyku bozukluğu olan HD hastalarının beslenme durumları gözden geçirilmelidir.

Anahtar Kelime:

Konular: Cerrahi

Hemodiyaliz hastalarında beslenme parametreleri, beslenme alışkanlığı ve uyku kalitesi arasındaki ilişki

Öz:

OBJECTIVE: Poor sleep and sleep-related breathing disorders are common in hemodialysis (HD) patients. However, it is not well known whether there is a relation between nutritional habit and quality of sleep. The aim of this study was to investigate the relation between quality of sleep and nutritional characteristics. MATERIAL and METHODS: The study population included 84 HD patients. Data were collected with the questionnaire developed by the researchers and included questions about socio-demographic features, biochemical findings, and anthropometric data. RESULTS: The quality of sleep was poor in 51.2% of the patients. These patients were relatively older than the patients with good quality of sleep (44.0±13.0 and 37.4±11.8 year respectively, p<0.001). The patients with the good quality of sleep consumed significantly more meat-offal-cheese-egg (p<0.01) and fruit (p<0.05). The patients with the poor quality of sleep had significantly lower albumin (p<0.01), pre-albumin (p=0.02) and total lymphocyte counts (p=0.02). The patients who more frequently had gastrointestinal complaints (especially abdominal discomfort and flatulence) had the poor quality of sleep. CONCLUSION: There are some associations between sleep quality and nutritional aspects. Nutritional habits should be evaluated in HD patients having poor sleep quality.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Nicholl DD, Ahmed SB, Loewen AH, Hemmelgarn BR, Sola DY, Beecroft JM, Turin TC, Hanly PJ: Declining kidney function increases the prevalence of sleep apnea and nocturnal hypoxia. Chest 2012; 141(6): 1422-1430
Uzun Ş, Kara B, İşcan B: Hemodiyalize giren kronik böbrek yetmezliği olan hastalarda uyku sorunları. Turk Neph Dial Transpl 2004; 12: 61-66
De Santo RM, Perna A, Di Iorio BR, Cirillo M: Sleep disorders in kidney disease. Minerva Urol Nephrol 2010; 62; 111-128
Iliescu EA, Coo H, McMurray MH, Meers CL, Quinn MM, Singer MA, Hopman WM: Quality of sleep and health-related quality of life in haemodialysis patients. Nephrol Dial Transplant 2003; 18: 126-132
Kusleikaite N, Bumblyte LA, Razukeviciene L, Sedlickkaite D, Rinkunas K: Sleep disorders and quality of life in patients on hemodialysis. Medicina (Kaunas) 2005; 41: 69-74
Kalantar-Zadeh K, Cano NJ, Budde K, Chazot C, Kovesdy CP, Mak RH, Mehrotra R, Raj DS, Sehgal AR, Stenvinkel P, Ikizler TA: Diets and enteral supplements for improving outcomes in chronic kidney disease. Nat Rev Nephrol 2011; 7: 369-384
Carpenter JS, Andrykowski MA: Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res 1998; 45: 5-13
Steiber AL, Kalantar-Zadeh K, Secker D, McCarthy M, Sehgal A, McCann, L: Subjective Global Assessment in chronic kidney disease: A review. J Ren Nutr 2004; 14: 191-200
Celik F, Topcu F: Nutritional risk factors for the development of chronic obstructive pulmonary disease (COPD) in male smokers. Clin Nutr 2006; 25: 955-961
Martínez ME, Marshall JR, Graver E, Whitacre RC, Woolf K,Ritenbaugh C, Alberts DS: Reliability and validity of a selfministered food frequency questionnaire in a chemoprevention trial of adenoma recurrence. Cancer Epidemiol Biomarkers Prev 1999; 8: 941-946
Cölbay M, Yüksel S, Fidan F, Acartürk G, Karaman O, Unlü M: Evaluation of the hemodialysis patient with Pittsburgh sleep quality index. Tuberk Toraks 2007; 55: 167-173
Pai MF, Hsu SP, Yang SY, Ho TI, Lai CF, Peng YS: Sleep disturbance in chronic hemodialysis patients: The impact of depression and anemia. Ren Fail 2007; 29: 673-677
Farrell VA, Harris M, Lohman TG, Going SB, Thomson CA, Weber JL, Houtkooper LB: Comparison between dietary assessment methods for determining associations between nutrient intakes and bone mineral density in postmenopausal women. J Am Diet Assoc 2009; 109: 899-904
Silber BY, Schmitt JA: Effects of tryptophan loading on human cognition, mood, and sleep. Neurosci Biobehav Rev 2010; 34: 387- 407
Herselman M, Esau N, Kruger JM, Labadarios D, Moosa MR: Relationship between serum protein and mortality in adults on long- term hemodialysis: Exhaustive review and meta-analysis. Nutrition 2010; 26: 10-32
Rambod M, Kovesdy CP, Bross R, Kopple JD, Kalantar-Zadeh K: Association of serum prealbumin and its changes over time with clinical outcomes and survival in patients receiving hemodialysis. Am J Clin Nutr 2008; 88: 1485-1494
Unruh ML, Hartunıan MG, Chapman MM, Jaber BL: Sleep quality and clinical correlates in patients on maintenance dialysis. Clin Nephrol 2003; 59: 280-288
Davern PJ, McKinley MJ: Forebrain regions affected by lateral parabrachial nucleus serotonergic mechanisms that influence sodium appetite. Brain Res 2010; 21: 41-48
Unruh ML, Sanders MH, Redline S, Piraino BM, Umans JG, Chami H, Budhiraja R, Punjabi NM, Buysse D, Newman AB: Subjective and objective sleep quality in patients on conventional thrice- weekly hemodialysis: Comparison with matched controls from the sleep heart health study. Am J Kidney Dis 2008; 52: 305-313

APA	KÖSE E, TURGUTALP K, Kiykim A, ÇELİK F (2014). The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. , 14 - 19.
Chicago	KÖSE Esra,TURGUTALP Kenan,Kiykim Ahmet,ÇELİK FATMA The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. (2014): 14 - 19.
MLA	KÖSE Esra,TURGUTALP Kenan,Kiykim Ahmet,ÇELİK FATMA The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. , 2014, ss.14 - 19.
AMA	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. . 2014; 14 - 19.
Vancouver	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. . 2014; 14 - 19.
IEEE	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F "The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients." , ss.14 - 19, 2014.
ISNAD	KÖSE, Esra vd. "The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients". (2014), 14-19.

APA	KÖSE E, TURGUTALP K, Kiykim A, ÇELİK F (2014). The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23(1), 14 - 19.
Chicago	KÖSE Esra,TURGUTALP Kenan,Kiykim Ahmet,ÇELİK FATMA The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23, no.1 (2014): 14 - 19.
MLA	KÖSE Esra,TURGUTALP Kenan,Kiykim Ahmet,ÇELİK FATMA The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, vol.23, no.1, 2014, ss.14 - 19.
AMA	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(1): 14 - 19.
Vancouver	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(1): 14 - 19.
IEEE	KÖSE E,TURGUTALP K,Kiykim A,ÇELİK F "The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients." Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23, ss.14 - 19, 2014.
ISNAD	KÖSE, Esra vd. "The association between feeding habits, nutritional parameters and quality of sleep in hemodialysis patients". Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23/1 (2014), 14-19.