Insomnia in diabetic hemodialysis patients: Prevalence and risk factors by a multicenter study

Sang Youb Han, Jong Woo Yoon, Sang Kyung Jo, Jin Ho Shin, Chol Shin, Jung Bok Lee, Dae-Ryong Cha, Won Yong Cho, Heui Jung Pyo, Hyoung Kyu Kim, Kyu Bec Lee, Hyang Kim, Kyung Wook Kim, Yong Seop Kim, Jeong Ho Lee, Sang Eun Park, Chang Soo Kim, Kyeong So Wea, Kyung Shik Oh, Tae See ChungSang Yeol Suh

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: Insomnia is one of the most common problems in dialysis patients, and likely to contribute impairment in quality of life, which has a positive correlation with patients' survival. In diabetic patients, morbidity and mortality are substantially higher than in the nondiabetic counterparts, and also the incidence of sleep disturbances. However, there is no means to predict sleep disturbance in the dialysis patients especially in diabetics. To define the prevalence and risk factors for insomnia in diabetic patients on hemodialysis, we undertook a cross-sectional multicenter study. Methods: Eighty-two diabetic patients (50 men/32 women, aged 58.7 ± 9.23 years) on maintenance hemodialysis for more than 6 months from 12 different hospitals were enrolled. The demographic data, subjective symptoms, depression scale, and insomnia were assessed by questionnaires, and lean body mass, BMI, Kt/V, subjective global assessment, nursing assessment score (NAS), and biochemical parameters were examined. Results: The number of patients with and without insomnia were 56 and 26, respectively, which amounted to 68.2% for insomnia. NAS (28.1 ± 3.81 vs. 30.8 ± 2.88, p = 0.002), serum albumin concentration (3.82 ± 0.44 vs. 4.09 ± 0.36 g/dl, p = 0.008), and depression scale (25.2 ± 12.1 vs. 18.9 ± 10.3, p = 0.025) were significantly different between them. Patients with insomnia were older (60.5 ± 9.0 vs. 56.1 ± 9.60 years, p = 0.053) and felt pain (38.5 vs. 15.3%, p = 0.06) more frequently than those without insomnia. The scale of depression was correlated with NAS (r = -0.455, p < 0.001) and the serum albumin concentration was correlated with NAS (r = 0.337, p = 0.002). NAS, age, and serum albumin concentration were the major risk factors for insomnia in logistic regression analysis. Conclusion: The prevalence of insomnia in diabetic hemodialysis patients was 68.2%. Age, nutritional status, and depression were the major risk factors for sleep disturbance in diabetic patients.

Original languageEnglish
Pages (from-to)127-132
Number of pages6
JournalNephron
Volume92
Issue number1
DOIs
Publication statusPublished - 2002 Sep 17

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Nursing
Sleep Initiation and Maintenance Disorders
Multicenter Studies
Renal Dialysis
Nursing Assessment
Serum Albumin
Dialysis
Depression
Sleep
Regression analysis
Logistics
Nutritional Status
Cross-Sectional Studies
Logistic Models
Regression Analysis
Maintenance
Quality of Life
Demography
Morbidity
Pain

Keywords

  • Depression
  • Diabetes mellitus
  • Hemodialysis
  • Insomnia
  • Malnutrition
  • Nursing assessment score

ASJC Scopus subject areas

  • Nephrology

Cite this

Insomnia in diabetic hemodialysis patients : Prevalence and risk factors by a multicenter study. / Han, Sang Youb; Yoon, Jong Woo; Jo, Sang Kyung; Shin, Jin Ho; Shin, Chol; Lee, Jung Bok; Cha, Dae-Ryong; Cho, Won Yong; Pyo, Heui Jung; Kim, Hyoung Kyu; Lee, Kyu Bec; Kim, Hyang; Kim, Kyung Wook; Kim, Yong Seop; Lee, Jeong Ho; Park, Sang Eun; Kim, Chang Soo; Wea, Kyeong So; Oh, Kyung Shik; Chung, Tae See; Suh, Sang Yeol.

In: Nephron, Vol. 92, No. 1, 17.09.2002, p. 127-132.

Research output: Contribution to journalArticle

Han, SY, Yoon, JW, Jo, SK, Shin, JH, Shin, C, Lee, JB, Cha, D-R, Cho, WY, Pyo, HJ, Kim, HK, Lee, KB, Kim, H, Kim, KW, Kim, YS, Lee, JH, Park, SE, Kim, CS, Wea, KS, Oh, KS, Chung, TS & Suh, SY 2002, 'Insomnia in diabetic hemodialysis patients: Prevalence and risk factors by a multicenter study', Nephron, vol. 92, no. 1, pp. 127-132. https://doi.org/10.1159/000064460
Han, Sang Youb ; Yoon, Jong Woo ; Jo, Sang Kyung ; Shin, Jin Ho ; Shin, Chol ; Lee, Jung Bok ; Cha, Dae-Ryong ; Cho, Won Yong ; Pyo, Heui Jung ; Kim, Hyoung Kyu ; Lee, Kyu Bec ; Kim, Hyang ; Kim, Kyung Wook ; Kim, Yong Seop ; Lee, Jeong Ho ; Park, Sang Eun ; Kim, Chang Soo ; Wea, Kyeong So ; Oh, Kyung Shik ; Chung, Tae See ; Suh, Sang Yeol. / Insomnia in diabetic hemodialysis patients : Prevalence and risk factors by a multicenter study. In: Nephron. 2002 ; Vol. 92, No. 1. pp. 127-132.
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abstract = "Background: Insomnia is one of the most common problems in dialysis patients, and likely to contribute impairment in quality of life, which has a positive correlation with patients' survival. In diabetic patients, morbidity and mortality are substantially higher than in the nondiabetic counterparts, and also the incidence of sleep disturbances. However, there is no means to predict sleep disturbance in the dialysis patients especially in diabetics. To define the prevalence and risk factors for insomnia in diabetic patients on hemodialysis, we undertook a cross-sectional multicenter study. Methods: Eighty-two diabetic patients (50 men/32 women, aged 58.7 ± 9.23 years) on maintenance hemodialysis for more than 6 months from 12 different hospitals were enrolled. The demographic data, subjective symptoms, depression scale, and insomnia were assessed by questionnaires, and lean body mass, BMI, Kt/V, subjective global assessment, nursing assessment score (NAS), and biochemical parameters were examined. Results: The number of patients with and without insomnia were 56 and 26, respectively, which amounted to 68.2{\%} for insomnia. NAS (28.1 ± 3.81 vs. 30.8 ± 2.88, p = 0.002), serum albumin concentration (3.82 ± 0.44 vs. 4.09 ± 0.36 g/dl, p = 0.008), and depression scale (25.2 ± 12.1 vs. 18.9 ± 10.3, p = 0.025) were significantly different between them. Patients with insomnia were older (60.5 ± 9.0 vs. 56.1 ± 9.60 years, p = 0.053) and felt pain (38.5 vs. 15.3{\%}, p = 0.06) more frequently than those without insomnia. The scale of depression was correlated with NAS (r = -0.455, p < 0.001) and the serum albumin concentration was correlated with NAS (r = 0.337, p = 0.002). NAS, age, and serum albumin concentration were the major risk factors for insomnia in logistic regression analysis. Conclusion: The prevalence of insomnia in diabetic hemodialysis patients was 68.2{\%}. Age, nutritional status, and depression were the major risk factors for sleep disturbance in diabetic patients.",
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T1 - Insomnia in diabetic hemodialysis patients

T2 - Prevalence and risk factors by a multicenter study

AU - Han, Sang Youb

AU - Yoon, Jong Woo

AU - Jo, Sang Kyung

AU - Shin, Jin Ho

AU - Shin, Chol

AU - Lee, Jung Bok

AU - Cha, Dae-Ryong

AU - Cho, Won Yong

AU - Pyo, Heui Jung

AU - Kim, Hyoung Kyu

AU - Lee, Kyu Bec

AU - Kim, Hyang

AU - Kim, Kyung Wook

AU - Kim, Yong Seop

AU - Lee, Jeong Ho

AU - Park, Sang Eun

AU - Kim, Chang Soo

AU - Wea, Kyeong So

AU - Oh, Kyung Shik

AU - Chung, Tae See

AU - Suh, Sang Yeol

PY - 2002/9/17

Y1 - 2002/9/17

N2 - Background: Insomnia is one of the most common problems in dialysis patients, and likely to contribute impairment in quality of life, which has a positive correlation with patients' survival. In diabetic patients, morbidity and mortality are substantially higher than in the nondiabetic counterparts, and also the incidence of sleep disturbances. However, there is no means to predict sleep disturbance in the dialysis patients especially in diabetics. To define the prevalence and risk factors for insomnia in diabetic patients on hemodialysis, we undertook a cross-sectional multicenter study. Methods: Eighty-two diabetic patients (50 men/32 women, aged 58.7 ± 9.23 years) on maintenance hemodialysis for more than 6 months from 12 different hospitals were enrolled. The demographic data, subjective symptoms, depression scale, and insomnia were assessed by questionnaires, and lean body mass, BMI, Kt/V, subjective global assessment, nursing assessment score (NAS), and biochemical parameters were examined. Results: The number of patients with and without insomnia were 56 and 26, respectively, which amounted to 68.2% for insomnia. NAS (28.1 ± 3.81 vs. 30.8 ± 2.88, p = 0.002), serum albumin concentration (3.82 ± 0.44 vs. 4.09 ± 0.36 g/dl, p = 0.008), and depression scale (25.2 ± 12.1 vs. 18.9 ± 10.3, p = 0.025) were significantly different between them. Patients with insomnia were older (60.5 ± 9.0 vs. 56.1 ± 9.60 years, p = 0.053) and felt pain (38.5 vs. 15.3%, p = 0.06) more frequently than those without insomnia. The scale of depression was correlated with NAS (r = -0.455, p < 0.001) and the serum albumin concentration was correlated with NAS (r = 0.337, p = 0.002). NAS, age, and serum albumin concentration were the major risk factors for insomnia in logistic regression analysis. Conclusion: The prevalence of insomnia in diabetic hemodialysis patients was 68.2%. Age, nutritional status, and depression were the major risk factors for sleep disturbance in diabetic patients.

AB - Background: Insomnia is one of the most common problems in dialysis patients, and likely to contribute impairment in quality of life, which has a positive correlation with patients' survival. In diabetic patients, morbidity and mortality are substantially higher than in the nondiabetic counterparts, and also the incidence of sleep disturbances. However, there is no means to predict sleep disturbance in the dialysis patients especially in diabetics. To define the prevalence and risk factors for insomnia in diabetic patients on hemodialysis, we undertook a cross-sectional multicenter study. Methods: Eighty-two diabetic patients (50 men/32 women, aged 58.7 ± 9.23 years) on maintenance hemodialysis for more than 6 months from 12 different hospitals were enrolled. The demographic data, subjective symptoms, depression scale, and insomnia were assessed by questionnaires, and lean body mass, BMI, Kt/V, subjective global assessment, nursing assessment score (NAS), and biochemical parameters were examined. Results: The number of patients with and without insomnia were 56 and 26, respectively, which amounted to 68.2% for insomnia. NAS (28.1 ± 3.81 vs. 30.8 ± 2.88, p = 0.002), serum albumin concentration (3.82 ± 0.44 vs. 4.09 ± 0.36 g/dl, p = 0.008), and depression scale (25.2 ± 12.1 vs. 18.9 ± 10.3, p = 0.025) were significantly different between them. Patients with insomnia were older (60.5 ± 9.0 vs. 56.1 ± 9.60 years, p = 0.053) and felt pain (38.5 vs. 15.3%, p = 0.06) more frequently than those without insomnia. The scale of depression was correlated with NAS (r = -0.455, p < 0.001) and the serum albumin concentration was correlated with NAS (r = 0.337, p = 0.002). NAS, age, and serum albumin concentration were the major risk factors for insomnia in logistic regression analysis. Conclusion: The prevalence of insomnia in diabetic hemodialysis patients was 68.2%. Age, nutritional status, and depression were the major risk factors for sleep disturbance in diabetic patients.

KW - Depression

KW - Diabetes mellitus

KW - Hemodialysis

KW - Insomnia

KW - Malnutrition

KW - Nursing assessment score

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