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Dietary factors and sleep quality among hemodialysis oatients in Malaysia

Objectives: Poor sleep quality is a commonly seen problem in hemodialysis patients. This study investigated the associations between dietary factors and sleep quality among hemodialysis patients. Design and Methods:This is a cross-sectional study conducted among 184 eligible hemodialysis patients at...

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Main Authors: Ling, Ling Ho, Chan, Yoke Mun, Mat Daud, Zulfitri 'Azuan
Format: Article
Language:English
Published: Elsevier 2021
Online Access:http://psasir.upm.edu.my/id/eprint/96722/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/96722/
https://www.sciencedirect.com/science/article/abs/pii/S1051227621000637
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spelling my.upm.eprints.967222022-12-01T08:12:27Z http://psasir.upm.edu.my/id/eprint/96722/ Dietary factors and sleep quality among hemodialysis oatients in Malaysia Ling, Ling Ho Chan, Yoke Mun Mat Daud, Zulfitri 'Azuan Objectives: Poor sleep quality is a commonly seen problem in hemodialysis patients. This study investigated the associations between dietary factors and sleep quality among hemodialysis patients. Design and Methods:This is a cross-sectional study conducted among 184 eligible hemodialysis patients at four dialysis units in Malaysia. Three days dietary recall were used in the analysis of dietary intake and behavior. Sleep quality was assessed through Pittsburgh Sleep Quality Index. Results: More than half of the patients were poor sleepers. Among the sleep components, sleep latency affected patients the most, with the use of sleep medications was relatively low. A majority of the patients had inadequate dietary intake of energy (88%) and protein (75%). Dietary protein, potassium adjusted for body weight, and sodium intake were significantly increased in poor sleepers. Lower percentage of energy from carbohydrates; higher percentage of energy from fats; higher intakes of dietary protein, fat, phosphorus, and sodium were correlated with poorer sleep quality and its components. Skipping dinner on non-dialysis days and having supper on dialysis days were associated with poor sleep quality. Conclusion: Poor sleep is prevalent among hemodialysis patients. Sleep quality of hemodialysis patients was highly associated with certain dietary factors. Periodical assessment of sleep quality and dietary intake is necessary to identify poor sleepers with inappropriate dietary intake to allow effective clinical and nutritional interventions to improve the sleep quality and nutritional status of these patients. Elsevier 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/96722/1/ABSTRACT.pdf Ling, Ling Ho and Chan, Yoke Mun and Mat Daud, Zulfitri 'Azuan (2021) Dietary factors and sleep quality among hemodialysis oatients in Malaysia. Journal of Renal Nutrition, 32 (2). pp. 1-10. ISSN 1051-2276; ESSN: 1532-8503 https://www.sciencedirect.com/science/article/abs/pii/S1051227621000637 10.1053/j.jrn.2021.02.003
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Objectives: Poor sleep quality is a commonly seen problem in hemodialysis patients. This study investigated the associations between dietary factors and sleep quality among hemodialysis patients. Design and Methods:This is a cross-sectional study conducted among 184 eligible hemodialysis patients at four dialysis units in Malaysia. Three days dietary recall were used in the analysis of dietary intake and behavior. Sleep quality was assessed through Pittsburgh Sleep Quality Index. Results: More than half of the patients were poor sleepers. Among the sleep components, sleep latency affected patients the most, with the use of sleep medications was relatively low. A majority of the patients had inadequate dietary intake of energy (88%) and protein (75%). Dietary protein, potassium adjusted for body weight, and sodium intake were significantly increased in poor sleepers. Lower percentage of energy from carbohydrates; higher percentage of energy from fats; higher intakes of dietary protein, fat, phosphorus, and sodium were correlated with poorer sleep quality and its components. Skipping dinner on non-dialysis days and having supper on dialysis days were associated with poor sleep quality. Conclusion: Poor sleep is prevalent among hemodialysis patients. Sleep quality of hemodialysis patients was highly associated with certain dietary factors. Periodical assessment of sleep quality and dietary intake is necessary to identify poor sleepers with inappropriate dietary intake to allow effective clinical and nutritional interventions to improve the sleep quality and nutritional status of these patients.
format Article
author Ling, Ling Ho
Chan, Yoke Mun
Mat Daud, Zulfitri 'Azuan
spellingShingle Ling, Ling Ho
Chan, Yoke Mun
Mat Daud, Zulfitri 'Azuan
Dietary factors and sleep quality among hemodialysis oatients in Malaysia
author_facet Ling, Ling Ho
Chan, Yoke Mun
Mat Daud, Zulfitri 'Azuan
author_sort Ling, Ling Ho
title Dietary factors and sleep quality among hemodialysis oatients in Malaysia
title_short Dietary factors and sleep quality among hemodialysis oatients in Malaysia
title_full Dietary factors and sleep quality among hemodialysis oatients in Malaysia
title_fullStr Dietary factors and sleep quality among hemodialysis oatients in Malaysia
title_full_unstemmed Dietary factors and sleep quality among hemodialysis oatients in Malaysia
title_sort dietary factors and sleep quality among hemodialysis oatients in malaysia
publisher Elsevier
publishDate 2021
url http://psasir.upm.edu.my/id/eprint/96722/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/96722/
https://www.sciencedirect.com/science/article/abs/pii/S1051227621000637
_version_ 1752147921723195392
score 13.211869

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