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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(S 01): 59-64
DOI: 10.5935/1984-0063.20200126
ORIGINAL ARTICLES

Correlation of sleep quality and cardiac autonomic modulation in hemodialysis patients

Authors

  • Erika Ribeiro Carneiro

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Luana Anaisse Azoubel

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Raimunda Carneiro Dias

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Carlos José Dias

    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.
    5   Laboratório da adaptações cardiorrenais ao exercício físico (LACE), UFMA -Campus Pinheiro

  • Emanuelle Sousa Sá

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Dyego Araujo Brito

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Natalino Salgado Filho

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • Elton Freitas Santos

    1   Universidade Federal do Maranhão, Hemodialysis - São Luis - Maranhão -Brazil.
    2   Universidade Federal do Maranhão, Center for Prevention of Kidney Diseases of the University Hospital -Sao Luis - Maranhão - Brazil.

  • José Hermógenes Rocco

    6   Universidade Estadual do Rio de Janeiro -UERJ - Rio de Janeiro - RJ - Brazil.

  • Cristiano Teixeira Mostarda

    3   Universidade Federal do Maranhão, Physical Education Department - Sao Luís - Maranhão - Brazil.

  • Mario Bernardo Filho

    4   Universidade do Estado do Rio de Janeiro UERJ, Laboratory of Mechanical Vibrations and Integrative Practices, Department of Biophysics and Biometrics, - Rio de Janeiro -Rio de Janeiro - Brazil.
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Objectives Sleep disorders in patients on hemodialysis are frequent, but few studies correlate these disorders with autonomic dysfunction in these patients. This study aimed to verify whether clinical and laboratory variables and heart rate variability are associated with worse sleep quality verified by the Pittsburg subjective scale in patients on hemodialysis.

Material and Methods A cross-sectional study was performed on forty-eight patients. Epidemiological, clinical, and laboratory data were collected. After were performed by recording the heart rate variability and applied Pittsburg questionnaires, Beck anxiety index (BAI), and Beck depression index (BDI). The global PSQI score >5 indicates that a person is a poor sleeper, the patients were divided according to the scores in the Pittsburg questionnaire into good and poor sleepers and the differences between all variables were analyzed.

Results Forty-eight patients were evaluated and the prevalence of 68.7% (n=33) of poor sleep quality was verified. From the depression and anxiety questionnaires, it was found that only 18.7% (n=9) had criteria for depression. In the analysis of the sympathetic dysfunction parameters, it was found that in the group with good sleep quality in the frequency domain (HFm2) and the LFnu in the group with worse sleep quality. There was a positive correlation between sleep quality scores the anxiety and depression scores. It is also verified that the variables LFnu had a positive correlation with higher scores of quality of sleep and HFnu had a negative correlation with the highest scores of quality of sleep.

Conclusion In patients undergoing hemodialysis, the poorest quality of sleep is correlated with worse cardiac autonomic modulation as well as higher scores on the depression and anxiety scales.

Sleep Quality - Hemodialysis - Autonomic Nervous System Diseases


Publication History

Received: 05 November 2020

Accepted: 08 March 2021

Article published online:
01 December 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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