Insomnia is associated with systolic hypertension in uremic patients on hemodialysis

Int J Artif Organs. 2001 Dec;24(12):853-62.

Abstract

A newly developed questionnaire was administered to 140 hemodialyzed patients (82 M and 58 F) who have achieved adequate anemia correction according to the best guidelines with the aim: to evaluate the prevalence of clinical/subclinical dyssomnias in these patients; to study the influence of the dialytic shift (morning versus afternoon schedules) on sleep duration and disturbancies; and to evaluate the relationship between clinical sleep disorders and blood pressure values in uremic patients. Results indicated that 85% of uremic patients undergoing hemodialysis complain of clinical insomnia (frequent, persistent and associated with daytime consequences) or sub-clinical sleep disorders; patients dialyzing in the morning sleep significantly less during the night preceding the treatment, than those dialyzing in the afternoon; older patients complaining of clinical insomnia have a higher risk of failure to achieve target-optimal values in systolic blood pressure.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Female
  • Humans
  • Hypertension / complications*
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Prevalence
  • Probability
  • Renal Dialysis / adverse effects*
  • Renal Dialysis / methods
  • Risk Factors
  • Sampling Studies
  • Sex Distribution
  • Sleep Initiation and Maintenance Disorders / epidemiology
  • Sleep Initiation and Maintenance Disorders / etiology*
  • Surveys and Questionnaires
  • Uremia / complications*
  • Uremia / therapy