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BMC Neurology
Published in: BMC Neurology 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Restless legs syndrome in end stage renal disease patients undergoing hemodialysis

Authors: Xiao-Wei Lin, Jun-Fang Zhang, Meng-Yao Qiu, Ling-Yan Ni, Hong-Lei Yu, Sheng-Han Kuo, William G. Ondo, Qing Yu, Yun-Cheng Wu

Published in: BMC Neurology | Issue 1/2019

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Abstract

Background

The prevalence of Restless legs syndrome (RLS) in End Stage Renal Disease (ESRD) patients is higher than that in the general population. However, the associations of RLS within the ESRD population are inconsistent and RLS is usually neglected in dialysis centers, although it impairs the life quality among ESRD patients. We aim to investigate the prevalence of RLS in patients with ESRD undergoing maintenance hemodialysis and evaluate the risk factors of developing RLS and the effect of RLS on quality of life among ESRD patients.

Methods

ESRD patients undergoing maintenance hemodialysis in Shanghai General Hospital dialysis unit from July 2016 to October 2016 were enrolled in the study. RLS was diagnosed according to the criteria of the International Restless Legs Syndrome Study Group (IRLSSG). IRLSSG Severity Scale was used to evaluate the severity of RLS. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality, and Hospital Anxiety and Depression Scale (HADS) was used to estimate anxiety and depression. Serologic and historic variables were analyzed to determine predictors of RLS in the ESRD population.

Results

A total of 137 ESRD patients were enrolled. The prevalence of RLS among the ESRD patients was 20.44%. The risk of RLS was increased significantly in females (OR = 2.729, p = 0.032) and daily alcohol drinkers (OR = 4.716, p = 0.022). RLS increased the risks of sleep disorders (25/28, 89.3% vs 73/109, 67.0%, p = 0.02) and sedative hypnotics intake (7/28, 25.0% vs 10/109, 9.2%, p = 0.047) and impaired the sleep quality (7/109 vs 11/28, p = 0.001) according to PSQI sum scores.

Conclusion

A high RLS prevalence among the ESRD patients undergoing hemodialysis was confirmed. ESRD patients who are women and drinking alcohol have a higher risk of RLS. The sleep quality was significantly impaired and sleeping medication use was more common among the ESRD patients with RLS.
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Metadata
Title
Restless legs syndrome in end stage renal disease patients undergoing hemodialysis
Authors
Xiao-Wei Lin
Jun-Fang Zhang
Meng-Yao Qiu
Ling-Yan Ni
Hong-Lei Yu
Sheng-Han Kuo
William G. Ondo
Qing Yu
Yun-Cheng Wu
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2019
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-019-1265-y

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