Sleep Disturbances Linked to Kidney Function Decline

This chapter aims to describe the prevalence and risk factors of Sleep disorders (SDs) among chronic hemodialysis patients in the Nephrology and Dialysis Department of the Rabat Military Hospital, Morocco. All hemodialysis patients in the nephrology division of the Rabat Military Hospital were enrolled in the trial, which was designed as a prospective single-center study. We evaluated four SDs—insomnia, sleep apnea, restless legs syndrome, and excessive daytime sleepiness—for each patient. All the 52 chronic hemodialysis patients were recruited for this study. Multivariate logistic regression was performed to determine the characteristics connected to various SDs in 40 individuals with a prevalence of insomnia and sleep apnea syndrome (SAS). Anemia, excessive daytime sleepiness, and irritability were all associated with insomnia; whereas, SAS was associated with age 50 years, obesity, and excessive daytime sleepiness. Restless legs syndrome was linked to advanced age, excessive daytime sleepiness, and the presence of a biological inflammatory syndrome. Sleep disorders have a significant impact on the quality of life of dialysis patients, so it is critical to look for them and, more importantly, identify the associated factors to control them.