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Hemodiyaliz Hastalarında Beslenme Parametreleri, Beslenme Alışkanlığı ve Uyku Kalitesi Arasındaki İlişki

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The Association Between Feeding Habits, Nutritional Parameters and Quality of Sleep in Hemodialysis Patients

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Page Number-First: 
14
Page Number-Last: 
19

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Abstract (Original Language): 
AMAÇ: Hemodiyaliz (HD) hastalarında uyku bozukluğu ve bununla ilişkili solunum sıkıntısı sık görülmektedir. Beslenme alışkalığı ile uyku kalitesi arasındaki ilişki iyi bilinmemektedir. Bu çalışmanın amacı, uyku kalitesi ile beslenme alışkanlığı arasındaki ilişkiyi araştırmaktır. GEREÇ ve YÖNTEMLER: Çalışmaya 84 HD hastası alındı. Veriler, sosyo-demografi k özellikler, biyokimyasal bulgular ve antropometri hakkında sorular içeren anket sayesinde toplandı. BULGULAR: Hastaların % 51,.2’sinin uyku kalitesi kötü idi. Bu hastalar uyku kalitesi iyi olan hastalara kıyasla daha yaşlı idi (44,0±13,0 ve 37,4±11,8 yıl, p<0,01). uyku kalitesi iyi olan hastalar anlamlı bir şekilde daha fazla et, sakatat, peynir, yumurta ve meyve tüketmeydeydi (p<0,01). Kötü uyku kalitesi olan hastaların, albümin (p<0,01), pre-albümin, (p=0,02) ve total lenfosit sayısı (p=0,02) uyku kalitesi iyi olan hastalara kıyasla anlamlı bir şekilde daha düşüktü. Gastrointestinal şikayeti (abdominal şişkinlik) fazla olan hastaların uyku kalitesi bozuktu. SONUÇ: Beslenme durumu ile uyku kalitesi arasında ilişki mevcuttur. Uyku bozukluğu olan HD hastalarının beslenme durumları gözden geçirilmelidir.
Abstract (2. Language): 
OBJECTIVE: Poor sleep and sleep-related breathing disorders are common in hemodialysis (HD) patients. However, it is not well known whether there is a relation between nutritional habit and quality of sleep. The aim of this study was to investigate the relation between quality of sleep and nutritional characteristics. MATERIAL and METHODS: The study population included 84 HD patients. Data were collected with the questionnaire developed by the researchers and included questions about socio-demographic features, biochemical fi ndings, and anthropometric data. RESULTS: The quality of sleep was poor in 51.2% of the patients. These patients were relatively older than the patients with good quality of sleep (44.0±13.0 and 37.4±11.8 year respectively, p<0.001). The patients with the good quality of sleep consumed signifi cantly more meat-offal-cheese-egg (p<0.01) and fruit (p<0.05). The patients with the poor quality of sleep had signifi cantly lower albumin (p<0.01), pre-albumin (p=0.02) and total lymphocyte counts (p=0.02). The patients who more frequently had gastrointestinal complaints (especially abdominal discomfort and fl atulence) had the poor quality of sleep. CONCLUSION: There are some associations between sleep quality and nutritional aspects. Nutritional habits should be evaluated in HD patients having poor sleep quality.

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DOI: 
10.5262/tndt.2014.1001.04

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