TY - JOUR
T1 - Prevalence and clinical characteristics of restless legs syndrome in chronic kidney disease patients
AU - Aritake-Okada, Sayaka
AU - Nakao, Toshiyuki
AU - Komada, Yoko
AU - Asaoka, Shoichi
AU - Sakuta, Keisuke
AU - Esaki, Shinga
AU - Nomura, Takashi
AU - Nakashima, Kenji
AU - Matsuura, Masato
AU - Inoue, Yuichi
PY - 2011/12
Y1 - 2011/12
N2 - Objective: To clarify the prevalence of restless legs syndrome (RLS) in the chronic kidney disease (CKD) population and determine the relationship between severity of renal dysfunction and risk of RLS as well as the impact of the disorder on mood and sleep disturbance, we conducted a questionnaire survey followed by face-to-face interviews with Japanese CKD patients. Methods: We sent a questionnaire battery including demographics items, the National Institutes of Health/International RLS Study Group (IRLSSG) consensus questionnaire, the Center for Epidemiological Studies Depression Scale, and the Pittsburgh Sleep Quality Index to eligible CKD patients (n=. 514) and age- and sex-matched controls (n=. 535). Structured interviews were performed for the diagnosis of RLS. Results: The prevalence of positive RLS in the CKD subjects was significantly higher than that in the controls (3.5% vs. 1.5%, p=. 0.029). The proportion of renal failure (RF) in CKD subjects with RLS was significantly higher than in those without RLS, and multiple logistic regression analysis revealed that the presence of RLS symptoms was associated only with the existence of RF. In addition, the presence of both RLS and CKD was significantly associated with the presence of depression and sleep disturbance. Conclusions: The risk of RLS in the CKD population was higher than that in the general population and increased with the progression of renal dysfunction. Additionally, the existence of RLS might play a role in an increased risk for developing depression and sleep disturbance in the CKD population.
AB - Objective: To clarify the prevalence of restless legs syndrome (RLS) in the chronic kidney disease (CKD) population and determine the relationship between severity of renal dysfunction and risk of RLS as well as the impact of the disorder on mood and sleep disturbance, we conducted a questionnaire survey followed by face-to-face interviews with Japanese CKD patients. Methods: We sent a questionnaire battery including demographics items, the National Institutes of Health/International RLS Study Group (IRLSSG) consensus questionnaire, the Center for Epidemiological Studies Depression Scale, and the Pittsburgh Sleep Quality Index to eligible CKD patients (n=. 514) and age- and sex-matched controls (n=. 535). Structured interviews were performed for the diagnosis of RLS. Results: The prevalence of positive RLS in the CKD subjects was significantly higher than that in the controls (3.5% vs. 1.5%, p=. 0.029). The proportion of renal failure (RF) in CKD subjects with RLS was significantly higher than in those without RLS, and multiple logistic regression analysis revealed that the presence of RLS symptoms was associated only with the existence of RF. In addition, the presence of both RLS and CKD was significantly associated with the presence of depression and sleep disturbance. Conclusions: The risk of RLS in the CKD population was higher than that in the general population and increased with the progression of renal dysfunction. Additionally, the existence of RLS might play a role in an increased risk for developing depression and sleep disturbance in the CKD population.
KW - Chronic kidney disease (CKD)
KW - Depression
KW - Restless legs syndrome (RLS)
KW - Sleep disturbance
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U2 - 10.1016/j.sleep.2011.06.014
DO - 10.1016/j.sleep.2011.06.014
M3 - Article
C2 - 22036105
AN - SCOPUS:84859918467
SN - 1389-9457
VL - 12
SP - 1031
EP - 1033
JO - Sleep Medicine
JF - Sleep Medicine
IS - 10
ER -