PT  - JOURNAL ARTICLE
AU  - Turk, Ayla C.
AU  - Ozkurt, Sultan
AU  - Turgal, Ebru
AU  - Sahin, Fusun
TI  - The association between the prevalence of restless leg syndrome, fatigue, and sleep quality in patients undergoing hemodialysis
AID  - 10.15537/smj.2018.8.22398
DP  - 2018 Aug 01
TA  - Saudi Medical Journal
PG  - 792--798
VI  - 39
IP  - 8
4099  - http://smj.org.sa/content/39/8/792.short
4100  - http://smj.org.sa/content/39/8/792.full
SO  - Saudi Med J2018 Aug 01; 39
AB  - Objective: To determine the prevalence of restless legs syndrome (RLS) in patients with chronic renal failure (CRF) and to compare CRF patients with or without RLS in terms fatigue and sleep quality.Methods: A cross-sectional study was conducted on 220 patients (18-75 years) who were undergoing dialysis 3 times weekly in Çorum Province, Corum, Turkey, between January 2014 and January 2016. The diagnosis of RLS was based on the diagnostic form proposed by the international RLS study group. Sleep quality was evaluated using the Pittsburgh sleep quality index (PSQI), and severity of fatigue was determined by using fatigue severity scale (FSS).Results: Of all the participants, 16.8% (n= 37) (Group 1) were found to have RLS, while 183 patients had no RLS (Group 2). The mean ages were similar between groups. With respect to laboratory analyses, a p-value of <0.05 was considered in Group 1 than in Group 2. Restless legs syndrome was mild (7.1%), moderate (46.4%) and severe (39.3%) in patients with RLS. Factors associated with the severity of RLS included weight, duration of dialysis, anuria, iron, total iron binding capacity, calcium and transferrin saturation. The PSQI and FSS scores were significantly worse in Group 1 (p<0.001).Conclusion: Restless legs syndrome is a common condition in patients undergoing hemodialysis; the results of our study confirm the adverse effects of RLS in terms of many aspects of sleep quality and fatigue.