Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia

Despite optimal control of serum phosphate level being imperative to avoid undesirable health outcomes, hyperphosphataemia is a highly prevalent mineral abnormality among the dialysis population. This study aimed to determine factors associated with hyperphosphatemia among hemodialysis patients in M...

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Main Authors: Ng, Eileen Suk Ying, Wong, Poh Yoong, Kamaruddin, Ahmad Teguh Hakiki, Lim, Christopher Thiam Seong, Chan, Yoke Mun
Format: Article
Language:English
Published: Multidisciplinary Digital Publishing Institute 2020
Online Access:http://psasir.upm.edu.my/id/eprint/87211/
http://psasir.upm.edu.my/id/eprint/87211/1/Poor%20sleep%20quality.pdf
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author Ng, Eileen Suk Ying
Wong, Poh Yoong
Kamaruddin, Ahmad Teguh Hakiki
Lim, Christopher Thiam Seong
Chan, Yoke Mun
author_facet Ng, Eileen Suk Ying
Wong, Poh Yoong
Kamaruddin, Ahmad Teguh Hakiki
Lim, Christopher Thiam Seong
Chan, Yoke Mun
author_sort Ng, Eileen Suk Ying
building UPM Institutional Repository
collection Online Access
description Despite optimal control of serum phosphate level being imperative to avoid undesirable health outcomes, hyperphosphataemia is a highly prevalent mineral abnormality among the dialysis population. This study aimed to determine factors associated with hyperphosphatemia among hemodialysis patients in Malaysia. Multiple linear regression analysis was used to ascertain the possible factors that influence serum phosphate levels. A total of 217 hemodialysis patients were recruited. Hyperphosphatemia was prevalent. Only approximately 25% of the patients were aware that optimal control of hyperphosphatemia requires the combined effort of phosphate binder medication therapy, dietary restriction, and dialysis prescription. The presence of diabetes mellitus may affect serum phosphate levels, complicating dietary phosphorus management. Patients who were less depressive portrayed higher serum phosphate levels, implying intentional non-compliance. Better compliance on phosphate binder, longer sleep duration, and higher social support was associated with a lower level of serum phosphate. Despite sleep disturbance being one of the most prevalent and intense symptom burdens identified by hemodialysis patients, relatively few studies have addressed this issue. It is time to formulate sleep therapeutic interventions besides the encouragement of strong social support, hoping which many clinical outcomes including hyperphosphatemia can be better controlled among hemodialysis patients.
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spelling upm-872112022-01-13T09:45:28Z http://psasir.upm.edu.my/id/eprint/87211/ Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia Ng, Eileen Suk Ying Wong, Poh Yoong Kamaruddin, Ahmad Teguh Hakiki Lim, Christopher Thiam Seong Chan, Yoke Mun Despite optimal control of serum phosphate level being imperative to avoid undesirable health outcomes, hyperphosphataemia is a highly prevalent mineral abnormality among the dialysis population. This study aimed to determine factors associated with hyperphosphatemia among hemodialysis patients in Malaysia. Multiple linear regression analysis was used to ascertain the possible factors that influence serum phosphate levels. A total of 217 hemodialysis patients were recruited. Hyperphosphatemia was prevalent. Only approximately 25% of the patients were aware that optimal control of hyperphosphatemia requires the combined effort of phosphate binder medication therapy, dietary restriction, and dialysis prescription. The presence of diabetes mellitus may affect serum phosphate levels, complicating dietary phosphorus management. Patients who were less depressive portrayed higher serum phosphate levels, implying intentional non-compliance. Better compliance on phosphate binder, longer sleep duration, and higher social support was associated with a lower level of serum phosphate. Despite sleep disturbance being one of the most prevalent and intense symptom burdens identified by hemodialysis patients, relatively few studies have addressed this issue. It is time to formulate sleep therapeutic interventions besides the encouragement of strong social support, hoping which many clinical outcomes including hyperphosphatemia can be better controlled among hemodialysis patients. Multidisciplinary Digital Publishing Institute 2020-07-16 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87211/1/Poor%20sleep%20quality.pdf Ng, Eileen Suk Ying and Wong, Poh Yoong and Kamaruddin, Ahmad Teguh Hakiki and Lim, Christopher Thiam Seong and Chan, Yoke Mun (2020) Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia. International Journal of Environmental Research and Public Health, 17 (14). art. no. 5144. pp. 1-5. ISSN 1660-4601 https://www.mdpi.com/1660-4601/17/14/5144 10.3390/ijerph17145144
spellingShingle Ng, Eileen Suk Ying
Wong, Poh Yoong
Kamaruddin, Ahmad Teguh Hakiki
Lim, Christopher Thiam Seong
Chan, Yoke Mun
Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title_full Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title_fullStr Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title_full_unstemmed Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title_short Poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in Malaysia
title_sort poor sleep quality, depression and social support are determinants of serum phosphate level among hemodialysis patients in malaysia
url http://psasir.upm.edu.my/id/eprint/87211/
http://psasir.upm.edu.my/id/eprint/87211/
http://psasir.upm.edu.my/id/eprint/87211/
http://psasir.upm.edu.my/id/eprint/87211/1/Poor%20sleep%20quality.pdf