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Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Author

Listed:
  • Eileen Suk Ying Ng

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia)

  • Poh Yoong Wong

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia)

  • Ahmad Teguh Hakiki Kamaruddin

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia)

  • Christopher Thiam Seong Lim

    (Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia)

  • Yoke Mun Chan

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia
    Research Center of Excellence, Nutrition and Non Communicable Diseases, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Malaysia
    Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang 43400, Malaysia)

Abstract

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.

Suggested Citation

  • Eileen Suk Ying Ng & Poh Yoong Wong & Ahmad Teguh Hakiki Kamaruddin & Christopher Thiam Seong Lim & Yoke Mun Chan, 2020. "Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5144-:d:385503
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    References listed on IDEAS

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    1. Yoke Mun Chan & Mohd Shariff Zalilah & Sing Ziunn Hii, 2012. "Determinants of Compliance Behaviours among Patients Undergoing Hemodialysis in Malaysia," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-7, August.
    2. Amani A Khalil & Muhammad Darawad & Eklas Al Gamal & Ayman M Hamdan‐Mansour & Mona A Abed, 2013. "Predictors of dietary and fluid non‐adherence in Jordanian patients with end‐stage renal disease receiving haemodialysis: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(1-2), pages 127-136, January.
    3. Daniel JW Jones & Kate Harvey & John P Harris & Laurie T Butler & Emma C Vaux, 2018. "Understanding the impact of haemodialysis on UK National Health Service patients’ well‐being: A qualitative investigation," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 193-204, January.
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