A Case-Control Study on Restless Legs Syndrome in Nondialyzed Patients with Chronic Renal Failure
Identifieur interne : 002259 ( PascalFrancis/Curation ); précédent : 002258; suivant : 002260A Case-Control Study on Restless Legs Syndrome in Nondialyzed Patients with Chronic Renal Failure
Auteurs : Giovanni Merlino [Italie] ; Simone Lorenzut [Italie] ; Gian Luigi Gigli [Italie] ; Giulio Romano [Italie] ; Domenico Montanaro [Italie] ; Alessandro Moro [Italie] ; Mariarosaria Valente [Italie]Source :
- Movement disorders [ 0885-3185 ] ; 2010.
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Abstract
Restless legs syndrome (RLS) is a possible consequence of end-stage renal disease. However, conclusive data on the association between RLS and chronic renal failure (CRF) in nondialyzed patients are still lacking. The aims of this study were: (1) to look for an association between RLS and CRF in nondialyzed patients; (2) to analyze the characteristics of RLS and its consequences on nocturnal rest in nondialyzed patients with CRF; (3) to identify possible predictors of RLS occurrence in nondialyzed patients with CRF. We recruited 138 nondialyzed patients with CRF (mean age: 69.8 ± 11.7 years; male: 61.6%) and 151 controls (mean age: 60.2 ± 18.6 years; male: 42.4%). An expert in sleep medicine investigated the presence of RLS by means of a face-to-face interview. Fifteen nondialyzed CRF patients and five controls were diagnosed as RLS affected. A multivariate analysis confirmed that RLS was independently associated with CRF in nondialyzed patients (P = 0.004). CRF patients RLS+ were more commonly women and showed the presence of an iron deficiency compared with the RLS- ones. Independent predictors of RLS in nondialyzed CRF patients were: female sex (OR: 10.7, 95% CI: 2.2-31.3; P = 0.004) and percentage of transferrin saturation (OR: 0.6, 95% CI: 0.4-0.9; P = 0.04). This is the first case-control study able to recognize an association between RLS and CRF in patients not yet on dialysis. Nephrologists should investigate and treat RLS in their nondialyzed patients with CRF. In particular, physicians should carefully investigate women and patients with iron deficiency in the presence of RLS symptoms.
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Luigi Gigli</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosciences, Sleep Disorders Center, Santa Maria della Misericordia University Hospital</s1><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>DPMSC, University of Udine</s1><s2>Udine</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Romano, Giulio" sort="Romano, Giulio" uniqKey="Romano G" first="Giulio" last="Romano">Giulio Romano</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>DPMSC, University of Udine</s1><s2>Udine</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Nephrology, Santa Maria della Misericordia University Hospital</s1><s2>Udine</s2><s3>ITA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Montanaro, Domenico" sort="Montanaro, Domenico" uniqKey="Montanaro D" first="Domenico" last="Montanaro">Domenico Montanaro</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Nephrology, Santa Maria della Misericordia University Hospital</s1><s2>Udine</s2><s3>ITA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Moro, Alessandro" sort="Moro, Alessandro" uniqKey="Moro A" first="Alessandro" last="Moro">Alessandro Moro</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosciences, Sleep Disorders Center, Santa Maria della Misericordia University Hospital</s1><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Valente, Mariarosaria" sort="Valente, Mariarosaria" uniqKey="Valente M" first="Mariarosaria" last="Valente">Mariarosaria Valente</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosciences, Sleep Disorders Center, Santa Maria della Misericordia University Hospital</s1><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>DPMSC, University of Udine</s1><s2>Udine</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case control study</term><term>Chronic renal failure</term><term>Human</term><term>Inorganic element</term><term>Iron</term><term>Iron deficiency anemia</term><term>Nervous system diseases</term><term>Restless legs syndrome</term><term>Sex</term><term>Sleep disorder</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Syndrome des jambes sans repos</term><term>Trouble du sommeil</term><term>Anémie ferriprive</term><term>Pathologie du système nerveux</term><term>Etude cas témoin</term><term>Homme</term><term>Sexe</term><term>Elément minéral</term><term>Fer</term><term>Insuffisance rénale chronique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Fer</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Restless legs syndrome (RLS) is a possible consequence of end-stage renal disease. However, conclusive data on the association between RLS and chronic renal failure (CRF) in nondialyzed patients are still lacking. The aims of this study were: (1) to look for an association between RLS and CRF in nondialyzed patients; (2) to analyze the characteristics of RLS and its consequences on nocturnal rest in nondialyzed patients with CRF; (3) to identify possible predictors of RLS occurrence in nondialyzed patients with CRF. We recruited 138 nondialyzed patients with CRF (mean age: 69.8 ± 11.7 years; male: 61.6%) and 151 controls (mean age: 60.2 ± 18.6 years; male: 42.4%). An expert in sleep medicine investigated the presence of RLS by means of a face-to-face interview. Fifteen nondialyzed CRF patients and five controls were diagnosed as RLS affected. A multivariate analysis confirmed that RLS was independently associated with CRF in nondialyzed patients (P = 0.004). CRF patients RLS<sup>+</sup> were more commonly women and showed the presence of an iron deficiency compared with the RLS-<sup> </sup>ones. Independent predictors of RLS in nondialyzed CRF patients were: female sex (OR: 10.7, 95% CI: 2.2-31.3; P = 0.004) and percentage of transferrin saturation (OR: 0.6, 95% CI: 0.4-0.9; P = 0.04). This is the first case-control study able to recognize an association between RLS and CRF in patients not yet on dialysis. Nephrologists should investigate and treat RLS in their nondialyzed patients with CRF. In particular, physicians should carefully investigate women and patients with iron deficiency in the presence of RLS symptoms.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>25</s2></fA05><fA06><s2>8</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>A Case-Control Study on Restless Legs Syndrome in Nondialyzed Patients with Chronic Renal Failure</s1></fA08><fA11 i1="01" i2="1"><s1>MERLINO (Giovanni)</s1></fA11><fA11 i1="02" i2="1"><s1>LORENZUT (Simone)</s1></fA11><fA11 i1="03" i2="1"><s1>LUIGI GIGLI (Gian)</s1></fA11><fA11 i1="04" i2="1"><s1>ROMANO (Giulio)</s1></fA11><fA11 i1="05" i2="1"><s1>MONTANARO (Domenico)</s1></fA11><fA11 i1="06" i2="1"><s1>MORO (Alessandro)</s1></fA11><fA11 i1="07" i2="1"><s1>VALENTE (Mariarosaria)</s1></fA11><fA14 i1="01"><s1>Department of Neurosciences, Sleep Disorders Center, Santa Maria della Misericordia University Hospital</s1><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="02"><s1>DPMSC, University of Udine</s1><s2>Udine</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Nephrology, Santa Maria della Misericordia University Hospital</s1><s2>Udine</s2><s3>ITA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA20><s1>1019-1025</s1></fA20><fA21><s1>2010</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000170524820080</s5></fA43><fA44><s0>0000</s0><s1>© 2010 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>30 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>10-0315064</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Restless legs syndrome (RLS) is a possible consequence of end-stage renal disease. However, conclusive data on the association between RLS and chronic renal failure (CRF) in nondialyzed patients are still lacking. The aims of this study were: (1) to look for an association between RLS and CRF in nondialyzed patients; (2) to analyze the characteristics of RLS and its consequences on nocturnal rest in nondialyzed patients with CRF; (3) to identify possible predictors of RLS occurrence in nondialyzed patients with CRF. We recruited 138 nondialyzed patients with CRF (mean age: 69.8 ± 11.7 years; male: 61.6%) and 151 controls (mean age: 60.2 ± 18.6 years; male: 42.4%). An expert in sleep medicine investigated the presence of RLS by means of a face-to-face interview. Fifteen nondialyzed CRF patients and five controls were diagnosed as RLS affected. A multivariate analysis confirmed that RLS was independently associated with CRF in nondialyzed patients (P = 0.004). CRF patients RLS<sup>+</sup> were more commonly women and showed the presence of an iron deficiency compared with the RLS-<sup> </sup>ones. Independent predictors of RLS in nondialyzed CRF patients were: female sex (OR: 10.7, 95% CI: 2.2-31.3; P = 0.004) and percentage of transferrin saturation (OR: 0.6, 95% CI: 0.4-0.9; P = 0.04). This is the first case-control study able to recognize an association between RLS and CRF in patients not yet on dialysis. Nephrologists should investigate and treat RLS in their nondialyzed patients with CRF. In particular, physicians should carefully investigate women and patients with iron deficiency in the presence of RLS symptoms.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17F</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Syndrome des jambes sans repos</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Restless legs syndrome</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Acroparestesia nocturna</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Trouble du sommeil</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Sleep disorder</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Trastorno sueño</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Anémie ferriprive</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Iron deficiency anemia</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Anemia ferropénica</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Etude cas témoin</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Case control study</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Estudio caso control</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Homme</s0><s5>10</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Human</s0><s5>10</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Hombre</s0><s5>10</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Sexe</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Sex</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Sexo</s0><s5>11</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Elément minéral</s0><s5>78</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Inorganic element</s0><s5>78</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Elemento inorgánico</s0><s5>78</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Fer</s0><s2>NC</s2><s5>79</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Iron</s0><s2>NC</s2><s5>79</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Hierro</s0><s2>NC</s2><s5>79</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Insuffisance rénale chronique</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Chronic renal failure</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Insuficiencia renal crónica</s0><s4>CD</s4><s5>96</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Trouble neurologique</s0><s5>38</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Neurological disorder</s0><s5>38</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Trastorno neurológico</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Trouble de la sensibilité</s0><s5>39</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Sensitivity disorder</s0><s5>39</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Trastorno sensibilidad</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Pathologie de l'appareil urinaire</s0><s5>40</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Urinary system disease</s0><s5>40</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Aparato urinario patología</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Pathologie du rein</s0><s5>41</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Kidney disease</s0><s5>41</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Riñón patología</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Hémopathie</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Hemopathy</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Hemopatía</s0><s5>42</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Sidéropénie</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Sideropenia</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Sideropenia</s0><s5>43</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Maladie métabolique</s0><s5>44</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Metabolic diseases</s0><s5>44</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Metabolismo patología</s0><s5>44</s5></fC07><fN21><s1>200</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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