Sleepiness and Health-Related Quality of Life Among Kidney Transplant Recipients in a Low-Middle Income Country: A Cross-Sectional Study

• Published in: Transplant international Vol. 36; p. 11547
• Main Authors: Hoteit, Mayssaa, Al-Masry, Ahmad, Elbejjani, Martine, Aoun, Mabel, Abu-Dargham, Rana, Medawar, Walid, Abou Zeinab, Hilal, Farhood, Laila, Koubar, Sahar H
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 01.11.2023
• Subjects: Cross-Sectional Studies; Developing Countries; Disorders of Excessive Somnolence; Humans; kidney transplant; Kidney Transplantation; low-middle income, BMI; quality of life; Quality of Life - psychology; Sleepiness; social support; Surveys and Questionnaires; social support; kidney transplant; low-middle income, BMI; sleepiness; quality of life
• ISSN: 1432-2277; 1432-2277
• DOI: 10.3389/ti.2023.11547

This study aims to describe daytime sleepiness and health-related quality of life (HRQoL) among Lebanese kidney transplant (KT) recipients and to examine the medical, psychosocial and transplant factors related to them. It is a cross-sectional multi-center study involving KT recipients >18 years. Daytime sleepiness was assessed using ESS Questionnaire. HRQoL was measured using the SF-36 questionnaire. Social support was self-reported. A multivariable regression analysis evaluated factors associated with daytime sleepiness and HRQoL in our sample. 118 patients were recruited over a 2 years period. Excessive daytime sleepiness was prevalent in 12.7%. It was associated with Diabetes Mellitus (OR 3.97, 95% CI 0.94-16.81, = 0.06) and obesity (OR 1.13, 95% CI 1.02, 1.27, = 0.02). Social support and higher eGFR were associated with better scores on the MCS (β 24.13 < 0.001 and β 0.26 < 0.01) and the PCS (β 15.48 < 0.01 and β 0.22 P 0.02). Conversely, depression and hospitalization were negatively associated with the MCS (β -27.44, < 0.01 and β -9.87, < 0.01) and the PCS (β -0.28.49, < 0.01 and β -10.37, < 0.01).