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Journal : The Indonesian Biomedical Journal

Determiner of Poor Sleep Quality in Chronic Kidney Disease Patients Links to Elevated Diastolic Blood Pressure, hs-CRP, and Blood-count-based Inflammatory Predictors Empitu, Maulana Antiyan; Kadariswantiningsih, Ika Nindya; Thaha, Mochammad; Nugroho, Cahyo Wibisono; Putri, Eka Arum Cahyaning; Hakim, Zaky El; Suryansyah, Maulana Muhtadin; Alda, Rieza Rizqi; Alsagaff, Mohammad Yusuf; Amin, Mochammad; Santoso, Djoko; Suzuki, Yusuke
The Indonesian Biomedical Journal Vol 11, No 1 (2019)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v11i1.452

Abstract

BACKGROUND: Sleep deprivation is strongly associated with cardiovascular disease (CVD) via sympathetic overstimulation and systemic inflammation in general population. However, the significance of poor sleep quality in chronic kidney disease (CKD) is still underexplored.METHODS: This study assessed the sleep quality of 39 with non-dialysis CKD (ND CKD) patients and 25 hemodialysis CKD (HD CKD) patients using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Poor sleeper was defined as individual with PSQI > 5.RESULTS: The prevalence of poor sleeper (30% vs. 60%, p=0.029) and the cummulative PSQI (ND CKD 4.5±4.4, HD CKD 8±6, p=0.038) are different between ND CKD and HD CKD groups. Among the ND CKD, there are association between short sleep duration (< 5 hours per day) with elevated diastolic blood pressure groups (r=0.421, p<0.05); habitual sleep efficiency with platelet-to-lymphocyte ratio (r= 0.532, p<0.0001); daytime dysfunction with increased hs-CRP (r=0.345, p=0.032) and neutrophil-to-lymphocyte ratio (r=0.320, p=0.046). In HD CKD group, a requirement to use sleep medication was associated with elevated highsensitivity C-reactive protein (hs-CRP) level (r=0.434, p=0.030) and decreased monocyte-to-lymphocyte ratio (r=- 0.410, p=0.042); daytime dysfunction was associated with serum hs-CRP (r=0.452, p=0.023).CONCLUSION: This study revealed that some features of poor sleep quality in CKD patients including low sleep efficiency, daytime dysfunction and requirement to use sleep medication were associated with increased diastolic blood pressure, hs-CRP and blood-count-based inflammatory predictors. Thus, this finding prompt to pay closer attention to sleep complaints in the management of CVD risk factors in CKD patients.KEYWORDS: sleep quality, chronic kidney disease, blood pressure, inflammation
Anthropometry-based Body Fat Percentage Predicts High hs-CRP in Chronic Kidney Disease Patients Thaha, Mochammad; Empitu, Maulana Antiyan; Kadariswantiningsih, Ika Nindya; Nugroho, Cahyo Wibisono; Hasanatuludhhiyah, Nurina; Rasyid, Haerani; Hakim, Zaky El; Suryansyah, Maulana Muhtadin; Alda, Rieza Rizqi; Alsagaff, Mohammad Yusuf; Amin, Mochammad; Santoso, Djoko; Suzuki, Yusuke
The Indonesian Biomedical Journal Vol 10, No 2 (2018)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v10i2.397

Abstract

BACKGROUND: Obesity is an important cardiovascular risk factor and associated with low grade inflammation in chronic kidney disease (CKD) patients. This study aims to assess the association between body fat with serum high sensitivity C-reactive protein (hs-CRP) level in CKD patients.METHODS: A cross-sectional study was performed in 71 CKD patients. Anthropometric measurements included body weight, height, body mass index (BMI), body fat percentage (BFP), skinfold thickness (SKF) of triceps and biceps were performed by trained physician. BFP was calculated using Kwok’s Formula and hs-CRP was measured by Particle enhanced Turbidimetry.RESULTS: The averaged BMI of our subjects was 25.8±4.4. There was no significant difference in BMI between pre-dialysis and hemodialysis CKD patients. Positive correlation was found between BFP and hs-CRP (r=0.266; p<0.05), while there was no significant correlation between BMI and hs-CRP.CONCLUSION: Body fat percentage was associated with hs-CRP. Hence, it will be more beneficial to assess nutritional status in CKD using BFP rather than BMI alone since it was demonstrated to correlate with hs-CRP in our studyKEYWORDS: CKD, obesity, inflammation, body fat, hs-CRP
Could Complete Blood Count Parameters and Non-fasting Cholesterol Profile Describe Inflammation and Oxidative Stress in Chronic Kidney Disease? Kadariswantiningsih, Ika Nindya; Thaha, Mochammad; Nugroho, Cahyo Wibisono; Hamidah, Berliana; Rasyid, Haerani; Hakim, Zaky El; Suryansyah, Maulana Muhtadin; Alsagaff, Mohammad Yusuf; Santoso, Djoko; Empitu, Maulana Antiyan; Suzuki, Yusuke
The Indonesian Biomedical Journal Vol 10, No 3 (2018)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v10i3.451

Abstract

BACKGROUND: Establishment of inexpensive clinical laboratory tests to evaluate inflammation and oxidative stress is urgently needed in the limited resources settings. This study aims to investigate the potential of complete blood count (CBC) parameters and non-fasting cholesterol profile parameters to describe inflammation and oxidative stress in chronic kidney disease (CKD) patients.METHODS: Measurement of CBC, non-fasting cholesterol profile, high sensitivity C-reactive protein (hs-CRP) and malondialdehyde (MDA) were performed in 71 CKD patients grouped into hemodialysis (HD) and non-hemodialysis (non-HD). Correlation analysis were performed to assess the potential of CBC and cholesterol profile to describe the level of hs-CRP and MDA.RESULTS: In the HD group, total cholesterol was moderately associated with hs-CRP while total cholesterol/HDL-C ratio, monocyte/HDL-C ratio, monocyte/LDL-C ratio, neutrophil/HDL-C ratio, neutrophil/LDL-C ratio, platelet/HDL-C ratio and platelet/LDL-C ratio were strongly associated with hs-CRP. In the non-HD group,only neutrophil/total cholesterol ratio and platelet/total cholesterol ratio that were associated with hs-CRP. Total cholesterol, monocyte/LDL-C ratio, neutrophil/LDL-C ratio and platelet/LDL-C ratio were moderately associated with MDA while total cholesterol/HDL-C ratio, monocyte/HDL-C ratio, neutrophil/HDL-C ratio and platelet/HDL-C ratio were strongly associated respectively with MDA in HD group. In the non-HD group, total cholesterol/HDL-C ratio, neutrophil/HDL-C ratio and platelet/HDL-C ratio were moderately associated with MDA in non-HD group while monocyte/HDL-C ratio was weakly associated with MDA.CONCLUSION: Some CBC parameters and non-fasting cholesterol profile such as cholesterol/HDL-C, monocyte/HDL-C, neutrophil/HDL-C and platelet/HDL-C ratio showed a potential to describe the inflammation and stress oxidative markers, given some strong associations with the level of hs-CRP and MDA. Further study is needed to assess whether this parameter represent long-term prognostic value among CKD patients.KEYWORDS: inflammation, oxidative stress, CRP, MDA, TAC, 8-OHdG, CBC, cholesterol
Co-Authors . Mansyurdin . Siswanto . Suharyanto . SYAFARUDDIN, . Aditia Wardana, Aditia Aditiawardana Aditiawardana, Aditiawardana Agung Dwi Indrawan Ahmad Fauzi AHMAD RIDUAN Aida Farida Alda, Rieza Rizqi Alsagaff, Mohammad Yusuf AMANAH, Dian Mutiara Amin, Mochammad Andre Noevi Rahmanto Anton Subarno ANTONIUS SUWANTO Aprih Santoso, Aprih Ardityo R Ardhany, Ardityo R Arief Fathony, Ramlan Artaria Tjempakasari, Artaria Asmini Budiani Aswaldi Anwar ASWIDINNOO, Hajrial Auromiqo, Candra Ayu Larasati, Niken Baiti, Ahmad Awaluddin Bambang S Purwoko Bastin Fitriatus Hasanah Bekti Wulandari Bonita Destiana Budi Sulistijo Chandra Irwanadi Mohani, Chandra Irwanadi Chandra Irwanadi, Chandra Chibtiyah, Nur chieko Hamada, chieko D Ningsih, D Darda Efendi Darharta Dahrin DEDI SOLEH EFFENDI, DEDI SOLEH Empitu, Maulana Antiyan Endrizal ERIS, Deden Dewantara Fajar, Saiful Ferdiyono, J. Reza FITRANTI, Niyyah FITRANTY, Niyyah Fitriyah, Fauziatul GHONI, M. A. GHONI Ginanjar, Muhammad Syukron HABIBULLAH, Hanning Susilo Haerani Rasyid, Haerani HAJRIAL ASWIDINNOOR Hakim, Zaky El Hamidah, Berliana HANDAYAN, Agustina A. HAPPY WIDIASTUTI Hasanatuludhhiyah, Nurina Hasanuddin Z. Abidin Hasanuddin Z. Abidin, Hasanuddin Hayati Minarsih Hendra Grandis I GEDE PUTU WIGENA I Haryoko, I Ichiyu Shou, Ichiyu Imron Riyadi Indarto Indarto Indhira Hari Kurnia Ismail, Mohd Erfy Isnu Irwantoro, Isnu JAYA, Abdul Mollah S. Joenil Kahar, Joenil Jumiyanto Widodo Kadariswantiningsih, Ika Nindya Kresnawaty, Irma KRESNAWATY, Irma Kunimi Maeda, Kunimi Laesanpura, Agus Laesanpura, Agus M Thaha, M MARAHIMIN, B. MARAHIMIN Mayta Novaliza Isda Medika, Decsa Mitsumine Fukui, Mitsumine MOCHAMMAD THAHA Moh. Yogiantoro, Moh. MS, Freddy Muhammad Jusuf Munadi Munadi Munir, Muh Musliar Kasim Muslikhin Muslikhin NIKOLAU, Basil J Nugroho, Cahyo Wibisono Nunuk Mardiana, Nunuk NURILMALA, F Nuryake Fajaryati PANJAITAN, K. PANJAITAN Pipit Utami Pradusuara, Franes pranawa pranawa, pranawa PRIYONO, . PURBA, A.R. PURBA Putra, Abdul Aziz Sidiq Tri PUTRANTO, Riza A PUTRANTO, Riza A. Putri, Eka Arum Cahyaning R.D.B LEFROY Raduan, Atiqah Renita Renita Rita Hayati ROEDHY POERWANTO Rokib, Muhammad Nur Saddewisasi, Wyati Sadewisasi, Wyati SAMANHUDI, . Saptowo Jumali Pardal, Saptowo Jumali SARAGIH, A. H. SARAGIH SARI, Dini Astika Satoshi Horikoshi, Satoshi SINAGA, Jisman Slamet Slamet Soekarno Mismana Putra, Soekarno Mismana soewanto soewanto, soewanto Sri Hendrastuti Sri Wahyuni Sri Waluyanti Subagus Wahyuono Sudarsono SUDARSONO SUDARSONO Sugeng Riyanto Sugiyanto Sugiyanto Sukarti Moeljopawiro Suparman Suparman Suryansyah, Maulana Muhtadin SUSANTI, Paramitha Suzuki, Yusuke SYARIEF, Auzar Tetty Chaidamsari, Tetty Tri Harso Karyono Tri P Asmarawati, Tri P TRI-PANJI, . TRIASTANTO, Oktaviany Ferry Trisintyandika, Idkha UMAHATI, Binti Khurotul Umi Rochayati Umi Rokhayati, Umi Vera Sadarviana, Vera Wahyudi W. Parnadi Warsa Warsa Wawan Gunawan A. Kadir Wedyanto K, Wedyanto Widodo Widodo Widyastuti, SM Windari, Era Nurisa WIRAMIHARDJA, Memed Y, Yatini Yasuhiko Tomino, Yasuhiko yatini, yatini Yusniwati Yusniwati