Sleep quality in rheumatoid arthritis
Background: Patients with rheumatoid arthritis (RA) often have sleep dysfunction. This may adversely impact quality of life. Despite being common, sleep dysfunction is uncommonly assessed in the clinic. No data on sleep quality in RA patients is available from India. In this study we examined the sl...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-01-01
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| Series: | Indian Journal of Rheumatology |
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| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=34;epage=40;aulast= |
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| author | Anil Kumar Rohini Handa Sundeep Kumar Upadhyaya Sirinder Jit Gupta Deepak Ramchandra Malgutte |
| author_facet | Anil Kumar Rohini Handa Sundeep Kumar Upadhyaya Sirinder Jit Gupta Deepak Ramchandra Malgutte |
| author_sort | Anil Kumar |
| collection | DOAJ |
| description | Background: Patients with rheumatoid arthritis (RA) often have sleep dysfunction. This may adversely impact quality of life. Despite being common, sleep dysfunction is uncommonly assessed in the clinic. No data on sleep quality in RA patients is available from India. In this study we examined the sleep quality and factors influencing it in Indian patients with RA.
Methods: This cross-sectional study evaluated sleep quality in 110 patients with RA using the Pittsburgh sleep quality index (PSQI) or its validated Hindi version (PSQI-H). The risk of sleep apnea was assessed by the Berlin questionnaire while the assessment of pain and fatigue was done on a visual analogue scale (VAS). Disease activity was assessed by simplified disease activity index, functional disability was assessed by the health assessment questionnaire disability index-Centre for Rheumatic Diseases version, and quality of life was evaluated by World Health Organization quality of life-BREF (WHOQOL-BREF). Socioeconomic status was assessed by modified Kuppuswamy scale.
Results: Sixty four percent of our patients with RA demonstrated poor sleep quality. The mean global PSQI score was of 6.41 ± 3.07 (range 1–17). A high risk of sleep apnea was present in 26% of the study population. The use of glucocorticoids, high risk of sleep apnea, high disease activity, pain VAS, fatigue VAS, and functional disability were more common in poor sleepers. Multivariate logistic regression analysis revealed that high risk of sleep apnea, fatigue, and poor physical health domain of WHOQOL-BREF were independent risk factors for poor sleep quality.
Conclusions: Patients with RA had a high prevalence of poor sleep quality. High risk of sleep apnea, fatigue and physical health domain of WHOQOL-BREF were identified as independent predictors of poor sleep quality. Clinic evaluation of patients with RA should incorporate the domain of sleep quality. |
| format | Article |
| id | doaj-art-e61a8cc00b7941a7883ec3343fdd1207 |
| institution | Kabale University |
| issn | 0973-3698 0973-3701 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj-art-e61a8cc00b7941a7883ec3343fdd12072025-01-03T01:45:52ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012022-01-01171344010.4103/injr.injr_151_21Sleep quality in rheumatoid arthritisAnil KumarRohini HandaSundeep Kumar UpadhyayaSirinder Jit GuptaDeepak Ramchandra MalgutteBackground: Patients with rheumatoid arthritis (RA) often have sleep dysfunction. This may adversely impact quality of life. Despite being common, sleep dysfunction is uncommonly assessed in the clinic. No data on sleep quality in RA patients is available from India. In this study we examined the sleep quality and factors influencing it in Indian patients with RA. Methods: This cross-sectional study evaluated sleep quality in 110 patients with RA using the Pittsburgh sleep quality index (PSQI) or its validated Hindi version (PSQI-H). The risk of sleep apnea was assessed by the Berlin questionnaire while the assessment of pain and fatigue was done on a visual analogue scale (VAS). Disease activity was assessed by simplified disease activity index, functional disability was assessed by the health assessment questionnaire disability index-Centre for Rheumatic Diseases version, and quality of life was evaluated by World Health Organization quality of life-BREF (WHOQOL-BREF). Socioeconomic status was assessed by modified Kuppuswamy scale. Results: Sixty four percent of our patients with RA demonstrated poor sleep quality. The mean global PSQI score was of 6.41 ± 3.07 (range 1–17). A high risk of sleep apnea was present in 26% of the study population. The use of glucocorticoids, high risk of sleep apnea, high disease activity, pain VAS, fatigue VAS, and functional disability were more common in poor sleepers. Multivariate logistic regression analysis revealed that high risk of sleep apnea, fatigue, and poor physical health domain of WHOQOL-BREF were independent risk factors for poor sleep quality. Conclusions: Patients with RA had a high prevalence of poor sleep quality. High risk of sleep apnea, fatigue and physical health domain of WHOQOL-BREF were identified as independent predictors of poor sleep quality. Clinic evaluation of patients with RA should incorporate the domain of sleep quality.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=34;epage=40;aulast=fatigueindianpittsburgh sleep quality indexpittsburgh sleep quality index-hindi versionquality of liferheumatoid arthritissleep apneasleep quality |
| spellingShingle | Anil Kumar Rohini Handa Sundeep Kumar Upadhyaya Sirinder Jit Gupta Deepak Ramchandra Malgutte Sleep quality in rheumatoid arthritis Indian Journal of Rheumatology fatigue indian pittsburgh sleep quality index pittsburgh sleep quality index-hindi version quality of life rheumatoid arthritis sleep apnea sleep quality |
| title | Sleep quality in rheumatoid arthritis |
| title_full | Sleep quality in rheumatoid arthritis |
| title_fullStr | Sleep quality in rheumatoid arthritis |
| title_full_unstemmed | Sleep quality in rheumatoid arthritis |
| title_short | Sleep quality in rheumatoid arthritis |
| title_sort | sleep quality in rheumatoid arthritis |
| topic | fatigue indian pittsburgh sleep quality index pittsburgh sleep quality index-hindi version quality of life rheumatoid arthritis sleep apnea sleep quality |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=1;spage=34;epage=40;aulast= |
| work_keys_str_mv | AT anilkumar sleepqualityinrheumatoidarthritis AT rohinihanda sleepqualityinrheumatoidarthritis AT sundeepkumarupadhyaya sleepqualityinrheumatoidarthritis AT sirinderjitgupta sleepqualityinrheumatoidarthritis AT deepakramchandramalgutte sleepqualityinrheumatoidarthritis |