Obstructive sleep apnoea in relation to rheumatic disease.
Regina M Taylor-Gjevre1, Bindu V Nair, John A Gjevre
1Division of Rheumatology, Department of Medicine, Royal University Hospital, University of Saskatchewan, Saskatoon, SK S7N 0W8, Canada.
Rheumatology (Oxford, England)
|August 28, 2012
Summary
Sleep problems like sleep apnoea are common in rheumatology patients, worsening pain and fatigue. Screening for sleep apnoea in rheumatic disease patients is recommended to manage symptoms and reduce health risks.
Area of Science:
- Rheumatology
- Sleep Medicine
- Cardiovascular Health
Background:
- Sleep disturbances are prevalent in rheumatology patients, correlating with increased pain and fatigue.
- Primary sleep disorders, such as sleep apnoea, are more common in certain rheumatic diseases like rheumatoid arthritis (RA).
- Obstructive sleep apnoea (OSA) is a public health issue linked to cardiovascular disease and elevated inflammatory markers.
Purpose of the Study:
- To review the risk factors, prevalence, and impact of sleep apnoea in rheumatology patients.
- To highlight the potential influence of sleep apnoea on symptom severity and cardiovascular risk in rheumatic diseases.
- To advocate for sleep apnoea screening in rheumatology settings.
Main Methods:
- Literature review focusing on sleep apnoea in rheumatic disease populations.
- Analysis of the relationship between sleep apnoea, pain, fatigue, inflammation, and cardiovascular risk.
- Examination of rheumatological perspectives on sleep apnoea.
Main Results:
- Sleep apnoea frequently co-exists with rheumatic diseases, potentially exacerbating pain and fatigue.
- Patients with sleep apnoea may exhibit higher levels of inflammatory markers.
- Sleep apnoea is associated with increased cardiovascular morbidity and mortality.
Conclusions:
- Sleep apnoea significantly impacts rheumatology patients, affecting symptom perception and overall health.
- Screening for sleep apnoea should be considered in patients with rheumatic diseases.
- Referral to sleep disorder clinics is advised for appropriate management.
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