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Objective Sleep in Atopic Dermatitis: A Meta-Analysis.

Miaolan Guo1, Jing Su1, Shaoyan Zheng2

  • 1From the Department of Nursing.

Dermatitis : Contact, Atopic, Occupational, Drug
|March 14, 2023
PubMed
Summary
This summary is machine-generated.

Objective sleep is impaired in atopic dermatitis (AD) patients, with reduced total sleep time and efficiency. Severe AD, male sex, and adulthood are associated with worse sleep quality, indicating sleep maintenance issues.

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Area of Science:

  • Dermatology
  • Sleep Medicine
  • Clinical Research

Background:

  • Limited evidence exists on objective sleep architecture in atopic dermatitis (AD).
  • Understanding sleep disturbances in AD is crucial for comprehensive patient care.
  • This study aims to summarize objective sleep parameters and their confounders in AD patients.

Approach:

  • Systematic literature search of PubMed/Medline, Embase, and PsycInfo databases up to May 2021.
  • Inclusion of case-control and cohort studies comparing AD patients with healthy controls using objective sleep measures (polysomnography or actigraphy).
  • Meta-analysis of data from 7 studies involving 173 AD patients and 122 controls.

Key Points:

  • AD patients exhibited significantly reduced total sleep time (TST) and sleep efficiency (SE).
  • Prolonged wake time after sleep onset (WASO) and increased rapid eye movement (REM) sleep latency were observed in AD patients.
  • Subgroup analyses revealed worse sleep in severe AD, males, and adults compared to their respective counterparts.

Conclusions:

  • Objective sleep is demonstrably worse in atopic dermatitis patients.
  • Sleep maintenance difficulties, rather than sleep onset issues, appear more prominent in AD.
  • Findings highlight the need for targeted sleep interventions in specific AD patient populations.