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Frequency of Sleep Disorders in Rheumatoid Arthritis Patients
Amna Yaseen1,2, Saima Yasin3, Zia Ul Haq4
1General Medicine, Russells Hall Hospital, Dudley, GBR.
Cureus
|November 26, 2024
Summary
Sleep disturbances like insomnia and sleep apnea are common in rheumatoid arthritis (RA) patients and are linked to disease severity. Addressing these sleep issues is crucial for managing RA effectively.
Area of Science:
- Rheumatology
- Sleep Medicine
- Clinical Research
Background:
- Rheumatoid arthritis (RA) significantly impacts quality of life, with sleep disturbances being a common comorbidity.
- Chronic inflammation in RA contributes to various symptoms, including disrupted sleep patterns.
Purpose of the Study:
- To determine the prevalence of sleep problems in rheumatoid arthritis patients.
- To investigate the relationship between sleep disturbances, patient demographics, and rheumatoid arthritis disease severity.
Main Methods:
- A cross-sectional study involving 385 RA patients conducted between January and December 2023.
- Utilized the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) to assess sleep quality and daytime sleepiness.
- Employed Chi-square tests to analyze associations between sleep issues and RA disease severity, with a significance level of p<0.05.
Main Results:
- 75.32% of RA patients reported poor sleep quality (PSQI).
- Prevalence of specific sleep disorders included insomnia (38.96%), sleep apnea (18.18%), and restless legs syndrome (15.58%).
- Significant associations were found between insomnia and moderate RA activity (p<0.001), sleep apnea and low RA activity (p=0.003), and restless legs syndrome and moderate RA activity (p=0.002).
Conclusions:
- Sleep disorders, particularly insomnia and sleep apnea, are highly prevalent in rheumatoid arthritis patients.
- Disease severity in RA is significantly associated with the occurrence of specific sleep disturbances.
- Targeted management strategies for sleep disorders are essential for improving the overall care of RA patients.
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