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Published on: October 2, 2019
The association between Children's sleep quality and juvenile idiopathic arthritis
Linxia Li1, Yazhen Di2, Zhanli Liu1
1Department of Neurology, Hangzhou Children's Hospital, Hangzhou City, Zhejiang Province, China.
Insights
Children with juvenile idiopathic arthritis (JIA) experience significantly more sleep disturbances than healthy children. These issues are linked to disease activity, functional limitations, and treatments for JIA.
Area of Science:
- Pediatric Rheumatology
- Sleep Medicine
- Clinical Investigation
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic condition affecting children, with potential impacts on overall well-being.
- Sleep disturbances are common in pediatric chronic illnesses but understudied in JIA.
- Understanding sleep issues in JIA is crucial for comprehensive patient care.
Purpose of the Study:
- To investigate the prevalence and characteristics of sleep disturbances in children diagnosed with JIA.
- To explore the relationship between sleep quality and disease activity, pain, fatigue, and quality of life in JIA patients.
Main Methods:
- A case-control study comparing 48 JIA patients with 90 healthy controls.
- Utilized validated questionnaires including the Children's Sleep Habits Questionnaire (CSHQ) and Sleep Disturbance Scale for Children (SDSC).
- Assessed disease activity (JADAS-27), quality of life (CHQ-PF28), pain (VAS), and fatigue (PedsQL-MFS).
Main Results:
- JIA patients exhibited significantly higher rates of sleep disturbance compared to controls (P < 0.01).
- Abnormalities in CSHQ and SDSC scores were prevalent, correlating with disease activity, functional status, and medication use.
- Specific issues included shortened sleep duration, daytime sleepiness, night hyperhidrosis, and arousal disorders.
Conclusions:
- Children with JIA demonstrate a significantly higher incidence of sleep disorders.
- Sleep disturbances in JIA are associated with disease activity, functional impairment, and potentially medication side effects.
- Addressing sleep problems should be an integral part of managing JIA in pediatric patients.
Objective:
To investigate possible sleep disturbances in children with juvenile idiopathic arthritis (JIA).
Methods:
This case-control investigation evaluated 48 JIA patients vs. 90 healthy controls through comprehensive clinical assessments. Disease activity was quantified using the Juvenile Arthritis Disease Activity Score (JADAS-27), while health-related quality of life was measured with the Child Health Questionnaire (CHQ-PF28). Pain intensity was assessed through dual Methods: Visual Analog Scale (VAS) and Wong Baker Faces Scale. Fatigue levels were evaluated via the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL-MFS), and sleep quality was analyzed using both the Children's Sleep Habits Questionnaire (CSHQ) and Sleep Disturbance Scale for Children (SDSC). All statistical analyses were conducted in SPSS 26.0, employing independent t-tests for intergroup comparisons and Spearman correlation analysis for variable relationships.
Results:
The incidence of sleep disturbance was significantly higher in the JIA group (P < 0.01). CSHQ assessments reveal abnormal total scores and six subdomains (sleep duration, daytime sleepiness, etc.; all P < 0.05), with specific correlations: total scores link to disease activity (JADAS-27/AJC; P = 0.021-0.05), shortened sleep duration strongly associates with ESR/functional status (P = 0.002/0.006), and daytime sleepiness connects to physician global assessments (PGA/PGE; P = 0.017-0.029). SDSC evaluations indicate abnormalities in four domains (all P < 0.05), notably: night hyperhidrosis correlates with disease activity markers (P = 0.032-0.039), excessive sleepiness associates with fatigue/functional impairment (P = 0.014/0.038), and arousal disorders relate to medication use (P = 0.029).
Conclusions:
JIA patients show significantly higher rates of sleep disorders compared to healthy children, primarily due to disease activity, functional impairment, and medication effects.
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