慢性睡眠不足与性结肠炎患者的疾病活动增加有关:日本的前性观察研究
Hideaki Oyama1, Rintaro Moroi1, Atsushi Sakuma2
1Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Journal of Crohn's & colitis
|July 25, 2024
概括
慢性睡眠不足显著增加了炎症性肠病复发率,特别是在性结肠炎患者中. 睡眠不足会对疾病活动和治疗延续产生负面影响.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 睡眠障碍与炎症性肠病 (IBD) 病原发生有关,但因果关系尚不清楚.
- 了解这种关系对于管理IBD至关重要.
- 研究睡眠质量对IBD活动的影响至关重要.
研究的目的:
- 为了澄清睡眠障碍和炎症性肠道疾病之间的因果关系.
- 为了确定睡眠不足是否影响IBD复发率.
- 评估睡眠不足对性结肠炎活动的影响.
主要方法:
- 使用匹兹堡睡眠问卷对139名IBD患者的前性观察.
- 根据调查问卷的分数,分类为睡眠不良和睡眠不良的组.
- 两组之间IBD复发率和治疗持续率的比较.
主要成果:
- 睡眠不足组的IBD复发率显著更高 (28.3%与8.9%,p=0.0033).
- 性结肠炎复发率在睡眠不良组 (34.5%对10.3%,p=0.031) 也显着更高.
- 慢性睡眠不足是IBD和性结肠炎复发的独立因素 (分别为OR=6.69和OR=8.89).
结论:
- 慢性睡眠不足会对IBD疾病的活性产生负面影响,特别是在性结肠炎中.
- 睡眠不足与IBD患者累计治疗保留率较低有关.
- 解决睡眠质量问题可能是IBD管理的关键组成部分.
相关概念视频
Chronic Bowel Disorders: Introduction
436
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
436
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Drugs for Treatment of Ulcerative Colitis in IBD
134
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
134
Inflammatory Bowel Disease II: Crohn's Disease
208
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
208
Insufficient Sleep and Sleep Deprivation
138
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
138


