Impaired Sleep Quality In Rheumatoid Arthritis Patients: New Evidence from a Systemic Review and Meta-Analysis Containing Both Subjective and Objective Studies

Wu, Zhen Gang; Wang, Meng; Wang, Mengmeng; Sang, Ni; Xu, Wen-Qiong; Pan, Hai‐Feng; Wu, Guo-Cui

doi:10.2139/ssrn.4217429

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“…Individuals with SLE, as well as other rheumatological diseases, including rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis, are known to experience sleep disturbances, which can have a significant impact on their overall health and quality of life [ 9 , 10 , 11 , 12 ]. These disturbances include reduced sleep efficiency, which is a measure of the total time spent sleeping divided by the total time in bed [ 13 ], as well as periodic limb movement syndrome, characterized by repetitive movements of the limbs during sleep [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…These disturbances include reduced sleep efficiency, which is a measure of the total time spent sleeping divided by the total time in bed [ 13 ], as well as periodic limb movement syndrome, characterized by repetitive movements of the limbs during sleep [ 14 ]. In their recently published meta-analysis that contained both objective and subjective studies, Wu et al showed impaired sleep quality in patients with rheumatoid arthritis and recommended heightened attention to the care and management of sleep problems in these patients [ 10 ]. Similarly, a high prevalence of sleep disorders was reported for patients with ankylosing spondylitis (AS), with high co-occurrence of sleep disorders and AS-related problems, including depression, anxiety, and nocturnal pain [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Systemic Lupus Erythematous and Obstructive Sleep Apnea: A Possible Association

Meidan

Elalouf

Tauman

et al. 2023

Life

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Marked fatigue is common in patients with systemic lupus erythematosus (SLE). This study aimed to assess the association of sleep disorders, including obstructive sleep apnea (OSA), with SLE. Forty-two consecutive patients with SLE and 20 healthy controls were recruited and underwent a one-night ambulatory sleep examination. They completed questionnaires, including the Pittsburgh Sleep Quality Index (PSQI) and Functional Assessment of Chronic Illness Therapy (FACIT). SLE disease activity and damage were assessed by the SLE Disease Activity Index 2000 (SLEDAI-2K) and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) damage index (SDI). A significantly increased apnea/hypopnea index was noted in the SLE group compared to healthy controls (p = 0.004). SLE patients had higher rates of moderate-to-severe OSA (p = 0.04), PSQI (p = 0.001), and FACIT scores (p = 0.0008). Multivariate analysis revealed that the SDI was associated with OSA (p = 0.03). There was a positive association between SLEDAI-2K and moderate-to-severe OSA (p = 0.03). Patients with SLE had an increased prevalence of OSA and poorer quality of sleep compared to healthy controls. Our findings suggest that active disease and accumulated damage may be associated with OSA. These findings highlight the importance of identifying the presence of OSA in patients with SLE.

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