Objective Sleep in Atopic Dermatitis: A Meta-Analysis

Guo, Miaolan; Su, Jing; Zheng, Shaoyan; Chen, Baixin

doi:10.1089/derm.2022.29005.mgu

Cited by 5 publications

(4 citation statements)

References 38 publications

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“…This is comparable with previous ndings which found the prevalence of sleep disturbance (measured by Pittsburgh Sleep Quality Index, PSQI) among patients with psoriasis to be 59% [30]. In a meta-analysis conducted by Guo et al [34] in 2024, participants with psoriasis had 6 times the risk of sleep disturbance compared with the counterpart without psoriasis (OR = 6.64, P < 0.001, I 2 = 67.5%). Nevertheless, the association of sleep duration with psoriasis his not reached a consensus (β, -0.04; 95% CI, -0.21-0.13).…”

Section: Sensitivity Analysessupporting

confidence: 87%

Association Between Psoriasis and Sleep Quality Among US Adults: National Health and Nutrition Examination Survey 2009-2014

Fu,

Zhou,

et al. 2024

Preprint

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Current research has been restricted in furnishing nationally representative data regarding the association between psoriasis and sleep quality in US adults. To fill this gap, we conducted a cross-sectional study using data from National Health and Nutrition Examination Survey (NHANES) 2009–2014. We identified 376 (2.83%) cases of psoriasis and 3,615 (29.1%) cases of sleep disorder among 13,002 US adult citizens in present study. The results showed that that psoriasis was significantly associated with sleep disorder in US adults (OR, 1.71; 95% CI, 1.36–2.14), and the association remained in fully adjusted model (OR, 1.46; 95% CI, 1.15–1.86). We also conducted several sensitivity analyses (including IPTW) to access the robustness of our findings. Interestingly, we found that there is no significant association between psoriasis and sleep duration. These findings may be important to consider the poor sleep quality may be exacerbate the psoriasis. Our findings may contribute to future clinical management of sleep quality in psoriasis patients.

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Section: Sensitivity Analysessupporting

confidence: 87%

Association Between Psoriasis and Sleep Quality Among US Adults: National Health and Nutrition Examination Survey 2009-2014

Fu,

Zhou,

et al. 2024

Preprint

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“…With respect to the interpretation of the parameters measured in the present study, comparative data are extremely limited. A recently published meta-analysis based on case-control and cohort studies using PSG or actigraphy in adults and children with AD identified seven studies with 173 patients with AD and 112 controls [ 13 ]. Overall analyses showed that patients with AD had decreased total sleep time and sleep efficiency, and prolonged WASO and REM latency compared to controls.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to previous studies applying the PSQI in patients with AD [ 15 , 23 ], no significant differences regarding subjective sleep parameters between individuals with and without AD were found in the present study population. Notably, patients with AD are supposed to have higher disease severity than individuals with AD from the general population, which is associated to poor sleep quality [ 13 , 27 ]. Therefore, the comparability of data from patient populations with data from the general population in this regard is limited.…”

Section: Discussionmentioning

confidence: 99%

“…Second, we analyzed differences between individuals with and without AD with respect to sleep parameters obtained from PSG and PSQI by performing linear regression analyses. To account for the potential impact of age and sex on sleep measures [ 13 ], all analyses were adjusted for age and sex. For each variable, the adjusted mean and the corresponding 95% confidence interval (CI) are reported.…”

Section: Methodsmentioning

confidence: 99%

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Polysomnographic characteristics of sleep in adults with and without physician-diagnosed atopic dermatitis: results from the Study of Health in Pomerania

Piontek,

Arnold,

Ewert

et al. 2023

Sleep Breath

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Purpose To analyze sleep characteristics as measured with polysomnography (PSG) in adults from the general population with and without physician-diagnosed atopic dermatitis (AD). Methods We analyzed data from participants from the German population-based Study of Health in Pomerania (SHIP) TREND-0. AD was diagnosed in a standardized skin examination. The following polysomnographic parameters were measured: total sleep duration (min), sleep latency (min), wake after sleep onset (WASO; min), rapid eye movement (REM) latency (min), sleep efficiency (%), total number of wakefulness and movement episodes, stages of sleep (%), and apnea-hypopnea index (AHI). Additionally, the subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). We compared sleep characteristics of participants with and without AD. Results Among 1187 participants, 47 (4.0%) had AD. We found no differences between participants with and without AD in any of the analyzed PSG parameters except for the total number of wakefulness and movement episodes and the percentage of REM sleep. Participants with AD had a higher number of wakefulness and movement episodes, and a lower proportion of REM sleep compared to those without AD. Regarding subjective sleep parameters, no significant differences were found between participants with and without AD. Conclusion Our data do not provide evidence for poor sleep quality in individuals with AD. Major limitations of the study include the unavailability of data on AD severity and the small number of participants with AD. Larger-scaled longitudinal studies considering disease severity and specific AD symptoms with an effect on sleep are required.

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