P108 Sleep Disorders in Inflammatory Bowel Disease: The Forgotten Discussion

Almedimigh, Abdulaziz; Szeto, Stephanie; Dave, Jenny; Alsulaimi, Najwan; Myint, Aung Kyaw; Borum, Marie L.

doi:10.1093/ibd/izy019.120

Cited by 3 publications

(5 citation statements)

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“…Additionally, daily sleep duration hours during working days is associated with a decreased risk (OR=0.05, 95%CI: 0.01-4.68) of IBD. Almedimigh et al [36] found that IBD patients had poorer sleep quality, and an increased use of sleeping pills compared to controls. Furthermore, patients with clinically active IBD have reported significantly worse sleep than patients with inactive disease.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle and Dietary Factors Associated with Inflammatory Bowel Disease among Jordanian Patients

Qualqili

Rayyan

Tayyem

2021

JGLD

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Background and Aims: Inflammatory bowel diseases (IBD) affect Jordanian adults more than other age groups. Several studies highlight the independent effect of various lifestyle factors on the risk of IBD. Therefore, this study aims to compare the differences between some lifestyle factors among IBD cases and IBD-free controls, while detecting the varying degree of malnutrition in the study sample. Methods: A case-control study was conducted between November 2018 and December 2019. Three hundred and thirty-five Jordanian adults above the age of 18 years were enrolled in this study. Out of the 335 participants, 185 of them were recently diagnosed with IBD [100 ulcerative colitis (UC) and 85 Crohn‘s disease (CD)] and 150 IBD-free controls. Sociodemographic characteristics, anthropometric measurements, dietary habits and the degree of malnutrition using the Patient-Generated Subjective Global Assessment (PG-SGA) were collected from all participants. Results: Body mass index and waist circumference were significantly different in UC patients as compared to controls. Cigarette smoking, work status, duration of sleeping hours, physical activity, number of daily main meals intake, meals skipped daily, number of daily snack meal intake, and fast-food intake were all significantly different when comparing IBD cases to controls. While cigarette smoking (OR=0.52, 95%CI: 0.29-0.96, p=0.02) and sleep duration hours during working day (OR=0.05, 95%CI: 0.01-4.68, p=0.001)] were found to be protective factors, the increase in daily working hours (OR=22.13, 95%CI: 10.35-47.32, p=0.001) was identified as a risk factor for IBD. The degree of moderate and severe malnutrition among patients with IBD was significantly (p<0.001) higher as compared to controls. Conclusions: Patients with IBD had lower BMI and physical activity values compared to controls. The number of daily main meals intake, meals skipped daily, number of daily snack meals intake, fast food intake and the degree of malnutrition were significantly different when IBD cases were compared to controls.

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Section: Discussionmentioning

confidence: 99%

Lifestyle and Dietary Factors Associated with Inflammatory Bowel Disease among Jordanian Patients

Qualqili

Rayyan

Tayyem

2021

JGLD

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“…Firstly, the majority of extant literature has focussed on measuring overall sleep quality; therefore, it is unclear whether specific types of problems sleeping might be more or less associated with IBD‐related outcomes. Given that different types of sleep disturbances have different screening methods (Devine, Hakim, & Green, 2005; Ibáñez, Silva, & Cauli, 2018; Marino et al ., 2013) and treatment strategies (Hansen, Höfling, Kröner‐Borowik, Stangier, & Steil, 2013; Harrison, Keating, & Morgan, 2019; Iftikhar et al ., 2017; Zachariae, Lyby, Ritterband, & O’Toole, 2016), understanding whether specific types of sleep disturbances are predictive of HRQoL in IBD could facilitate suggestions that health care services should be doing more to screen for and subsequently treat sleep disturbances as part of routine care (Almedimigh et al ., 2018; Green et al ., 2017; Kinnucan et al ., 2013; Sofia et al ., 2018). Secondly, no study has examined the temporal relationship between specific sleep disturbances and HRQoL in those with IBD over time.…”

Section: Sleep Disturbances In Ibdmentioning

confidence: 99%

Do specific types of sleep disturbances represent risk factors for poorer health‐related quality of life in inflammatory bowel disease? A longitudinal cohort study

Flowers

Rowse

2020

British J Health Psychol

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Objectives. Poor global sleep quality is commonly reported in people with inflammatory bowel disease (IBD) and is linked to poorer health-related quality of life (HRQoL). However, understanding is currently limited by a lack of: (1) longitudinal research and (2) research investigating the impact of specific types of problems sleeping on IBD-related outcomes, particularly on HRQoL. Design. Observational longitudinal cohort study. Methods. N = 276 participants with IBD completed measures at baseline (T1) and 4 weeks later at T2. Four specific sleep disturbances associated with IBD including sleep apnoea, insomnia, restless legs, and nightmares were measured alongside depression, anxiety and stress, and HRQoL. Results. After controlling for participant demographics and clinical characteristics, T1 depression, anxiety, stress, and T1 HRQoL, more severe symptom severity of sleep apnoea (B = À0.30, p < .05) and insomnia symptoms (B = À0.23, p < .05) at T1 significantly predicted poorer HRQoL at T2. However, the experience of restless legs (B = À0.03, p > .87) and nightmares (B = À0.14, p > .11) at T1 did not predict HRQoL. Conclusion. Symptoms synonymous with sleep apnoea and insomnia might represent modifiable risk factors that provide independent contributions to HRQoL over time in those with IBD. These findings suggest that interventions designed to improve sleep apnoea and insomnia could confer benefits to HRQoL in those with IBD. However, more longitudinal research is needed to understand the contribution of sleep disturbances over the longer term, as well as more randomized controlled trials testing the effect of improving sleep on IBD-related outcomes. Statement of contribution What is already known on this subject? Poor global sleep quality is commonly reported by those with a diagnosis of inflammatory bowel disease. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…The lack of research investigating specific types of sleep disturbance in IBD relative to healthy controls serves to inhibit two important avenues; i) the development and adaption of interventions to target specific sleep disturbances experienced by those with IBD as a route to improving IBD related outcomes; and ii) as has been recently suggested, the incorporation of sleep disturbance screening into the routine clinical management of IBD (Almedimigh et al, 2018;Kinnucan et al, 2013). The present research aims to address this by measuring the severity of multiple types of specific problems sleeping in those with diagnosis of IBD relative to healthy controls.…”

Section: The Present Researchmentioning

confidence: 99%

“…Problems sleeping have been posited as a possible modifiable environmental risk factor that can adversely affect IBD outcomes. However, despite recent calls to screen for, and subsequently treat problems sleeping in those with IBD (Almedimigh et al, 2018;Kinnucan et al, 2013), there are relatively few guidelines to facilitate clinical decision making in this area (National Institute for Health and Care Excellence, 2015; Kinnucan et al, 2013). Therefore, future research might profitably seek to understand the barriers and facilitators to effective sleep management in routine IBD care, from both the patients', and healthcare professional's perspectives as a route to…”

Section: Future Directionsmentioning

confidence: 99%

“…Indeed, problems sleeping in those with IBD have been posited as a modifiable risk factor for a number of IBD related outcomes including diagnosis incidence (Ananthakrishnan et al, 2014), disease symptom flares (Ananthakrishnan, Long, Martin, Sandler, & Kappelman, 2013;Uemura et al, 2016), poorer health related quality of life (Keefer, Stepanski, Ranjbaran, Benson, & Keshavarzian, 2006;Ranjbaran, Keefer, Stepanski, Farhadi, & Keshavarzian, 2007;Uemura et al, 2016), and fatigue (Graff et al, 2013). However, despite a growing body of literature further elucidating our understanding of the experience of sleep in those with IBD, there remains a number of opportunities that would facilitate calls to screen for, and subsequently treat problems sleeping in those with IBD (Almedimigh et al, 2018;Kinnucan et al, 2013).…”

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confidence: 99%

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A comparative study of the nature and magnitude of problems sleeping in inflammatory bowel disease (IBD) compared to healthy controls

Flowers

Rowse

2020

Psychology, Health & Medicine

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Inflammatory Bowel Disease (IBD) is commonly associated with poor global sleep quality, and has been posited as a modifiable determinant of IBD related outcomes, with recent calls to screen for, and subsequently treat problems sleeping as part of routine IBD care. However, there is little evidence on the specific types of problems sleeping (e.g., sleep apnea, insomnia etc.) that might characterize the poor sleep quality experienced by those with IBD. The present research aimed to investigate the severity of seven specific types of problems sleeping in those with IBD vs. a healthy control group. This cross-sectional comparison study recruited N = 409 with IBD, and N = 377 healthy controls (total sample N = 786). The Sleep-50 questionnaire was used to assess the presence of seven types of problems sleeping. Multivariate Analysis of Covariance (MANCOVA) was used to compare the severity of sleep disturbances between the IBD and control groups. Those in the IBD group reported significantly more severe experiences of five of the seven domains of the Sleep-50, including increased; sleep apnea, insomnia, narcolepsy, restless legs, and nightmares. In conclusion, those with a diagnosis of IBD reported significantly more severe symptoms across a range of specific problems sleeping when compared to controls. More research is needed to; i) improve the identification and treatment of problems sleeping in routine care; ii) understand the mechanism(s) of action that links problems sleeping to IBD related outcomes; and iii) develop adapted interventions to improve sleep in those with IBD.

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P108 Sleep Disorders in Inflammatory Bowel Disease: The Forgotten Discussion

Cited by 3 publications

References 0 publications

Lifestyle and Dietary Factors Associated with Inflammatory Bowel Disease among Jordanian Patients

Lifestyle and Dietary Factors Associated with Inflammatory Bowel Disease among Jordanian Patients

Do specific types of sleep disturbances represent risk factors for poorer health‐related quality of life in inflammatory bowel disease? A longitudinal cohort study

A comparative study of the nature and magnitude of problems sleeping in inflammatory bowel disease (IBD) compared to healthy controls

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