Rheumatoid arthritis is associated with negatively variable impacts on domains of sleep disturbances: evidence from a systematic review and meta-analysis

Zhang, Lijuan; Shen, Biyu; Liu, Shiguang

doi:10.1080/13548506.2020.1764597

Cited by 13 publications

(11 citation statements)

References 19 publications

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“…Poor sleep in RA is estimated to be present in at least 49% of patient cohorts, with many studies reporting figures as high as 80% for the RA subsample [20][21][22][23] . Zhang et al 24 undertook the first meta-analysis (n = 1143) evaluating poor sleep in RA as measured by the PSQI (Pittsburgh Sleep Quality Index) and suggested that RA patients scored higher (indicative of worse sleep) than the healthy control group in every domain of the questionnaire (i.e. subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, presence of sleep disorders, use of sleeping medication and daytime dysfunction as a consequence of poor sleep) and total PSQI score.…”

Section: Sleepmentioning

confidence: 99%

Associations of mental health, sleep and cognition characteristics with rheumatoid arthritis and rheumatoid factor in the UK Biobank

Stanciu¹,

Anderson²,

Siebert³

et al. 2022

Preprint

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Objectives: While previous rheumatoid arthritis (RA) studies have focussed on cardiometabolic and lifestyle factors, less research has focussed on psychological variables including mood and cognitive health, and/or sleep parameters. This study reports observational, cross-sectional associations between self-reported RA, and positive rheumatoid factor (binary RF+ vs. not) prevalence with psychological/sleep data in UK Biobank. Methods: Analyses tested for associations between RA and RF+ vs. mental health (depression, anxiety, neuroticism), sleep variables and cognitive test scores in UK Biobank (total n = 484, 064 of whom 5, 722 had RA and 25, 772 had RF+ based on blood-based biomarker data). We controlled for age, sex, ethnicity, deprivation index, smoking, BMI and alcohol and used Pearson 2 and Kruskal-Wallis tests and logistic/linear regression models for categorical/continuous data respectively. Results: Those RF+ were more likely to report longer sleep duration (standardized beta β= 0.01, SE=0.004, p< 0.01). Those that self-reported RA were more likely to score higher for neuroticism (β=0.05, SE= 0.01, p< 0.001), to have difficulties getting up in the morning (odds ratio [OR] =0.57, 95% CI: 0.53-0.61, p<0.001), to have slower reaction times (β=0.02, SE= 0.008, p<0.005) and score less for fluid intelligence (β= -0.03, SE=0.01, p<0.05). Anxiety also became a significant negative predictor for RA (OR= 0.80, 95% CI: 0.67-0.95, p< 0.01).Conclusion: The current study suggests that prevalent RA, and RF+ status are associated with differences in mental health, sleep, and cognition, highlighting the importance of addressing these aspects in clinical settings and future research.

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Section: Sleepmentioning

confidence: 99%

Associations of mental health, sleep and cognition characteristics with rheumatoid arthritis and rheumatoid factor in the UK Biobank

Stanciu¹,

Anderson²,

Siebert³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Self-reported poor sleep is common in rheumatoid arthritis (RA), with the prevalence as high as 67% using self-reported measures (1)(2)(3)(4)(5)(6). Sleep disturbance and sleep disorders are associated with multiple poor health outcomes relevant to RA in general population studies, including lower pain thresholds and higher rates of depression, cognitive impairment, systemic inflammation, and cardiovascular events (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Sleep Disorders Among Individuals With Rheumatoid Arthritis

Katz

Pedro

Michaud

2023

Arthritis Care & Research

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Objective Self‐reported sleep problems are common in rheumatoid arthritis (RA), with potential negative health implications, yet relatively little research has focused on sleep in RA. We examined the prevalence of obstructive sleep apnea (OSA) risk, restless legs syndrome (RLS) symptoms, and short sleep (SS) in a large RA cohort (n = 4,200) and factors associated with each. Methods Data are from FORWARD, The National Databank for Rheumatic Diseases. Validated screening measures assessed OSA risk and RLS symptoms. SS was based on self‐reported average sleep time (<6 hours). The Medical Outcomes Study Sleep Problems Index I measured self‐reported sleep quality. Multivariable logistic regression models identified independent predictors of sleep disorders and sleep quality and the independent association of OSA risk, RLS symptoms, and SS with self‐reported poor sleep quality. Results Twenty‐one percent (n = 899) had OSA diagnosis or risk, 30% (n = 1,272) had RLS symptoms or diagnosis, and 43% (n = 1,737) reported SS, and RA disease activity was associated with each sleep disorder. Abatacept use was associated with lower odds of RLS and SS. Use of conventional disease‐modifying antirheumatic drugs or abatacept was less frequent in the SS group. No medications were associated with OSA in multivariable analyses. Both RLS and SS was associated with worse perceived sleep quality. Discussion Almost two‐thirds met criteria for at least one sleep disorder. RA disease activity and pain were significantly associated with each sleep condition. Additional research is needed to identify the causal pathway between sleep disorders and RA disease activity and pain and the long‐term consequences of sleep disorders in RA.

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“…The prevalence of sarcopenia ranges from 10% to 27% in individuals aged ≥60 years (Petermann‐Rocha et al, 2022). Moreover, RA has many symptoms, such as fatigue, depression and sleep disorders, which negatively impact quality of life (Dar et al, 2022; Kim et al, 2021; Lee et al, 2020; Tański et al, 2022; Zhang et al, 2021). Technological advancements have facilitated remote care (Marques et al, 2022) and the use of wearable devices (Ocagli et al, 2023), which have been useful in monitoring PA in rheumatic and musculoskeletal diseases (RMDs).…”

Section: Introductionmentioning

confidence: 99%

Predicting physical activity and sarcopenia‐related health outcomes in women with rheumatoid arthritis: A test of the self‐determination theory

Kim

Yun²,

Kang

et al. 2023

Nursing Open

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AimThis study aimed to examine a hypothetical model of physical activity (PA) and health outcomes related to sarcopenia in women with rheumatoid arthritis (RA) based on self‐determination theory.DesignCross‐sectional study.MethodsThis study included 214 women diagnosed with RA from the outpatient rheumatology department of a university‐affiliated hospital in South Korea. Data were collected from September 2019 to August 2020 through structured questionnaires and anthropometric measurements and analysed using path analysis to test the hypothesized model. The primary health outcomes were perceived health status and sarcopenia‐related health (thigh circumference, handgrip strength and sarcopenia risk).ResultsThe final model's fit indices were adequate. Physical activity was directly affected by motivation for PA, while depression, self‐efficacy for PA, health care provider's autonomy support and basic psychological needs satisfaction indirectly affected PA. Physical activity directly affected perceived health status and thigh circumference, while perceived sarcopenia risk and handgrip strength were directly affected by disease activity and age.Patient or Public ContributionPatients were involved in a questionnaire‐based survey.

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Rheumatoid arthritis is associated with negatively variable impacts on domains of sleep disturbances: evidence from a systematic review and meta-analysis

Cited by 13 publications

References 19 publications

Associations of mental health, sleep and cognition characteristics with rheumatoid arthritis and rheumatoid factor in the UK Biobank

Associations of mental health, sleep and cognition characteristics with rheumatoid arthritis and rheumatoid factor in the UK Biobank

Sleep Disorders Among Individuals With Rheumatoid Arthritis

Predicting physical activity and sarcopenia‐related health outcomes in women with rheumatoid arthritis: A test of the self‐determination theory

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