Impact of Pulmonary Rehabilitation on Sleep in COPD Patients as Measured by Actigraphy

Thapamagar, Suman; Ellstrom, Kathleen; Anholm, James D.; Dandamudi, Nagamani

doi:10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a5733

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“…COPD patients suffer from disturbed sleep (Thapamagar et al , 2019). Sleep disorders, including excessive daytime sleepiness and increased daytime breathlessness are common in these patients (Shorofsky et al , 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Breathing abnormalities may be one of the major causes of sleep disturbances. Older age (Mathews et al , 2018), the severity of COPD (Thapamagar et al , 2019), COPD medications (Orr et al , 2018), anxiety and depression (Lee et al , 2019) and abnormal changes in ventilation during the night (McNicholas et al , 2019) can lead to sleeping problems. COPD patients suffering from daytime hypoxemia and hypercapnia often face a significant drop in oxygen saturation during sleep time (Kuzhikkattil et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

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Association of dietary quality indices with sleep quality in chronic obstructive pulmonary disease patients

Paknahad

Yazdanpanah

Maracy

et al. 2020

NFS

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Purpose Patients with chronic obstructive pulmonary disease (COPD) suffer from many health problems including poor sleep. This paper aims to evaluate the relationship between diet quality indices (DQIs) and sleep quality in COPD. Design/methodology/approach The current cross-sectional study was carried on 121 COPD patients. Subjective quality of sleep was determined by Pittsburgh Sleep Quality Index (PSQI) and categorized into “poor” and “good” sleep quality. Dietary history was assessed by the DQIs. Disease status was categorized according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines. Findings In total, 103 men and 18 women with a mean age of 66.1 ±10.9 were studied. The subjects were categorized into four groups based on GOLD; 3.3% of subjects were at Stage 1, 38% in Stage 2, 38% in Stage 3 and 20.7% in Stage 4. In total, 38% of subjects were good, and 62% were bad sleepers according to PSQI score. There was no significant relationship between the severity of COPD and PSQI score. We observed a significant inverse relation between PSQI total score and Mediterranean diet (MED) scale, Healthy Eating Index (HEI)-2010 and HEI-2005 (p = 0.024, 0.037 and 0.024, respectively) in males. Originality/value This study showed a high prevalence of poor quality of sleep and sleep disturbances among COPD patients. There was an inverse association between PSQI and sleep disorders and DQIs scores in COPD patients. Regardless of the severity of airflow obstruction, poor diet quality may constitute a risk factor for sleep quality.

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Section: Introductionmentioning

confidence: 99%