Restless Legs Syndrome Symptoms in Primary Care

Nichols, Deborah A.; Allen, Richard P.; Grauke, John H.; Brown, John; Rice, Matthew L.; Hyde, Pamela R.; Dement, William C.; Kushida, Clete A.

doi:10.1001/archinte.163.19.2323

Cited by 201 publications

(115 citation statements)

References 12 publications

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“…The homogeneity of our study populations could account for the higher RLS prevalence we observed. This assertion is supported by a validation study of the four diagnostic RLS questions performed in a rural population of mostly white subjects in Idaho where the RLS prevalence was reported at 24%, 28 which is comparable to the prevalence of 18.3% we observed in the white population in San Diego County. Comparable to the prior reports, we found higher RLS prevalence in women and in older subjects for both HMD and NHW.…”

Section: Prevalence Of Rlssupporting

confidence: 75%

Ethnic Differences in the Prevalence and Predictors of Restless Legs Syndrome between Hispanics of Mexican Descent and Non-Hispanic Whites in San Diego County: A Population-Based Study

Sawanyawisuth

Palinkas

Ancoli‐Israel

et al. 2013

Journal of Clinical Sleep Medicine

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Section: Prevalence Of Rlssupporting

confidence: 75%

Ethnic Differences in the Prevalence and Predictors of Restless Legs Syndrome between Hispanics of Mexican Descent and Non-Hispanic Whites in San Diego County: A Population-Based Study

Sawanyawisuth

Palinkas

Ancoli‐Israel

et al. 2013

Journal of Clinical Sleep Medicine

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“…This proportion is slightly higher than the 25% percent prevalence reported by Nichols et al, 35 and is considerably higher than the rates of 7.2% and 9% reported in 2 general population surveys. 36,37 This discrepancy may reflect that, although relatively common, RLS is often not diagnosed by physicians.…”

contrasting

confidence: 57%

Sleep Problems in Primary Care: A North Carolina Family Practice Research Network (NC-FP-RN) Study

Alattar¹,

Harrington²,

Mitchell³

et al. 2007

The Journal of the American Board of Family Medicine

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Background:The prevalence and nature of sleep disorders in primary care has not been widely studied. As part of a survey conducted in 5 family practice offices in North Carolina, we screened adult patients for sleep syndromes and sought to ascertain which demographic status and health status were associated with these disorders.Methods: We approached 2963 consecutive adults who presented for office visits to the 5 study practices. The 4-page study questionnaire, which was available in English and Spanish, included items on insomnia, excessive daytime sleepiness, obstructive sleep apnea syndrome, and restless legs syndrome. Analyses evaluated the relationship between sleep syndromes and demographic factors, health status, and disability.Results: We enrolled 1935 patients (65.3% response rate). More than half reported excessive daytime sleepiness, one third had insomnia, more than 25% had symptoms of restless legs syndrome, and 13% to 33% reported obstructive sleep apnea syndrome symptoms. Participants who rated their health as poor reported significantly higher rates of all sleep disturbance items. Patients with hypertension, pain syndromes, and depression had a significantly increased risk for all sleep complaints. Patients who reported limited activity had a significant risk of restless legs syndrome. Conclusion

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“…1 Primary care patients may also be more likely to seek medical care for conditions related to RLS. 1,39 The definition of clinically significant RLS has varied across studies, from no symptom frequency or severity requirement 36 to symptoms at least twice/week with at least moderate distress. 33,40 In this study, RLS symptoms 1-2×/week were associated with significantly elevated disturbance of both sleep and mood, suggesting that RLS may be associated with substantial burden even in those with relatively low frequency of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Restless Legs Syndrome in an Appalachian Primary Care Population: Prevalence, Demographic and Lifestyle Correlates, and Burden

Innes

Flack

Selfe

et al. 2013

Journal of Clinical Sleep Medicine

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Background: Restless legs syndrome (RLS) is a common and distressing sensorimotor disorder of unknown etiology. While the epidemiology of RLS has been examined in several North American and European studies, research on RLS and RLS burden in poor, rural populations, including those residing in Appalachia, remains sparse. In this study, we investigated RLS prevalence in an Appalachian primary care population and examined the association of RLS to demographic factors, lifestyle characteristics, sleep quality, and mood disorders. Methods: Participants of this anonymous survey study were community-dwelling adults aged ≥ 18 years visiting one of 4 West Virginia primary care clinics. Data gathered included detailed information on sleep patterns, demographic characteristics, lifestyle factors, and health/medical history; the survey also included questions specifi c to RLS diagnosis and severity. Response rates were excellent, with 68% of eligible adults contacted returning completed surveys (N = 1,424/2,087). Pregnant women (N = 65) and those with missing data on key variables (N = 142) were excluded from the analyses. Results: Of the 1,217 participants included in the fi nal analytic sample, 19.6% (18.2% with symptoms at least once/month) met the 4 IRLSSG diagnostic criteria in the absence of positional discomfort or leg cramps; 14.5% reported RLS symptoms at least once/week and 10.1% indicated symptoms ≥ 3×/week. Excluding respondents with diabetes, kidney disease, or anemia

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Restless Legs Syndrome Symptoms in Primary Care

Abstract: A high prevalence of RLS symptoms was observed in this primary care population. This finding supports the need for heightened awareness in both the medical community and general population regarding this disorder, which can often be effectively treated within the primary care practice.

Cited by 201 publications

References 12 publications

Ethnic Differences in the Prevalence and Predictors of Restless Legs Syndrome between Hispanics of Mexican Descent and Non-Hispanic Whites in San Diego County: A Population-Based Study

Ethnic Differences in the Prevalence and Predictors of Restless Legs Syndrome between Hispanics of Mexican Descent and Non-Hispanic Whites in San Diego County: A Population-Based Study

Sleep Problems in Primary Care: A North Carolina Family Practice Research Network (NC-FP-RN) Study

Restless Legs Syndrome in an Appalachian Primary Care Population: Prevalence, Demographic and Lifestyle Correlates, and Burden

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