Sleep quality, sleeping postures, and sleeping equipmentin patients with ankylosing spondylitis

Abstract

Background/aim: Inflammatory back pain, spinal stiffness, and limited spinal mobility are characteristic features of ankylosing spondylitis (AS). Sleeping postures can affect and/or reflect sleeping disturbances. The aim of the study was to evaluate sleeping postures and sleep disturbances in patients with AS.Materials and methods: Seventy-seven patients with AS and 49 healthy controls were enrolled. The Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) were applied to both groups. The most common sleeping postures were noted.Results: There was no significant difference between the groups in terms of sleeping postures. Total PSQI and ISI scores were higher in the AS group than in the controls (P = 0.004 and P = 0.038, respectively). The selection of sleeping postures of active and inactive patients were similar. The number of pillows used was not the same in the AS and control groups (P = 0.016). The frequency of customized bed use was higher in the AS group compared to the control group (P = 0.004). Conclusion:Sleep disturbances are more of a problem in patients with AS compared to healthy patients and in active AS patients compared to inactive ones. However, sleeping postures do not seem to affect either sleep disturbances or disease activity in patients with AS.

Prevalence of sleep disturbance and the association between poor disease control in people with ankylosing spondylitis within the Australian clinical setting (ASLEEP study): a real-world observational study using the OPAL dataset

“…This may reflect lesser control of the underlying inflammatory condition (for example levels of TNFα and IL-17A). There is a bidirectional relationship between sleep disturbance and disease control [ 20 ]: sleep disorders may contribute to emerging pain disorders, but pain may also lead to or exacerbate sleep disorders [ 26 ]. Unsurprisingly, we found that those patients taking concomitant steroids had increased levels of sleep disturbance.…”

Association of sleep disturbance with calcitonin, disease severity and health index among patients with ankylosing spondylitis

“…In our study, 63.5% (66/104) patients had good sleep quality and 36.5% (38/104) patients had bad sleep quality. Previous studies showed that the prevalence of sleep disturbance was higher in the AS patients than healthy control [2,6,8,24–26] . Interestingly, sleep score was significantly correlated with the serum calcitonin level, but not with calcium, iPTH and 25-hydroxyvitamin D level.…”

“…Previous studies showed that the prevalence of sleep disturbance was higher in the AS patients than healthy control. [2,6,8,[24][25][26] Interestingly, sleep score was significantly correlated with the serum calcitonin level, but not with calcium, iPTH and 25hydroxyvitamin D level. Serum calcitonin level was an independent factor associated with bad sleep in AS.…”

Evaluation of Sleep Quality of Patients with Ankylosing Spondylitis in Terms of Various Variables

“…Hasta Bilgi Formu: Literatür taranarak oluşturulan (6,10,11,14) hasta bilgi formu; yaş, cinsiyet, medeni durum, eğitim durumu, meslek, düzenli egzersiz yapma durumu, sigara içme, alkol kullanma, hastalık süresi, eşlik eden hastalıklar, ilaçlarını düzenli kullanma, kontrollere düzenli gelme ve destek kişilerin varlığı gibi toplam 13 sorudan oluşmaktaydı.…”

“…AS hastalarında uyku bozukluklarının normal popülasyona göre daha sık olduğu ve bu hastalarda uyku bozukluğu prevalansının %35 ile %90 arasında olduğu bildirilmektedir (1,6,9,10,13,14). Hastalar genellikle düşük uyku kalitesi, uykuya dalamamaya bağlı uyuklama hali, uyanmada zorluk ve obstrüktif uyku apnesi sendromundan şikayet etmektedirler (11)(12)(13).…”