The influence of sleep disorders on the quality of life in patients with chronic low back pain

Uchmanowicz, Izabella; Kołtuniuk, Aleksandra; Stępień, Aneta; Uchmanowicz, Bartosz; Rosińczuk, Joanna

doi:10.1111/scs.12610

Cited by 30 publications

(36 citation statements)

References 50 publications

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“…In a Polish cohort, duration of LBP rather influenced the END score. 39 In our study, tertiary education predicted better environmental QoL while higher income predicted better social QoL. Education equally seemed to play a role in perceived OQOL.…”

Section: Open Accesssupporting

confidence: 45%

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Health-related quality of life and its determinants in patients with chronic low back pain at a tertiary hospital in Cameroon: a cross-sectional study

Aminde

Bija

et al. 2020

BMJ Open

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ObjectiveTo evaluate health-related quality of life (HRQoL) and its determinants in chronic low back pain (CLBP) patients in Cameroon.DesignObservational cross-sectional study.SettingTertiary hospital.ParticipantsThere were 150 eligible adults with low back pain of at least 12 weeks who provided informed consent. Of these, 136 with complete questionnaires were analysed.OutcomesHRQoL was measured using the WHO Quality of Life questionnaire (WHOQOL-BREF). Outcome measures included its four domain (physical health, psychological, social relationships and environmental) scores and two independent scores for overall quality of life (OQOL) and general health satisfaction (GH).ResultsParticipants had a median age of 52 years, and median pain duration of 33 (IQR: 69) months. The median OQOL score was 50 (IQR: 25). After multivariable adjustment, tertiary education (β=11.43, 95% CI 3.12 to 19.75), age (β=0.49, 95% CI 0.12 to 0.87) and being a student (β=23.07, 95% CI 0.28 to 45.86) contributed to better OQOL. Age (β=0.57, 95% CI 0.10 to 1.04) and physical-type employment (β=−14.57, 95% CI −25.83 to −3.31) affected GH. Smoking (β=−20.49, 95% CI −35.49 to −5.48) and radiological anomalies (β=−7.57, 95% CI −14.64 to −0.49) affected the physical health domain, while disability (β=−0.67, 95% CI −1.14 to −0.20) and duration of pain (β=−0.13, 95% CI −0.20 to −0.05) affected the psychological domain. Income (β=14.94, 95% CI 4.06 to 25.81) affected the social domain, while education (β=9.96, 95% CI 1.41 to 18.50) and disability (β=−0.75, 95% CI −1.26 to −0.24) affected the environmental domain.ConclusionsOur findings suggest that CLBP affects HRQoL and multiple socioeconomic and clinical factors influence its impact on different domains of HRQoL. Multipronged management programmes, especially those that reduce disability, could improve HRQoL in patients with CLBP.

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Section: Open Accesssupporting

confidence: 45%

“…42 However, our findings are mirrored in a Polish study with similar mean age. 39 In some other studies, pain intensity significantly influenced certain HRQoL domains. 19 39 However, for ours, it had no significant influence on any HRQoL score after controlling for confounders.…”

Section: Open Accessmentioning

confidence: 90%

Health-related quality of life and its determinants in patients with chronic low back pain at a tertiary hospital in Cameroon: a cross-sectional study

Aminde

Bija

et al. 2020

BMJ Open

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“…Najveći broj ispitanika sa hroničnim bolom u donjem delu leđa (58,7%) su bili životne dobi 40-59 godina. Prosečna starost ispitivane populacije bila je (10), dok je u istraživanju grupe autora iz Poljske i Maroka taj procenat bio značajno viši, preko 80% (11). Prevalencija poremećaja spavanja u opštoj populaciji prema dijagnostičkom priručniku za mentalne bolesti iznosi 6% (11).…”

Section: Rezultatiunclassified

Sleep disorder and functional disability in chronic low back pain

Jandrić-Kočić¹

2019

Zdravstvena zaštita

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_______ 1 SAŽETAK Uvod/Cilj: Hronični bol u donjem delu leđa često je praćen promenama u trajanju i kvalitetu sna. S druge strane, narušena struktura sna negativno utiče na kvalitet života obolelih. Cilj istraživanja je bio da se ispita da li postoji veza između prisustva poremećaja spavanja i stepena funkcionalne onesposobljenosti kod osoba sa hroničnim bolom u donjem delu leđa. Metode: Studijom preseka obuhvaćeno je 150 osoba sa hroničnim bolom u donjem delu leđa koje su se javile u Dom zdravlja Krupa na Uni u periodu od 01.10.2016. do 01.10. 2018.godine. Pored opšteg upitnika, u istraživanju su korišćeni Upitnik o nesposobnosti po Rolandu Morisu (engl. Roland Morris Disability Questionnaire) i Pitsburčki indeks kvaliteta sna (engl. Pittsburgh Sleep Quality Index). U statističkoj analizi podataka primenjen je hi kvadrat test. Rezultati: Od 150 osoba sa hroničnim bolom u donjem delu leđa 88 (58,7%) su činile žene, a 62 (41,3%) muškarci. Prosečna starost ispitanika je bila 54,0 ± 5,7 godina. Žene su bile statistički značajno starije nego muškarci. Muškarci i žene, kao i osobe uzrasta 40-59 godina i 60-79 godina, sa narušenim kvalitetom sna su značajno češće imali viši stepen funkcionalne onesposobljenosti nego osobe sa nenarušenim kvalitetom sna. Kod najmlađih osoba (20-39 godina) sa niskom funkcionalnom onesposobljenošću 5,3% je imalo narušen kvalitet sna, a 4,3% u uzrastu 40-59 godina i 4,0% u uzrastu 60-79 godina. Među osobama sa višim stepenom funkcionalne onesposobljenosti ni jedna osoba nije imala narušen kvalitet sna u uzrastu 20-39 godina, a sve osobe uzrasta 40-59 i 60-79 godina su imale narušen san. Zaključak: Neophodna su dalja istraživanja o povezanosti kvaliteta sna i stepena funkcionalne onesposobljenosti osoba sa hroničnim bolom u donjem delu leđa. Edukacija o higijeni spavanja, rutinska procena kvaliteta sna i rana terapijska intervencija kod osoba sa hroničnim bolom u donjem delu leđa mogu doprineti smanjivanju funkcionalne onesposobljenosti, kao i troškova zdravstvene zaštite i radnog apsentizma.

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“…In humans, clear evidence exists that chronic pain interferes with sleep 1 . Sleep disturbances decrease quality of life, are associated with higher anxiety and depression 2 , and worsen chronic pain symptoms 3 . A common cause of chronic pain is osteoarthritis (OA).…”

Section: Introductionmentioning

confidence: 99%

Functional linear modeling of activity data shows analgesic-mediated improved sleep in dogs with spontaneous osteoarthritis pain

Gruen

Samson

Lascelles

2019

Sci Rep

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In humans, pain due to osteoarthritis has been demonstrated to be associated with insomnia and sleep disturbances that affect perception of pain, productivity, and quality of life. Dogs, which develop spontaneous osteoarthritis and represent an increasingly used model for human osteoarthritis, would be expected to show similar sleep disturbances. Further, these sleep disturbances should be mitigated by analgesic therapy. Previous efforts to quantify sleep in osteoarthritic dogs using accelerometry have not demonstrated a beneficial effect of analgesic therapy; this is despite owner-reported improvements in dogs’ sleep quality. However, analytic techniques for time-series accelerometry data have advanced with the development of functional linear modeling. Our aim was to apply functional linear modeling to accelerometry data from osteoarthritic dogs participating in a cross-over non-steroidal anti-inflammatory (meloxicam) drug trial. Significant differences in activity patterns were seen dogs receiving drug (meloxicam) vs. placebo, suggestive of improved nighttime resting (sleep) and increased daytime activity. These results align with owner-reported outcome assessments of sleep quality and further support dogs as an important translational model with benefits for both veterinary and human health.

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The influence of sleep disorders on the quality of life in patients with chronic low back pain

Abstract: Sleep disorders - both insomnia and daytime sleepiness - are a common health problem experienced by people with LBP. Insomnia is an important predictor affecting the QOL in people with LBP.

Cited by 30 publications

References 50 publications

Health-related quality of life and its determinants in patients with chronic low back pain at a tertiary hospital in Cameroon: a cross-sectional study

Health-related quality of life and its determinants in patients with chronic low back pain at a tertiary hospital in Cameroon: a cross-sectional study

Sleep disorder and functional disability in chronic low back pain

Functional linear modeling of activity data shows analgesic-mediated improved sleep in dogs with spontaneous osteoarthritis pain

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