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Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis
OBJECTIVES: To determine the frequency and predictors of sleep abnormalities among patients with knee osteoarthritis (OA) in Nigeria. MATERIAL AND METHODS: A multi-centre, hospital-based, cross-sectional study, involving 250 knee OA patients. Consenting patients 18 years and above, who satisfied the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753597/ https://www.ncbi.nlm.nih.gov/pubmed/31548747 http://dx.doi.org/10.5114/reum.2019.87615 |
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author | Akintayo, Richard Oluyinka Yerima, Abubakar Uhunmwangho, Courage Olaosebikan, Hakeem Akpabio, Akpabio Akanimo |
author_facet | Akintayo, Richard Oluyinka Yerima, Abubakar Uhunmwangho, Courage Olaosebikan, Hakeem Akpabio, Akpabio Akanimo |
author_sort | Akintayo, Richard Oluyinka |
collection | PubMed |
description | OBJECTIVES: To determine the frequency and predictors of sleep abnormalities among patients with knee osteoarthritis (OA) in Nigeria. MATERIAL AND METHODS: A multi-centre, hospital-based, cross-sectional study, involving 250 knee OA patients. Consenting patients 18 years and above, who satisfied the American College of Rheumatology (ACR) criteria for knee OA were recruited from five Nigerian tertiary centres over 3 months. An interviewer-administered questionnaire was used to collect demographic and relevant clinical information. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality with scores ≥ 5 indicating poor sleep. Other variables assessed were pain, depression, functional class and family functioning. Data were summarized using appropriate measures of central tendency and dispersion. Multiple logistic regression analysis was done to identify predictors of poor sleep. Analysis was done using SPSS version 21.0 with p < 0.05 considered significant. Study approval was obtained from the ethical committees of each of the study sites. RESULTS: Participants included 209 females (83.6%) with mean age 59.9 ±10.6 years. One hundred and forty-one participants (56.4%) had PSQI scores ≥ 5 (poor sleep). This was significantly associated with depression (p < 0.001), level of education (p = 0.001), higher pain scores (p < 0.001), body mass index (p = 0.040), medial knee OA (p = 0.032) and patello-femoral OA (p = 0.002). Higher level of education, worse depression scores and higher WOMAC pain scores were the best predictors of poor sleep quality. CONCLUSION: Sleep quality was poor in over half of our knee OA patients and best predicted by depression, pain and level of education. Regular sleep quality assessment for knee OA patients is recommended. |
format | Online Article Text |
id | pubmed-6753597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie |
record_format | MEDLINE/PubMed |
spelling | pubmed-67535972019-09-23 Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis Akintayo, Richard Oluyinka Yerima, Abubakar Uhunmwangho, Courage Olaosebikan, Hakeem Akpabio, Akpabio Akanimo Reumatologia Original Paper OBJECTIVES: To determine the frequency and predictors of sleep abnormalities among patients with knee osteoarthritis (OA) in Nigeria. MATERIAL AND METHODS: A multi-centre, hospital-based, cross-sectional study, involving 250 knee OA patients. Consenting patients 18 years and above, who satisfied the American College of Rheumatology (ACR) criteria for knee OA were recruited from five Nigerian tertiary centres over 3 months. An interviewer-administered questionnaire was used to collect demographic and relevant clinical information. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality with scores ≥ 5 indicating poor sleep. Other variables assessed were pain, depression, functional class and family functioning. Data were summarized using appropriate measures of central tendency and dispersion. Multiple logistic regression analysis was done to identify predictors of poor sleep. Analysis was done using SPSS version 21.0 with p < 0.05 considered significant. Study approval was obtained from the ethical committees of each of the study sites. RESULTS: Participants included 209 females (83.6%) with mean age 59.9 ±10.6 years. One hundred and forty-one participants (56.4%) had PSQI scores ≥ 5 (poor sleep). This was significantly associated with depression (p < 0.001), level of education (p = 0.001), higher pain scores (p < 0.001), body mass index (p = 0.040), medial knee OA (p = 0.032) and patello-femoral OA (p = 0.002). Higher level of education, worse depression scores and higher WOMAC pain scores were the best predictors of poor sleep quality. CONCLUSION: Sleep quality was poor in over half of our knee OA patients and best predicted by depression, pain and level of education. Regular sleep quality assessment for knee OA patients is recommended. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2019-08-31 2019 /pmc/articles/PMC6753597/ /pubmed/31548747 http://dx.doi.org/10.5114/reum.2019.87615 Text en Copyright: © 2019 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Akintayo, Richard Oluyinka Yerima, Abubakar Uhunmwangho, Courage Olaosebikan, Hakeem Akpabio, Akpabio Akanimo Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title | Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title_full | Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title_fullStr | Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title_full_unstemmed | Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title_short | Tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
title_sort | tossing and turning with degenerative arthropathy: an assessment of poor sleep quality in knee osteoarthritis |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753597/ https://www.ncbi.nlm.nih.gov/pubmed/31548747 http://dx.doi.org/10.5114/reum.2019.87615 |
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