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Year 2021 / Volume 113 / Number 7
Original

Prevalence and factors associated with poor sleep quality in inflammatory bowel disease outpatients

512-518

DOI: 10.17235/reed.2020.7202/2020

Elisa García Calvo, Miguel Durà Gil, Benito Velayos Jiménez, Luis I Fernández Salazar,

Abstract

Introduction: sleep disorders are common in the general population and have obvious repercussions on quality of life. Poor sleep quality is associated to inflammatory activity and fatigue in inflammatory bowel disease (IBD) patients. This study aimed to analyze the prevalence of poor sleep quality and the factors associated with it, in IBD outpatients. Methods: an observational and prospective study was performed in which epidemiological, clinical and laboratory data were collected from clinical records and patients who consecutively attended an outpatient clinic. Pittsburgh Sleep Quality index (PSQI), Hospital Anxiety and Depression Scale (HADS) and International Physical Activity Questionnaire (IPAQ) were used to measure sleep quality, anxiety, depression and physical activity, respectively. Treatment optimizations, hospital admissions or surgery were prospectively verified three months after the baseline visit. Results: one hundred and two patients were included and 54.9 % had poor sleep quality (PSQI score > 5). No association was found between poor sleep quality and IBD-related variables such as type of disease, ulcerative colitis (UC) extent, Crohn’s disease (CD) location or behavior, time from diagnosis, treatment, prior admissions or surgery and laboratory values. Rotating night shift job (OR 6.116, 95 % CI: 1.312-28.514), HAD score for depression (OR 1.125, 95 % CI: 1.062-1.490) and frequency (days per week) of vigorous physical activity (OR 0.783, 95 % CI: 0.619-0.991) were independent predictors of poor sleep quality. A Pittsburgh questionnaire score higher than 5 was not significantly associated to treatment optimization in the total patient cohort (15.2 % vs 18.2 %, p = 0.451), in UC patients (18.2 % vs 10.7 %, p = 0.362) or CD patients (12.5 % vs 25.9 %, p = 0.198). Conclusions: poor sleep quality is present in more than half of IBD patients. Aspects not directly related to IBD are associated to poor sleep quality.

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DOI: 10.1186/s12876-019-1034-9

10. Taylor K, Scruggs PW, Balemba OB, et al. Associations between physical activity, resilience, and quality of life in people with inflammatory bowel disease. European journal of applied physiology. 2018;118(4):829-36.

DOI: 10.1007/s00421-018-3817-z

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DOI: 10.1016/0165-1781(89)90047-4

13. Herrero MJ, Blanch J, Peri JM, De Pablo J, Pintor L, Bulbena A. A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General hospital psychiatry. 2003;25(4):277-83.

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Original

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The association between de novo inflammatory bowel disease and celiac disease

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Original

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Case Report

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Case Report

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Letter to the Editor

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Original

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Original

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Original

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Original

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Editorial

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Original

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Original

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Original

The use of a segmental endoscopic score may improve the prediction of clinical outcomes in acute severe ulcerative colitis

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Original

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Letter to the Editor

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Original

Meta-analysis of the association between appendiceal orifice inflammation and appendectomy and ulcerative colitis

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Digestive Diseases Image

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Original

Initial experience with golimumab in clinical practice for ulcerative colitis

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Original

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Case Report

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Original

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Case Report

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Editorial

INTENSIFICATION OF MAINTENANCE THERAPY WITH INFLIXIMAB IN ULCERATIVE COLITIS

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Letter to the Editor

Crohn’s disease and Sweet’s syndrome: A debut together

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Original

Impact of endoscopic monitoring in postoperative Crohn’s disease patients already receiving pharmacological prevention of recurrence

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Original

FREQUENCY, PREDICTORS, AND CONSEQUENCES OF MAINTENANCE INFLIXIMAB THERAPY INTENSIFICATION IN ULCERATIVE COLITIS

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Case Report

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Case Report

Ovarian involvement in Crohn´s disease: A rare complication

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Original

Impact of the age of diagnosis on the natural history of ulcerative colitis

DOI: 10.17235/reed.2015.3736/2015

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García Calvo E, Durà Gil M, Velayos Jiménez B, Fernández Salazar L. Prevalence and factors associated with poor sleep quality in inflammatory bowel disease outpatients. 7202/2020

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Publication history

Received: 29/04/2020

Accepted: 21/07/2020

Online First: 25/11/2020

Published: 07/07/2021

Article revision time: 78 days

Article Online First time: 210 days

Article editing time: 434 days

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