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Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients

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Author(s)
Byung Wook SongHye-Jin JeongBo Young KimYong Won ChoChang-Nam SonSung-Soo KimSang-Hyon Kim
Keimyung Author(s)
Jeong, Hye-JinCho, Yong WonSon, Chang NamKim, Sang Hyon
Department
Dept. of Internal Medicine (내과학)
Dept. of Neurology (신경과학)
Journal Title
J Rheum Dis
Issued Date
2021
Volume
28
Issue
3
Keyword
Ankylosing spondylitisBath ankylosing spondylitis disease activity indexSleep quality
Abstract
Objective:
High disease activity of ankylosing spondylitis (AS) is associated with poor sleep quality. The purpose of this study was to identify which of the representative tools for evaluating the disease activity of AS best reflect the quality of sleep.

Methods:
A total of 107 AS patients were enrolled in the study and the sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Age, sex, concomitant medication, erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP) level, Beck Depression Inventory second edition (BDI-II), Bath ankylosing spondylitis disease activity index (BASDAI), ankylosing spondylitis disease activity score (ASDAS)-ESR, ASDAS-CRP, pain visual analog scale, Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS) were analyzed as covariates.

Results:
Overall, 65% (70/107) of subjects reported poor sleep quality (PSQI>5). There was a positive correlation between the sleep quality and disease activity as measured by the BASDAI, ASDAS-ESR, and ASDAS-CRP. In addition, the BASDAI demonstrated good correlations with ISI, ESS, and BDI-II, respectively. However, only BASDAI showed reliable correlation with PSQI among the disease activity parameters of AS (adjusted odd ratio 5.36, p=0.023).

Conclusion:
BASDAI is the most reliable parameter of disease activity associated with the sleep quality in patients with AS.
Keimyung Author(s)(Kor)
정혜진
조용원
손창남
김상현
Publisher
School of Medicine (의과대학)
Citation
Byung Wook Song et al. (2021). Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients. J Rheum Dis, 28(3), 143–149. doi: 10.4078/jrd.2021.28.3.143
Type
Article
ISSN
2233-4718
Source
https://www.jrd.or.kr/journal/view.html?doi=10.4078/jrd.2021.28.3.143
DOI
10.4078/jrd.2021.28.3.143
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43693
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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