Sleep disorders in Human Immunodeficiency Virus: a substudy of the pharmacokinetics and clinical observations in people over fifty (POPPY) study
| Autor: | Memory Sachikonye, Emmanouil Bagkeris, Ken M. Kunisaki, Frank A. Post, Lewis J. Haddow, Jaime H. Vera, Jane Anderson, Caroline A. Sabin, Susan Redline, Alan Winston, Davide De Francesco, Nicki Doyle, Patrick W. G. Mallon, Wajahat Khalil, Marta Boffito |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry Population Sleep apnea Odds ratio medicine.disease Confidence interval Major Articles Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine Infectious Diseases Oncology Quality of life Internal medicine mental disorders Insomnia medicine 030212 general & internal medicine Restless legs syndrome medicine.symptom education business 030217 neurology & neurosurgery |
| Zdroj: | Open Forum Infect Dis |
| ISSN: | 2328-8957 |
| Popis: | Background Self-reported sleep quality is poor in persons with human immunodeficiency virus (PWH), but prior studies commonly used nonspecific questionnaires, investigated only single sleep disorders, or lacked human immunodeficiency virus (HIV)-negative controls. We addressed these limitations in the Pharmacokinetics and Clinical Observations in People Over Fifty (POPPY) Sleep Substudy by assessing PWH and HIV-negative controls for insomnia, restless legs syndrome (RLS), and sleep apnea (SA). Methods Previously enrolled POPPY participants coenrolled in this substudy without regard to sleep symptoms. Participants completed validated sleep assessments including the Insomnia Severity Index questionnaire, International Restless Legs Syndrome Study Group questionnaire, and in-home, wrist-worn overnight oximetry. They also completed health-related quality of life questionnaires including 36-item Short Form (SF-36) and Patient-Reported Outcomes Measurement Information System (PROMIS) sleep questionnaires. Results We enrolled 357 PWH (246 >50 years of age; 111 between 18 and 50 years) and 126 HIV-negative controls >50 years of age. Among PWH, criteria were met by 21% for insomnia, 13% for RLS, and 6% for SA. Compared with HIV-negative controls, PWH had a higher risk of insomnia (adjusted odds ratio, 5.3; 95% confidence interval, 2.2–12.9) but not RLS or SA. Compared with PWH without insomnia, those with insomnia reported significantly worse scores on all SF-36 and PROMIS components; fewer than 30% reported previous diagnosis or treatment for insomnia. Conclusions Insomnia was more common in PWH, associated with worse health-related quality of life, and frequently undiagnosed. Further research should focus on the pathogenesis of insomnia in PWH and the development of effective screening and intervention strategies for this unique population. |
| Databáze: | OpenAIRE |
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