纤维肌痛女性和健康女性自我报告的睡眠模式与活动记录仪记录结果之间的一致性。

Agreement between self-reported sleep patterns and actigraphy in fibromyalgia and healthy women.

作者信息

Segura-Jiménez Víctor, Camiletti-Moirón Daniel, Munguía-Izquierdo Diego, Álvarez-Gallardo Inmaculada C, Ruiz Jonatan R, Ortega Francisco B, Delgado-Fernández Manuel

机构信息

Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.

Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada; and Department of Physiology and Institute of Nutrition and Food Technology, Faculty of Pharmacy, University of Granada, Granada, Spain.

出版信息

Clin Exp Rheumatol. 2015 Jan-Feb;33(1 Suppl 88):S58-67. Epub 2015 Mar 18.

PMID:25786045

Abstract

OBJECTIVES

To examine the agreement between objective (accelerometer) and subjective measures of sleep in fibromyalgia women (FW) and healthy women (HW). To identify explanatory variables of the discrepancies between the objective and subjective measures in FW and in HW.

METHODS

127 diagnosed FW and 53 HW filled the Fibromyalgia Impact Questionnaire (FIQ) and wore the SenseWear Pro Armband (SWA) for 7 days in order to assess sleep over the last week. Participants completed the Pittsburgh Sleep Quality Index (PSQI) when the SWA was returned.

RESULTS

The SWA showed greater total duration (74 vs. 88 min/day) and average duration (7 vs. 9 min) of wake after sleep onset in FW compared with HW. The PSQI showed poorer sleep quality in all the variables studied in FW than in HW (all, p<0.001), except time in bed. There was a lack of inter-method agreement for total sleep time, sleep time without naps and sleep latency in FW. Age and educational status explained the inter-method mean difference in sleep time in FW. High discrepancy in sleep time between the SWA and the PSQI was related to higher FIQ scores (p<0.05).

CONCLUSIONS

The objective measure only showed higher frequency and average duration of wake after sleep onset in FW compared with HW. The agreement between the SWA and the PSQI measures of sleep were poor in the FW group. Age, educational level and the impact of fibromyalgia might be explanatory variables of the inter-method discrepancies in FW.

摘要

目的

研究纤维肌痛女性（FW）和健康女性（HW）在睡眠客观测量（加速度计）与主观测量之间的一致性。确定FW和HW中客观与主观测量结果差异的解释变量。

方法

127名确诊的FW和53名HW填写了纤维肌痛影响问卷（FIQ），并佩戴体动感应臂带（SWA）7天，以评估过去一周的睡眠情况。当归还SWA时，参与者完成匹兹堡睡眠质量指数（PSQI）。

结果

与HW相比，SWA显示FW睡眠开始后的总觉醒时长（74 vs. 88分钟/天）和平均觉醒时长（7 vs. 9分钟）更长。PSQI显示，在FW中研究的所有变量的睡眠质量均比HW差（所有变量，p<0.001），卧床时间除外。FW在总睡眠时间、无午睡睡眠时间和睡眠潜伏期方面缺乏方法间一致性。年龄和教育程度解释了FW中睡眠时间的方法间平均差异。SWA和PSQI在睡眠时间上的高差异与较高的FIQ评分相关（p<0.05）。