Polysomnographic characteristics of sleep in adults with and without physician-diagnosed atopic dermatitis: results from the Study of Health in Pomerania.
Atopic dermatitis
General-population
Polysomnography
Population-based study
Journal
Sleep & breathing = Schlaf & Atmung
ISSN: 1522-1709
Titre abrégé: Sleep Breath
Pays: Germany
ID NLM: 9804161
Informations de publication
Date de publication:
27 Oct 2023
27 Oct 2023
Historique:
received:
22
05
2023
accepted:
06
10
2023
revised:
04
10
2023
medline:
27
10
2023
pubmed:
27
10
2023
entrez:
27
10
2023
Statut:
aheadofprint
Résumé
To analyze sleep characteristics as measured with polysomnography (PSG) in adults from the general population with and without physician-diagnosed atopic dermatitis (AD). We analyzed data from participants from the German population-based Study of Health in Pomerania (SHIP) TREND-0. AD was diagnosed in a standardized skin examination. The following polysomnographic parameters were measured: total sleep duration (min), sleep latency (min), wake after sleep onset (WASO; min), rapid eye movement (REM) latency (min), sleep efficiency (%), total number of wakefulness and movement episodes, stages of sleep (%), and apnea-hypopnea index (AHI). Additionally, the subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). We compared sleep characteristics of participants with and without AD. Among 1187 participants, 47 (4.0%) had AD. We found no differences between participants with and without AD in any of the analyzed PSG parameters except for the total number of wakefulness and movement episodes and the percentage of REM sleep. Participants with AD had a higher number of wakefulness and movement episodes, and a lower proportion of REM sleep compared to those without AD. Regarding subjective sleep parameters, no significant differences were found between participants with and without AD. Our data do not provide evidence for poor sleep quality in individuals with AD. Major limitations of the study include the unavailability of data on AD severity and the small number of participants with AD. Larger-scaled longitudinal studies considering disease severity and specific AD symptoms with an effect on sleep are required.
Identifiants
pubmed: 37889457
doi: 10.1007/s11325-023-02937-7
pii: 10.1007/s11325-023-02937-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Bundesministerium für Bildung und Forschung
ID : 03ZIK012
Informations de copyright
© 2023. The Author(s).
Références
Silverberg JI (2019) Comorbidities and the impact of atopic dermatitis. Ann Allergy Asthma Immunol 123:144–151. https://doi.org/10.1016/j.anai.2019.04.020
doi: 10.1016/j.anai.2019.04.020
pubmed: 31034875
Langan SM, Irvine AD, Weidinger S (2020) Atopic dermatitis. Lancet 396:345–360. https://doi.org/10.1016/S0140-6736(20)31286-1
doi: 10.1016/S0140-6736(20)31286-1
pubmed: 32738956
Chang Y-S, Chiang B-L (2018) Sleep disorders and atopic dermatitis: a 2-way street? J Allergy Clin Immunol 142:1033–1040. https://doi.org/10.1016/j.jaci.2018.08.005
doi: 10.1016/j.jaci.2018.08.005
pubmed: 30144472
Jeon C, Yan D, Nakamura M et al (2017) Frequency and management of sleep disturbance in adults with atopic dermatitis: a systematic review. Dermatol Ther (Heidelb) 7:349–364. https://doi.org/10.1007/s13555-017-0192-3
doi: 10.1007/s13555-017-0192-3
pubmed: 28707054
Bawany F, Northcott CA, Beck LA et al (2021) Sleep disturbances and atopic dermatitis: relationships, methods for assessment, and therapies. J Allergy Clin Immunol Pract 9:1488–1500. https://doi.org/10.1016/j.jaip.2020.12.007
doi: 10.1016/j.jaip.2020.12.007
pubmed: 33321263
Völzke H, Schössow J, Schmidt CO et al (2022) Cohort profile update: the Study of Health in Pomerania (SHIP). Int J Epidemiol. https://doi.org/10.1093/ije/dyac034
Iber C, Ancoli-Israel S, Chesson AL, Quan Stuart F (2007) The AASM manual for scoring of sleep and associated events: rules, terminology and technical specifications, 1st edn. Westchester, Illinois
Stubbe B (2016) Polysomnography in a large population based study-the Study of Health in Pomerania protocol. J Sleep Disord Manag 2. https://doi.org/10.23937/2572-4053.1510010
Patel AK, Reddy V, Shumway KR, Araujo JF (2022) Physiology, sleep stages. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
Ruehland WR, Rochford PD, O’Donoghue FJ et al (2009) The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep 32:150–157. https://doi.org/10.1093/sleep/32.2.150
doi: 10.1093/sleep/32.2.150
pubmed: 19238801
pmcid: 2635578
Buysse DJ, Reynolds CF, Monk TH et al (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213. https://doi.org/10.1016/0165-1781(89)90047-4
doi: 10.1016/0165-1781(89)90047-4
pubmed: 2748771
Ware J, Kosinski M, Keller SD (1996) A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233. https://doi.org/10.1097/00005650-199603000-00003
doi: 10.1097/00005650-199603000-00003
pubmed: 8628042
Guo M, Su J, Zheng S et al (2023) Objective sleep in atopic dermatitis: a meta-analysis. Dermatitis 34:145–150. https://doi.org/10.1089/derm.2022.29005.mgu
doi: 10.1089/derm.2022.29005.mgu
pubmed: 36917527
Boulos MI, Jairam T, Kendzerska T et al (2019) Normal polysomnography parameters in healthy adults: a systematic review and meta-analysis. Lancet Respir Med 7:533–543. https://doi.org/10.1016/S2213-2600(19)30057-8
doi: 10.1016/S2213-2600(19)30057-8
pubmed: 31006560
Bender BG, Leung SB, Leung DYM (2003) Actigraphy assessment of sleep disturbance in patients with atopic dermatitis: an objective life quality measure. J Allergy Clin Immunol 111:598–602. https://doi.org/10.1067/mai.2003.174
doi: 10.1067/mai.2003.174
pubmed: 12642843
Jachiet M, Bieuvelet S, Argoud AL et al (2020) Sleep disturbance in atopic dermatitis: a case-control study using actigraphy and smartphone-collected questionnaires. Br J Dermatol 183:577–579. https://doi.org/10.1111/bjd.19058
doi: 10.1111/bjd.19058
pubmed: 32320479
Bringhurst C, Waterston K, Schofield O et al (2004) Measurement of itch using actigraphy in pediatric and adult populations. J Am Acad Dermatol 51:893–898. https://doi.org/10.1016/j.jaad.2004.05.039
doi: 10.1016/j.jaad.2004.05.039
pubmed: 15583579
Mann C, Gorai S, Staubach-Renz P et al (2023) Sleep disorders in dermatology - a comprehensive review. J Dtsch Dermatol Ges 21:577–584. https://doi.org/10.1111/ddg.14992
doi: 10.1111/ddg.14992
pubmed: 37338828
Xi Y, Deng Y-Q, Chen S-M et al (2022) Allergy-related outcomes and sleep-related disorders in adults: a cross-sectional study based on NHANES 2005-2006. Allergy Asthma Clin Immunol 18:27. https://doi.org/10.1186/s13223-022-00669-z
doi: 10.1186/s13223-022-00669-z
pubmed: 35317862
pmcid: 8941730
Bender BG, Ballard R, Canono B et al (2008) Disease severity, scratching, and sleep quality in patients with atopic dermatitis. J Am Acad Dermatol 58:415–420. https://doi.org/10.1016/j.jaad.2007.10.010
doi: 10.1016/j.jaad.2007.10.010
pubmed: 18280338
Ebata T, Aizawa H, Kamide R et al (1999) The characteristics of nocturnal scratching in adults with atopic dermatitis. Br J Dermatol 141:82–86. https://doi.org/10.1046/j.1365-2133.1999.02924.x
doi: 10.1046/j.1365-2133.1999.02924.x
pubmed: 10417519
Li JC, Fishbein A, Singam V et al (2018) Sleep disturbance and sleep-related impairment in adults with atopic dermatitis: a cross-sectional study. Dermatitis 29:270–277. https://doi.org/10.1097/DER.0000000000000401
doi: 10.1097/DER.0000000000000401
pubmed: 30234614
pmcid: 6169311
Kaaz K, Szepietowski JC, Matusiak Ł (2019) Influence of itch and pain on sleep quality in atopic dermatitis and psoriasis. Acta Derm Venereol 99:175–180. https://doi.org/10.2340/00015555-3065
doi: 10.2340/00015555-3065
pubmed: 30307027
Alomayri W, Alanazi N, Faraj F (2020) Correlation between atopic dermatitis and sleep quality among adults in Saudi Arabia. Cureus 12:e12051. https://doi.org/10.7759/cureus.12051
doi: 10.7759/cureus.12051
pubmed: 33447480
pmcid: 7802111
Ho P-Y, Shen D, Hsu C-J et al (2022) Effects of disease severity on sleep and quality of life in Taiwanese patients with atopic dermatitis. JAAD Int 8:92–93. https://doi.org/10.1016/j.jdin.2022.04.010
doi: 10.1016/j.jdin.2022.04.010
pubmed: 35795457
pmcid: 9251715
Yano C, Saeki H, Ishiji T et al (2013) Impact of disease severity on sleep quality in Japanese patients with atopic dermatitis. J Dermatol Sci 72:195–197. https://doi.org/10.1016/j.jdermsci.2013.06.010
doi: 10.1016/j.jdermsci.2013.06.010
pubmed: 23876306
Kong TS, Han TY, Lee JH et al (2016) Correlation between severity of atopic dermatitis and sleep quality in children and adults. Ann Dermatol 28:321–326. https://doi.org/10.5021/ad.2016.28.3.321
doi: 10.5021/ad.2016.28.3.321
pubmed: 27274630
pmcid: 4884708
Lee S-C (2016) Various diagnostic criteria for atopic dermatitis (AD): a proposal of Reliable Estimation of Atopic Dermatitis in Childhood (REACH) criteria, a novel questionnaire-based diagnostic tool for AD. J Dermatol 43:376–384. https://doi.org/10.1111/1346-8138.13264
doi: 10.1111/1346-8138.13264
pubmed: 26813749
Cole JC, Motivala SJ, Buysse DJ et al (2006) Validation of a 3-factor scoring model for the Pittsburgh sleep quality index in older adults. Sleep 29:112–116. https://doi.org/10.1093/sleep/29.1.112
doi: 10.1093/sleep/29.1.112
pubmed: 16453989
Herbst E, Metzler TJ, Lenoci M et al (2010) Adaptation effects to sleep studies in participants with and without chronic posttraumatic stress disorder. Psychophysiology 47:1127–1133. https://doi.org/10.1111/j.1469-8986.2010.01030.x
doi: 10.1111/j.1469-8986.2010.01030.x
pubmed: 20456661
pmcid: 2925054
Agnew HW, Webb WB, Williams RL (1966) The first night effect: an EEG study of sleep. Psychophysiology 2:263–266. https://doi.org/10.1111/j.1469-8986.1966.tb02650.x
doi: 10.1111/j.1469-8986.1966.tb02650.x
pubmed: 5903579
Byun J-H, Kim KT, Moon H-J et al (2019) The first night effect during polysomnography, and patients’ estimates of sleep quality. Psychiatry Res 274:27–29. https://doi.org/10.1016/j.psychres.2019.02.011
doi: 10.1016/j.psychres.2019.02.011
pubmed: 30776709