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CC BY-NC-ND 4.0 · Sleep Sci
DOI: 10.1055/s-0044-1787528
Original Article

Are Sleep Quality, Daytime Sleepiness and Depression Associated with Knee Pain? A Cross-Sectional Study in Older Adults

Viviane Akemi Kakazu 
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Rafael Z. Pinto
2   Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
,
Vinicius Dokkedal-Silva
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Guilherme Luiz Fernandes
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Cynthia Gobbi Alves Araujo
3   Departamento de Fisioterapia, Universidade Cesumar (UNICESUMAR), Maringá, PR, Brazil
,
Gabriel Natan Pires
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Tayná A. Dias
4   Departamento de Fisioterapia, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Presidente Prudente, SP, Brazil
,
Sergio Tufik
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Monica Andersen
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
,
Priscila K. Morelhao
1   Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
› Author Affiliations Funding Our studies are supported by grants from the Associacão Fundo de Incentivo à Pesquisa (AFIP) and the São Paulo Research Foundation (FAPESP 2022/00328-5 to VAK). CG and PKM are supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brazil (CAPES)-Finance Code 001). MLA is supported by the São Paulo Research Foundation (#2020/13467-8). GLF is supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq—#141445/2021-1). MLA, ST and RZP are Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) fellowship recipientes.
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Abstract

Introduction Osteoarthritis (OA) is common among older adults, and studies have suggested that it is commonly associated with sleep problems and depression. However, the results are inconsistent concerning overall sleep quality, daytime sleepiness, and depression in studies that consider OA knee pain specifically.

Objectives To examine the relationship between sleep quality, daytime sleepiness and depression, and OA knee pain in older adults.

Methods This was a cross-sectional study. Adults aged 60 and above with OA knee pain according to the National Institute for Health and Care Excellence (NICE) guidelines, and who had preserved cognitive function were recruited. Sleep quality, daytime sleepiness, and depression symptoms were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Center for Epidemiologic Studies Depression Scale (CESD), respectively. The generalized linear model (GzLM) approach was used in the statistical analysis. A logistic regression model was performed to evaluate whether ESS, PSQI, and CESD symptoms were associated with knee pain.

Results The sample comprised 451 older adults. Sleep quality (OR = 1.22, 95% confidence interval [CI]: 1.07 to 1.40) and depressive symptoms (OR = 1.09, 95%CI: 1.01 to 1.17) were associated with knee pain, but there was no association with excessive daytime sleepiness (OR= 1.09, 95%CI: 0.90 to 1.20).

Conclusions Sleep quality and depression symptoms are associated with knee pain.

Keywords

sleep - osteoarthritis - pain - older adults


Publication History

Received: 25 July 2023

Accepted: 15 April 2024

Article published online:
18 June 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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