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OP0021-HPR Sleep Disorders in Patients with Rheumatoid Arthritis and Relationship with Disease Activity
  1. L. Villarreal1,
  2. J. Bello2,
  3. P. Santos-Moreno2,
  4. N. Palacio3,
  5. C. Castro4,
  6. D. Buitrago-Garcia4
  1. 1Psychology
  2. 2Rheumatology
  3. 3Nursing
  4. 4Epidemiology, Biomab, Center for Rheumatoid Arthritis, Bogota, Bogota, Colombia

Abstract

Background The rheumatoid arthritis (RA), as known, causes inability in various performance areas mostly in the musculoskeletal. Reduced physical activity, substantial disability and also sleep disorders have previously been described in people with RA.

Objectives The aim of this study was to describe the socio-demographic profile and sleep disorders in RA patients from a specialized RA clinic in Colombia.

Methods A descriptive cross-sectional study was performed in a specialized clinic dedicated to care patients with rheumatoid arthritis (RA). 1298 patients were included in the study, which were seen by the area of psychology, which information was collected through semi-structured interviews and non-probability sampling. Descriptive epidemiology was applied for continuous variables, using measures of central tendency and dispersion for categorical and qualitative variables by averages and percentages. We used chi2 test to study a possible relationship between the severity of disease activity and the sleep disorders.

Results Total sample of patients was 1298, 1048 (80%) were women and 250 (19%) were men. Patients had a DAS28 2.6 in average ± 1.1; mean age was 55.1 ± 8.8 years; 846 (65%) were in remission, 205 (16%) were in low disease activity, 208 (16%) in moderate disease activity and 42 in severe disease activity (3%). Regarding education, 6% were illiterate, 44% had elementary school, 33% high school, 8% had a technical degree and only 7% had college level. 373 (28%) patients showed any sleep disorder, among type of sleep disorders were seen: primary insomnia 299 patients (80% of women and 20% of men), related sleep disorder breathing (OSAS) 33 Patients (70% of women and 30% of men) and 20 patients with circadian rhythm disorder (74% of women and 26% of men), and hypersomnia 13 patients (92% of women and 8% men). It was established a relationship between having a sleep disorder and severity of disease activity statistically significant (p<0.00).

Conclusions According to these findings sleep disorders are likely present in a great proportion patients with RA and in many cases linked with disease activity. Primary insomnia is the most prevalent.

Disclosure of Interest None declared

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