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Kamp KJ, Yoo L, Clark-Snustad K, Winders S, Burr R, Buchanan D, Barahimi M, Jacobs J, Heitkemper M, Lee SD. Relationship of Sleep Health and Endoscopic Disease Activity in Inflammatory Bowel Disease: Endoscopic Disease Activity and Sleep. Gastroenterol Nurs 2023; 46:465-474. [PMID: 37540793 PMCID: PMC10838363 DOI: 10.1097/sga.0000000000000769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 06/14/2023] [Indexed: 08/06/2023] Open
Abstract
Among adults with inflammatory bowel disease (IBD), self-reported sleep disturbances are associated with active symptoms, but the association between sleep measures and endoscopic disease activity is unknown. This study aimed to (1) compare sleep-wake behaviors among IBD patients based on endoscopic and clinical disease activity and (2) describe associations between actigraphy, self-reported sleep measures, and symptoms of fatigue, anxiety, and depression. Participants wore a wrist actigraph for 10 consecutive days and completed self-reported sleep questionnaires (Pittsburgh Sleep Quality Index [PSQI] and Patient-Reported Outcome Measures System [PROMIS] Sleep Disturbance and Sleep Interference questionnaires). Clinical and endoscopic disease activity were assessed. Based on actigraphic recordings ( n = 26), average total nighttime sleep was 437 minutes and sleep efficiency was 84%. Objective sleep measures did not differ based on endoscopic or clinical disease activity. Individuals with active clinical disease had higher PROMIS Sleep Disturbance (57.3 vs. 49.7, d = 1.28) and PROMIS Sleep-Related Impairment (58.1 vs. 52.8, d = 0.51) compared with those with inactive clinical disease. Self-reported sleep was significantly associated with anxiety, depression, and fatigue. Further research is needed to better characterize the relationship between sleep and endoscopic disease activity, and determine underlying mechanisms related to poor sleep in the IBD population.
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Affiliation(s)
- Kendra J Kamp
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Linda Yoo
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Kindra Clark-Snustad
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Samantha Winders
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Robert Burr
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Diana Buchanan
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Mitra Barahimi
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Jeffrey Jacobs
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Margaret Heitkemper
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
| | - Scott D Lee
- Kendra J. Kamp, PhD, RN, is Assistant Professor at University of Washington, Seattle
- Linda Yoo, PhD, BSN, is student at University of Washington, Seattle
- Kindra Clark-Snustad, DNP, APRN, is Teaching Associate at University of Washington, Seattle
- Samantha Winders, PhD, RN, is Postdoctoral Fellow at University of Washington, Seattle
- Robert Burr, PhD, is Research Professor at University of Washington, Seattle
- Diana Buchanan, PhD, RN, is Associate Professor at University of Washington, Seattle
- Mitra Barahimi, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Jeffrey Jacobs, MD, is Clinical Assistant Professor at University of Washington, Seattle
- Margaret Heitkemper, PhD, RN, is Professor at University of Washington, Seattle
- Scott D. Lee, MD, is Associate Professor at University of Washington, Seattle
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