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The bidirectional association between chronic musculoskeletal pain and sleep-related problems: a systematic review and meta-analysis.
Santos, Mayara; Gabani, Flávia L; de Andrade, Selma M; Bizzozero-Peroni, Bruno; Martínez-Vizcaíno, Vicente; González, Alberto D; Mesas, Arthur Eumann.
Afiliación
  • Santos M; Postgraduate Program in Public Health, Universidade Estadual de Londrina, Londrina, Parana, Brazil.
  • Gabani FL; Department of Nursing, Universidade Estadual de Londrina, Londrina, Parana, Brazil.
  • de Andrade SM; Postgraduate Program in Public Health, Universidade Estadual de Londrina, Londrina, Parana, Brazil.
  • Bizzozero-Peroni B; Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
  • Martínez-Vizcaíno V; Instituto Superior de Educación Física, Universidad de la República, Rivera, Uruguay.
  • González AD; Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
  • Mesas AE; Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile.
Rheumatology (Oxford) ; 62(9): 2951-2962, 2023 09 01.
Article en En | MEDLINE | ID: mdl-37104741
OBJECTIVES: This systematic review and meta-analysis synthesizes the evidence on prospective bidirectional associations between sleep-related problems (SRP) and chronic musculoskeletal pain (CMP). METHODS: A literature search for cohort studies available in the PubMed, Scopus, Web of Science, PsycINFO and Cochrane Library databases as of 19 July 2022 was performed. Pooled odds ratios and effect sizes were calculated through random effects meta-analysis. Subgroup and meta-regression analyses were performed to explore differences by follow-up time, proportion of each sex and mean age. The Meta-analysis Of Observational Studies in Epidemiology guidelines were strictly followed. RESULTS: Twenty studies with a total of 208 190 adults (aged 34.4-71.7 years) were included, with 17 of them being used in the meta-analysis. Individuals with SRP at baseline had a 1.79-fold higher incidence (odds ratio [OR] = 1.79; 95% CI: 1.55, 2.08; I2 = 84.7%; P < 0.001) and a 2.04-fold higher persistence (OR = 2.04; 95% CI: 1.42, 2.94; I2 = 88.5%; P < 0.005) of CMP than those without SRP. In the subgroup analysis of the association between SRP and CMP, the longer the follow-up time of the studies, the higher the heterogeneity between them. In the corresponding meta-regression, no significant effect was observed for follow-up time, sex proportion or age. Individuals with CMP at baseline had a 2.02-fold higher incidence of SRP (OR = 2.02; 95% CI: 1.62, 2.53; I2 = 90.0%; P < 0.001) than those without CMP. CONCLUSION: This study provides robust evidence concerning the longitudinal association between SRP and incidence-persistence of CMP in adults. In addition, the available prospective studies support the existence of a bidirectional relationship between CMP and SRP. PROSPERO REGISTRATION NUMBER: CRD42020212360.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Musculoesquelético Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Rheumatology (Oxford) Asunto de la revista: REUMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Musculoesquelético Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Rheumatology (Oxford) Asunto de la revista: REUMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido