Sleep and Osteoarthritis

Little is known about the sleep quality of people with OA. Many individuals do not consider the possibility that sleepiness and night-time sleep disruption may contribute significantly to arthritis related aches and pains. Since obesity is a risk factor for both OA and obstructive sleep apnea, the prevalence of sleep disorders in OA would be expected to by even higher than within the population overall. Indeed, sleep disturbances have been commonly reported in people living with OA. In a large community sample of adults aged 65 years or older with knee pain, sleep disturbances were associated with severity of knee pain and depressive symptoms. Consistent with this, clinical trials of pain interventions have confirmed that relief of joint pain improves sleep. It has also been hypothesized that sleep disturbances may negatively impact pain by decreasing pain tolerance. To learn more about the physiological aspects of sleep and sleepiness, a number of volunteers with OA participated in a daytime sleepiness and overnight sleep assessment. This pilot study involved physiological assessments and tests of alertness. Participants were asked to complete a questionnaire regarding their sleep habits, arthritis status, pain, fatigue and mood. Results from this pilot study documented high levels of self-reported fatigue, associated with increased pain and daytime sleepiness. We are currently planning a larger scale study to explore sleep in individuals with OA further.

Investigators

Gillian Hawker (PI), Brian Murray, Aileen Davis, Monique Gignac, Wendy Lou, Elizabeth Badley, J. Denise Power, Lucia Gagliese, Gilles Lavigne

Consumer Collaborator

Gail Webster

Staff

Cahyee Cheung, Dana Jewell

Date

2004-Present
  • Murray BJ, Cheung C, French, MR, Gagliese LR, Davis AM, Hawker GA. Common sleep habits of older community-living people with osteoarthritis. Arthritis Rheum 2007; 56(9): S593.
  • Murray BJ, French MR, Gagliese L, Davis AM, Hawker GA. Self-reported sleep among older community-living people with osteoarthritis. Poster presentation to the 2007 Annual Canadian Arthritis Network Scientific Conference; October 11 - 13, 2007, Halifax, Nova Scotia.
  • Murray BJ, Cheung C French MR, Gagliese L, Davis AM, Hawker GA. Common Sleep Habits of Older Community-Living People with Osteoarthritis. Submitted to the 2007 Annual Scientific Meeting of the American College of Rheumatology. May 2007.
  • Murray BJ, Cheung C, Jewell D, Hawker GA. Daytime sleepiness may be an under-identified contributor to fatigue in osteoarthritis. Journal of Rheumatology. 2006; 33:2:378.
  • Murray BJ, Cheung C, Jewell D, Hawker GA. Daytime sleepiness may be an under-identified contributor to fatigue in osteoarthritis Arthritis & Rheumatism 2005; 52 (Suppl 9): S515.
Last modified: June 13, 2008