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

Kakazu, VA; Pinto, RZ; Dokkedal-Silva, V; Fernandes, GL; Araujo, CGA; Pires, GN; Dias, TA; Tufik, S; Andersen, M; Morelhao, PK

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

Kakazu, VA Pinto, RZ Dokkedal-Silva, V Fernandes, GL Araujo, CGA Pires, GN Dias, TA Tufik, S Andersen, M Morelhao, PK

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Publisher:: THIEME MEDICAL PUBL INC
Publication Type:: Journal Article
Citation:: SLEEP SCIENCE

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Field	Value	Language
dc.contributor.author	Kakazu, VA
dc.contributor.author	Pinto, RZ
dc.contributor.author	Dokkedal-Silva, V
dc.contributor.author	Fernandes, GL
dc.contributor.author	Araujo, CGA
dc.contributor.author	Pires, GN
dc.contributor.author	Dias, TA
dc.contributor.author	Tufik, S
dc.contributor.author	Andersen, M
dc.contributor.author	Morelhao, PK
dc.date.accessioned	2025-02-26T13:05:59Z
dc.date.available	2025-02-26T13:05:59Z
dc.identifier.citation	SLEEP SCIENCE
dc.identifier.issn	1984-0659
dc.identifier.issn	1984-0063
dc.identifier.uri	http://hdl.handle.net/10453/185348
dc.description.abstract	<jats:title>Abstract</jats:title><jats:p> 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.</jats:p><jats:p> Objectives To examine the relationship between sleep quality, daytime sleepiness and depression, and OA knee pain in older adults.</jats:p><jats:p> 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.</jats:p><jats:p> 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).</jats:p><jats:p> Conclusions Sleep quality and depression symptoms are associated with knee pain.</jats:p>
dc.language	English
dc.publisher	THIEME MEDICAL PUBL INC
dc.relation.ispartof	SLEEP SCIENCE
dc.relation.isbasedon	10.1055/s-0044-1787528
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	3209 Neurosciences
dc.title	Are Sleep Quality, Daytime Sleepiness and Depression Associated with Knee Pain? A Cross-Sectional Study in Older Adults
dc.type	Journal Article
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2025-02-26T13:05:58Z
pubs.publication-status	Published online

Abstract:

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.

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http://hdl.handle.net/10453/185348