Obstructive Lung Diseases: COPD Comorbidities |

Sleep Quality and Quality of Life in Patients With COPD FREE TO VIEW

Krishna Sharma, MD; Titiksha Choyal; Hemant Chaturvedi; Rudra Pandey
Author and Funding Information

Eternal Heart Care Centre & Research Institute, Jaipur, India

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):895A. doi:10.1016/j.chest.2016.08.995
Text Size: A A A
Published online


SESSION TYPE: Original Investigation Slide

PRESENTED ON: Monday, October 24, 2016 at 04:30 PM - 05:30 PM

PURPOSE: Sleep disorders are common in COPD patients, particularly coexisting Obstructive sleep apnoea (OSA). These patients also experience reduced health-related quality of life (HRQoL) caused by dyspnoea, systemic effects and co-morbidities. There is insufficient data assessing sleep quality and quality of life from our region. In this study, we explored quality of sleep in COPD patients without suspected OSA and the relationship between sleep quality and quality of life in these patients.

METHODS: In this cross sectional descriptive study performed in a tertiary care hospital, 120 COPD patients completed questionnaires: Berlin questionnaire, Pittsburgh Sleep Quality Index, and St. George Respiratory questionnaires (SGRQ). Patients with suspected OSA were excluded on the basis of result of Berlin questionnaire. Pulmonary function test was done to categorize the patients into 3 groups of mild, moderate and severe COPD based on GOLD guidelines. Student's t-test and ANOVA were used to assess differences in continuous variables between groups (different severities of COPD and patients sex). Association between categorical variables was determined by Chi-square test. Logistic regression analysis was used to investigate the relationship between quality of life as dependent variable and other independent variables.

RESULTS: Baseline mean values were: age 61.3 ± 11.2, 56% female, BMI 24.1 ± 4.5 kg/m2, FEV 1.59 ± 1.4 litres. 68.8% had poor sleep quality (PSQI 8.1 ± 6). Quality of sleep was significantly correlated with quality of life (p<0.001). Significant differences were found between the genders for total score and each of three subscores of SGRQ suggesting poorer quality of life in females. Stepwise multiple regression analysis showed that severity of COPD, female gender and sleep quality accounted for the poor quality of life significantly (r2 = 0.11, 0.2, and 0.16, respectively).

CONCLUSIONS: Quality of sleep in patients with COPD is poor and worsens with disease progression. The low quality of sleep has an effect on the deterioration of their quality of life, especially in female patients.

CLINICAL IMPLICATIONS: The early identification of alteration of the quality of sleep by incorporating objective measures of sleep disturbances, especially by clinicians, could facilitate a preventive approach for COPD patients that could positively affect their HRQoL. Training, counseling, and advocacy programs can be developed to improve the patients' quality of sleep and quality of life.

DISCLOSURE: The following authors have nothing to disclose: Krishna Sharma, Titiksha Choyal, Hemant Chaturvedi, Rudra Pandey

No Product/Research Disclosure Information




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543