A systematic review and meta-analysis of the prevalence of poor sleep in inflammatory bowel disease

Author:

Barnes Alex12ORCID,Mountifield Réme12,Baker Justin12,Spizzo Paul1,Bampton Peter2,Andrews Jane M34,Fraser Robert J12,Mukherjee Sutapa25

Affiliation:

1. Department of Gastroenterology, Southern Adelaide Local Health Network (SALHN) Flinders Medical Centre , Bedford Park South Australia , Australia

2. Adelaide Institute for Sleep Health, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University , Bedford Park, South Australia , Australia

3. Inflammatory Bowel Disease Service, Department of Gastroenterology and Hepatology, (CAHLN) Royal Adelaide Hospital , Adelaide, South Australia , Australia

4. School of Medicine, Faculty of Health and Medical Sciences, University of Adelaide , Adelaide, South Australia , Australia

5. Department of Respiratory and Sleep Medicine, Southern Adelaide Local Health Network (SALHN) Flinders Medical Centre , Bedford Park, South Australia , Australia

Abstract

Abstract Study Objectives Poor sleep-in people with inflammatory bowel disease (IBD) has been associated with worse quality of life, along with anxiety, depression, and fatigue. This meta-analysis aimed to determine the pooled prevalence of poor sleep-in IBD. Methods Electronic databases were searched for publications from inception to November 1st 2021. Poor sleep was defined according to subjective sleep measures. A random effects model was used to determine the pooled prevalence of poor sleep-in people with IBD. Heterogeneity was investigated through subgroup analysis and meta-regression. Publication bias was assessed by funnel plot and Egger’s test. Results 519 Studies were screened with 36 studies included in the meta-analysis incorporating a total of 24 209 people with IBD. Pooled prevalence of poor sleep-in IBD was 56%, 95% CI (51–61%) with significant heterogeneity. The prevalence did not differ based on the definition of poor sleep. Meta-regression was significant for increased prevalence of poor sleep with increase in age and increased of prevalence of poor sleep with objective IBD activity but not subjective IBD activity, depression, or disease duration. Conclusions Poor sleep is common in people with IBD. Further research is warranted to investigate if improving sleep quality in people with IBD will improve IBD activity and quality of life.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

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