Obstructive Sleep Apnea Syndrome and Pain: A Cross-sectional Study

Authors : Nihal Yilmaz, Meryem Kösehasanoğullari, Izzet Göker Küçük

Pages : 364-371

Doi:10.29058/mjwbs.1378175

View : 53 | Download : 89

Publication Date : 2023-12-31

Article Type : Research Paper

Abstract :Aim: The present study aims to investigate the relationship between chronic widespread musculoskeletal system pain (CWP) and neuropathic pain (NP) among patients, who were diagnosed with obstructive sleep apnea syndrome (OSAS). Material and Methods: For this cross-sectional study, the study was carried out in sleep polyclinic of Uşak University’s Medical Faculty Hospital between 1 May 2017 and 1 February 2018. The patients, who applied to the sleep polyclinic for the complaint of sleep disorder and were diagnosed with OSAS by using polysomnography (PSG) but haven’t had a treatment for this purpose yet, were involved.. Results: Examining the PSG results of participants, mild OSAS was detected in 16 cases, moderate OSAS in 15 cases, and severe OSAS in 26 cases. Pain was detected in minimum 1 region in 89% of the cases, whereas 38.5% of participants were found to have neuropathic pain (NP). NP was found to linearly increase with an increase in degree of OSAS (p=0.049). According to Pittsburgh Sleep Quality Index (PSQI) scores, 54% (n=31) of the participants had poor sleep quality, and according to Health Assessment Questionnaire (HAQ) scale scores, 36% (n=21) of the participants had low quality of life (QoL). When examining the differences between groups, due to the variables not being normally distributed, the Mann Whitney U and Kruskal Wallis-H Tests were utilized. to investigate the relationships among variables that do not follow a normal distribution, Spearman’s Correlation Coefficient was employed. Conclusion: CWP and NP were found to accompany each other among those with OSAS. The prevalence of NP increases with an increase in degree of OSAS. The QoL and quality of sleep among those with OSAS with pain were poorer than those having no pain. Women with OSAS were found to have higher pain and lower QoL when compared to men.
Keywords : Uyku Apnesi, Obstrüktif, Kas İskelet Ağrısı, Nöropatik ağrı