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Digestive Diseases and Sciences

, Volume 63, Issue 11, pp 2983–2991 | Cite as

Sleep Disturbances Are Commonly Reported Among Patients Presenting to a Gastroenterology Clinic

  • Sarah Ballou
  • Eaman Alhassan
  • Elise Hon
  • Cara Lembo
  • Vikram Rangan
  • Prashant Singh
  • William Hirsch
  • Thomas Sommers
  • Johanna Iturrino
  • Judy Nee
  • Anthony Lembo
Original Article

Abstract

Background

Poor sleep quality is common among patients with gastrointestinal (GI) disorders. However, few studies have assessed the presence of insomnia or reported circadian preferences and none have directly compared sleep between common GI conditions.

Aims

To compare clinical sleep characteristics in patients presenting to a tertiary care GI clinic for irritable bowel syndrome (IBS), functional dyspepsia (FD), inflammatory bowel disease (IBD), gastroesophageal reflux disease (GERD), and celiac disease (CD).

Methods

Validated sleep measures were administered to consecutive patients if they were diagnosed with IBS, IBD in clinical remission, CD, FD, or GERD. Healthy Controls (HCs) with no reported GI diagnoses or symptoms were also recruited.

Results

A total of 212 eligible respondents completed this survey, 161 GI clinic patients (IBS (n = 48), GERD (n = 29), IBD in clinical remission (n = 44), CD (n = 40)), and 41 HCs. Only, 10 respondents had a diagnosis of FD, and these were excluded. The IBS group had the highest frequency of poor sleep (72%) followed by CD (61%), GERD (60%), IBD (54%), and HC (39%). IBS patients also had the highest frequency of clinical insomnia (51%), followed by GERD (37%), CD (35%), IBD (27%), and HC (18%). 40% of IBS patients reported taking sleep medications at least once per week, compared to 32% of GERD, 23% IBD, 13% CD, and 15% HC.

Conclusions

Patients presenting to a tertiary care GI clinic report poorer sleep than healthy controls. In general, patients with IBS report the highest rates of sleep difficulties compared to patients with other diagnoses.

Keywords

Gastrointestinal diseases Sleep Irritable bowel syndrome Inflammatory bowel disease Gastroesophageal reflux disease Celiac disease 

Notes

Funding

This research was supported in part by NIH/NIDDK Grant # T32DK007760.

Compliance with ethical standards

Conflict of interest

All the authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Sarah Ballou
    • 1
  • Eaman Alhassan
    • 1
  • Elise Hon
    • 1
  • Cara Lembo
    • 1
  • Vikram Rangan
    • 1
  • Prashant Singh
    • 1
  • William Hirsch
    • 1
  • Thomas Sommers
    • 1
  • Johanna Iturrino
    • 1
  • Judy Nee
    • 1
  • Anthony Lembo
    • 1
  1. 1.Department of Medicine, Division of GastroenterologyBeth Israel Deaconess Medical CenterBostonUSA

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