https://doi.org/10.4081/reumatismo.2024.1710
Does the volume of physical exercise influence sleep quality in patients with fibromyalgia?
Submitted: 6 February 2024
Accepted: 24 June 2024
Published: 16 October 2024
Accepted: 24 June 2024
Abstract Views: 873
PDF: 186
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Objective. To investigate the association between the volume of exercise and the quality of sleep in patients with fibromyalgia.
Methods. This is a cross-sectional study carried out from 2010 to 2019 in patients over 18 years old from the research project at a university in Brazil. Instruments related to sociodemographic and clinical characteristics, physical exercise, and the Pittsburgh Sleep Quality Index (PSQI) were applied. Participants were classified as inactive, insufficiently active, or active. In the statistical analysis, the Kruskal-Wallis and Mann-Whitney U tests were used. Binary logistic and multinomial regression were also performed.
Results. The majority of participants were physically inactive and had poor sleep quality; 68.3% with poor sleep quality were inactive. In the analysis of the difference between the three groups, sleep latency (time it takes to fall asleep) (p=0.00) and total PSQI (p=0.04) were significantly different. When the analysis was performed between active and inactive individuals, significant differences were found in sleep latency (p=0.02), daytime dysfunction (difficulties in performing daytime tasks due to poor sleep quality) (p=0.02), and the total PSQI (p=0.02). Binary logistic regression with crude analysis showed that inactive participants are 4.3 times more likely to have poor sleep quality when compared to active participants (odds ratio = 4.311; 95% confidence interval 1.338-13.888; p=0.014). Multinomial regression analysis showed that being physically active can be a protective factor.
Conclusions. There is a high prevalence of sleep disorders and insufficient practice of physical exercise among patients with fibromyalgia. It is suggested that regular physical exercise may be related to sleep quality, and more active participants have fewer sleep disorders, with exercise being a protective factor.
Marques AP, de Sousa do Espirito Santo A, Berssaneti AA, Matsutani LA, Yuan SLK. Prevalence of fibromyalgia: literature review update. Rev Bras Reumatol Engl Ed 2017; 57: 356-63.
DOI: https://doi.org/10.1016/j.rbre.2017.01.005
Andrade A, Vilarino GT, Sieczkowska SM, Coimbra DR, Bevilacqua GG, Steffens R de AK. The relationship between sleep quality and fibromyalgia symptoms. J Health Psychol 2020; 25: 1176-86.
DOI: https://doi.org/10.1177/1359105317751615
Shipley M. Chronic widespread pain and fibromyalgia syndrome. Medicine 2018; 46: 252-5.
DOI: https://doi.org/10.1016/j.mpmed.2018.01.009
Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RL, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016; 46: 319-29.
DOI: https://doi.org/10.1016/j.semarthrit.2016.08.012
Lacasse A, Bourgault P, Choinière M. Fibromyalgia-related costs and loss of productivity: a substantial societal burden. BMC Musculoskelet Disord 2016; 17: 168.
DOI: https://doi.org/10.1186/s12891-016-1027-6
Sieczkowska SM, Vilarino GT, de Souza LC, Andrade A. Does physical exercise improve quality of life in patients with fibromyalgia? Ir J Med Sci 2020; 189: 341-7.
DOI: https://doi.org/10.1007/s11845-019-02038-z
Arreola Ornelas H, Rosado Buzzo A, García L, Dorantes Aguilar J, Contreras Hernández I, Mould Quevedo JF. Cost-effectiveness analysis of pharmacologic treatment of fibromyalgia in Mexico. Reumatol Clin 2012; 8: 120-7.
DOI: https://doi.org/10.1016/j.reumae.2011.12.003
Vilarino GT, Andreato LV, de Souza LC, Branco JHL, Andrade A. Effects of resistance training on the mental health of patients with fibromyalgia: a systematic review. Clin Rheumatol 2021; 40: 4417-25.
DOI: https://doi.org/10.1007/s10067-021-05738-z
Galvez-Sánchez CM, Duschek S, Del Paso GAR. Psychological impact of fibromyalgia: current perspectives. Psychol Res Behav Manag 2019; 12: 117-27.
DOI: https://doi.org/10.2147/PRBM.S178240
Albuquerque MLL, Monteiro D, Marinho DA, Vilarino GT, Andrade A, Neiva HP. Effects of different protocols of physical exercise on fibromyalgia syndrome treatment: systematic review and meta-analysis of randomized controlled trials. Rheumatol Int 2022; 42: 1893-908.
DOI: https://doi.org/10.1007/s00296-022-05140-1
Häuser W, Ablin J, Fitzcharles MA, Littlejohn G, Luciano JV, Usui C, et al. Fibromyalgia. Nat Rev Dis Primers 2015; 13: 15022.
DOI: https://doi.org/10.1038/nrdp.2015.22
Andrade A, Sieczkowska SM, Vilarino GT. Resistance training improves quality of life and associated factors in patients with fibromyalgia syndrome. PM R 2019; 11: 703-9.
DOI: https://doi.org/10.1016/j.pmrj.2018.09.032
Çetin B, Sünbül EA, Toktaş H, Karaca M, Ulutaş Ö, Güleç H. Comparison of sleep structure in patients with fibromyalgia and healthy controls. Sleep Breath 2020; 24: 1591-8.
DOI: https://doi.org/10.1007/s11325-020-02036-x
Choy E. The role of sleep in pain and fibromyalgia. Nat Rev Rheumatol 2015; 11: 513-20.
DOI: https://doi.org/10.1038/nrrheum.2015.56
Wu YL, Chang LY, Lee HC, Fang SC, Tsai PS. Sleep disturbances in fibromyalgia: a meta-analysis of case-control studies. J Psychosom Res 2017; 96: 89-97.
DOI: https://doi.org/10.1016/j.jpsychores.2017.03.011
Diaz-Piedra C, Di Stasi LL, Baldwin CM, Buela-Casal G, Catena A. Sleep disturbances of adult women suffering from fibromyalgia: asystematic review of observational studies. Sleep Med Rev 2015; 21: 86-99.
DOI: https://doi.org/10.1016/j.smrv.2014.09.001
Andrade A, Vilarino GT, Bevilacqua GG. What is the effect of strength training on pain and sleep in patients with fibromyalgia? Am J Phys Med Rehabil 2017; 96: 889-93.
DOI: https://doi.org/10.1097/PHM.0000000000000782
Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: a review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med 2019; 23: 2324-32.
DOI: https://doi.org/10.1111/jcmm.14170
Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Flub E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017; 76: 318-28.
DOI: https://doi.org/10.1136/annrheumdis-2016-209724
Andrade A, de Azevedo Klumb Steffens R, Vilarino GT, Miranda R, Benetti M, Coimbra DR, et al. Preferred exercise and mental health of the patients with fibromyalgia syndrome. Complement Ther Clin Pract 2020; 40: 101195.
DOI: https://doi.org/10.1016/j.ctcp.2020.101195
Andrade A, Steffens R de AK, Vilarino GT, Sieczkowska SM, Coimbra DR. Does volume of physical exercise have an effect on depression in patients with fibromyalgia? J Affect Disord 2017; 208: 214-7.
DOI: https://doi.org/10.1016/j.jad.2016.10.003
Sieczkowska SM, de Orleans Casagrande P, Coimbra DR, Vilarino GT, Andreato LV, Andrade A. Effect of yoga on the quality of life of patients with rheumatic diseases: systematic review with meta-analysis. Complement Ther Med 2019; 46: 9-18.
DOI: https://doi.org/10.1016/j.ctim.2019.07.006
Burgess HJ, Burns JW, Buvanendran A, Gupta R, Chont M, Kennedy M, et al. Associations between sleep disturbance and chronic pain intensity and function: a test of direct and indirect pathways. Clin J Pain 2019; 35: 569-76.
DOI: https://doi.org/10.1097/AJP.0000000000000711
Borges-Cosic M, Aparicio VA, Estévez-López F, Soriano-Maldonado A, Acosta-Manzano P, Gavilán-Carrera B, et al. Sedentary time, physical activity, and sleep quality in fibromyalgia: the al-Ándalus project. Scand J Med Sci Sports 2019; 29: 266-74.
DOI: https://doi.org/10.1111/sms.13318
Bastos ACR de F, Vilarino GT, de Souza LC, Dominski FH, Branco JHL, Andrade A. Effects of resistance training on sleep of patients with fibromyalgia: a systematic review. J Health Psychol 2023; 28: 1072-84.
DOI: https://doi.org/10.1177/13591053231172288
Andrade A, Steffens R de AK, Sieczkowska SM, Peyré Tartaruga LA, Torres Vilarino G. A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations. Adv Rheumatol 2018; 58: 36.
DOI: https://doi.org/10.1186/s42358-018-0033-9
Estévez-López F, Maestre-Cascales C, Russell D, Álvarez-Gallardo IC, Rodriguez-Ayllon M, Hughes CM, et al. Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials. Arch Phys Med Rehabil 2021; 102: 752-61.
DOI: https://doi.org/10.1016/j.apmr.2020.06.019
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College of Rheumatology 1990 Criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 1990; 33: 160-72.
DOI: https://doi.org/10.1002/art.1780330203
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
DOI: https://doi.org/10.1016/0165-1781(89)90047-4
Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med 2011; 12: 70-5.
DOI: https://doi.org/10.1016/j.sleep.2010.04.020
Climent-Sanz C, Marco-Mitjavila A, Pastells-Peiró R, Valenzuela-Pascual F, Blanco-Blanco J, Gea-Sánchez M. Patient reported outcome measures of sleep quality in fibromyalgia: a cosmin systematic review. Int J Environ Res Public Health 2020; 17: 2992.
DOI: https://doi.org/10.3390/ijerph17092992
Guymer EK, Littlejohn GO, Brand CK, Kwiatek RA. Fibromyalgia onset has a high impact on work ability in Australians. Intern Med J 2016; 46: 1069-74.
DOI: https://doi.org/10.1111/imj.13135
Häuser W, Thieme K, Turk DC. Guidelines on the management of fibromyalgia syndrome - a systematic review. Eur J Pain 2010; 14: 5-10.
DOI: https://doi.org/10.1016/j.ejpain.2009.01.006
Sieczkowska SM, Coimbra DR, Vilarino GT, Andrade A. Effects of resistance training on the health-related quality of life of patients with rheumatic diseases: systematic review with meta-analysis and meta-regression. Semin Arthritis Rheum 2020; 50: 342-53.
DOI: https://doi.org/10.1016/j.semarthrit.2019.09.006
Pérez-De-Heredia-Torres M, Huertas Hoyas E, Sánchez-Camarero C, Pérez-Corrales J, César Fernández De-Las-Peñas, Hoyas EH. The occupational profile of women with fibromyalgia syndrome. Occup Ther Int 2016; 23: 132-42.
DOI: https://doi.org/10.1002/oti.1418
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, Doncarlos L, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 2015; 1: 40-3.
DOI: https://doi.org/10.1016/j.sleh.2014.12.010
Generaal E, Vogelzangs N, Penninx BWJH, Dekker J. Insomnia, sleep duration, depressive symptoms, and the onset of chronic multisite musculoskeletal pain. Sleep 2017; 40.
Léger D, Poursain B, Neubauer D, Uchiyama M. An international survey of sleeping problems in the general population. Curr Med Res Opin 2008; 24: 307-17.
DOI: https://doi.org/10.1185/030079907X253771
Glavin EE, Ceneus M, Chanowitz M, Kantilierakis J, Mendelow E, Mosquera J, et al. Relationships between sleep, exercise timing, and chronotype in young adults. J Health Psychol 2020; 26: 2636-47.
DOI: https://doi.org/10.1177/1359105320926530
Jurado-Fasoli L, De-la-O A, Molina-Hidalgo C, Migueles JH, Castillo MJ, Amaro-Gahete FJ. Exercise training improves sleep quality: a randomized controlled trial. Eur J Clin Invest 2020; 50: e13202.
DOI: https://doi.org/10.1111/eci.13202
Ericsson A, Palstam A, Larsson A, Löfgren M, Bileviciute-Ljungar I, Bjersing J, et al. Resistance exercise improves physical fatigue in women with fibromyalgia: a randomized controlled trial. Arthritis Res Ther 2016; 18: 176.
DOI: https://doi.org/10.1186/s13075-016-1073-3
Bircan Ç, Karasel SA, Akgün B, El Ö, Alper S. Effects of muscle strengthening versus aerobic exercise program in fibromyalgia. Rheumatol Int 2008; 28: 527-32.
DOI: https://doi.org/10.1007/s00296-007-0484-5
Cuenca-Martínez F, Suso-Martí L, Fernández-Carnero J, Muñoz-Alarcos V, Sempere-Rubio N. Exercise-based interventions on sleep quality in patients with fibromyalgia syndrome: an umbrella and mapping review with meta-analysis. Semin Arthritis Rheum 2023; 61: 152216.
DOI: https://doi.org/10.1016/j.semarthrit.2023.152216
Häuser W, Klose P, Langhorst J, Moradi B, Steinbach M, Schiltenwolf M, et al. Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 2010; 12: R79.
DOI: https://doi.org/10.1186/ar3002
Vilarino GT, Branco JHL, De Souza LC, Andrade A. Effects of resistance training on the physical symptoms and functional capacity of patients with fibromyalgia: a systematic review and meta-analysis of randomized clinical trials. Ir J Med Sci 2023; 192: 2001-14.
DOI: https://doi.org/10.1007/s11845-022-03205-5
de Souza LC, Vilarino GT, Andrade A. Effects of home-based exercise on the health of patients with fibromyalgia syndrome: a systematic review of randomized clinical trials. Disabil Rehabil 2024; 1-12.
DOI: https://doi.org/10.1080/09638288.2024.2337105
Thase ME. Depression and sleep: pathophysiology and treatment. Dialogues Clin Neurosci 2006; 8: 217-26.
DOI: https://doi.org/10.31887/DCNS.2006.8.2/mthase
Moldofsky H, Scarisbrick P. Induction of neurasthenic musculoskeletal pain syndrome by selective sleep stage deprivation. Psychosom Med 1976; 38: 35-44.
DOI: https://doi.org/10.1097/00006842-197601000-00006
Troynikov O, Watson C, Nawaz N. Sleep environments and sleep physiology: a review. J Therm Biol 2018; 7: 192-203.
DOI: https://doi.org/10.1016/j.jtherbio.2018.09.012
Liew SC, Aung T. Sleep deprivation and its association with diseases-a review. Sleep Med 2021; 77: 192-204.
DOI: https://doi.org/10.1016/j.sleep.2020.07.048
How to Cite
de Souza, L., Torres Vilarino, G., & Andrade, A. (2024). Does the volume of physical exercise influence sleep quality in patients with fibromyalgia?. Reumatismo. https://doi.org/10.4081/reumatismo.2024.1710
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- A. Minelli, A. Vaona, Effectiveness of cognitive behavioral therapy in the treatment of fibromyalgia syndrome: a meta-analytic literature review , Reumatismo: Vol. 64 No. 3 (2012)
- A. Alciati, F. Atzeni, P. Sgiarovello, P. Sarzi-Puttini, Somatoform disorders and rheumatic diseases: from DSM-IV to DSM-V , Reumatismo: Vol. 66 No. 1 (2014)
- M. Capraro, M. Dalla Valle, M. Podswiadek, P. De Sandre, E. Sgnaolin, R. Ferrari, The role of illness perception and emotions on quality of life in fibromyalgia compared with other chronic pain conditions , Reumatismo: Vol. 64 No. 3 (2012)
- F. Salaffi, A. Ciapetti, P. Sarzi Puttini, F. Atzeni, C. Iannuccelli, M. Di Franco, M. Cazzola, L. Bazzichi, Preliminary identification of key clinical domains for outcome evaluation in fibromyalgia using the Delphi method: the Italian experience , Reumatismo: Vol. 64 No. 1 (2012)
- J. N. Ablin, V. Aloush, A. Brill, M. Berman, M. Barzilai, D. Caspi, M. Mandelboim, D. Levartovsky, A. Polachek, Y. Wolman, D. Paran, M. Barkagan, O. Elkayam, Influenza vaccination is safe and effective in patients suffering from fibromyalgia syndrome , Reumatismo: Vol. 67 No. 2 (2015)
- A. Romeo, S. Parazza, M. Boschi, T. Nava, C. Vanti, Manual therapy and therapeutic exercise in the treatment of osteoarthritis of the hip: a systematic review , Reumatismo: Vol. 65 No. 2 (2013)
- Y. Ragab, M. Nabih, I. Aly, A. Kamal, M. A. Abd-Allah, R. El-Refai, Y. Emad, A. El-Naggar, N. El-Shaarawy, J.J. Rasker, Magnetic resonance imaging features of hip disorders in an Egyptian pediatric population , Reumatismo: Vol. 67 No. 2 (2015)
- G. Cassisi, P. Sarzi-Puttini, R. Casale, M. Cazzola, L. Boccassini, F. Atzeni, S. Stisi, Pain in fibromyalgia and related conditions , Reumatismo: Vol. 66 No. 1 (2014)
- L. Cantarini, A. Vitale, O.M. Lucherini, I. Muscari, F. Magnotti, G. Brizi, B. Frediani, G.D. Sebastiani, M. Galeazzi, D. Rigante, Childhood versus adulthood-onset autoinflammatory disorders: myths and truths intertwined , Reumatismo: Vol. 65 No. 2 (2013)
- A. Alciati, P. Sgiarovello, F. Atzeni, P. Sarzi-Puttini, Psychiatric problems in fibromyalgia: clinical and neurobiological links between mood disorders and fibromyalgia , Reumatismo: Vol. 64 No. 4 (2012)
You may also start an advanced similarity search for this article.
