Sleep-related problems in common medical conditions

James M. Parish

Research output: Contribution to journalArticle

126 Citations (Scopus)

Abstract

Common medical problems are often associated with abnormalities of sleep. Patients with chronic medical disorders often have fewer hours of sleep and less restorative sleep compared to healthy individuals, and this poor sleep may worsen the subjective symptoms of the disorder. Individuals with lung disease often have disturbed sleep related to oxygen desaturations, coughing, or dyspnea. Both obstructive lung disease and restrictive lung diseases are associated with poor quality sleep. Awakenings from sleep are common in untreated or undertreated asthma, and cause sleep disruption. Gastroesophageal reflux is a major cause of disrupted sleep due to awakenings from heartburn, dyspepsia, acid brash, coughing, or choking. Patients with chronic renal disease commonly have sleep complaints often due to insomnia, insufficient sleep, sleep apnea, or restless legs syndrome. Complaints related to sleep are very common in patients with fibromyalgia and other causes of chronic pain. Sleep disruption increases the sensation of pain and decreases quality of life. Patients with infectious diseases, including acute viral illnesses, HIV-related disease, and Lyme disease, may have significant problems with insomnia and hypersomnolence. Women with menopause have from insomnia, sleep-disordered breathing, restless legs syndrome, or fibromyalgia. Patients with cancer or receiving cancer therapy are often bothered by insomnia or other sleep disturbances that affect quality of life and daytime energy. The objective of this article is to review frequently encountered medical conditions and examine their impact on sleep, and to review frequent sleep-related problems associated with these common medical conditions.

Original languageEnglish (US)
Pages (from-to)563-572
Number of pages10
JournalChest
Volume135
Issue number2
DOIs
StatePublished - Feb 2009

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Sleep
Sleep Initiation and Maintenance Disorders
Restless Legs Syndrome
Heartburn
Fibromyalgia
Sleep Apnea Syndromes
Lung Diseases
Quality of Life
Disorders of Excessive Somnolence
Obstructive Lung Diseases
Lyme Disease
Dyspepsia
Airway Obstruction
Menopause
Gastroesophageal Reflux
Chronic Renal Insufficiency
Chronic Pain
Dyspnea
Communicable Diseases
Neoplasms

Keywords

  • Cancer
  • Chronic renal failure
  • COPD
  • Fibromyalgia
  • Gastroesophageal reflux disease
  • Heart failure
  • Hiv-related disease
  • Nocturnal asthma
  • Restrictive lung disease
  • Sleep disorders

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Sleep-related problems in common medical conditions. / Parish, James M.

In: Chest, Vol. 135, No. 2, 02.2009, p. 563-572.

Research output: Contribution to journalArticle

Parish, James M. / Sleep-related problems in common medical conditions. In: Chest. 2009 ; Vol. 135, No. 2. pp. 563-572.
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