Las personas con fibromialgia tienen más dificultad para dormirse, la calidad del sueño es peor, y la cantidad inferior,en comparación con la población en general, de acuerdo con los resultados de una nueva revisión.
Los investigadores llamaron a la atención de los médicos especialistas en trastornos del sueño en pacientes con fibromialgia, ya que dormir mejor puede ayudar a mejorar los síntomas de la enfermedad.
El estudio, “Trastornos del sueño en la fibromialgia: un meta-análisis, estudios de casos y controles”, publicado en el Journal of Psychosomatic Research, revisó varios estudios publicados anteriormente que informan la relación de los trastornos del sueño, con el desarrollo de la fibromialgia.
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De hecho, el sueño pobre está fuertemente asociado con la gravedad de los síntomas, mientras menos duermen los pacientes, peores serán sus síntomas.
Estudios clínicos con medicamentos, han demostrado que la mejora de la calidad del sueño puede reducir el dolor en los pacientes con fibromialgia.
Para entender las características de los trastornos del sueño, y su efecto en los pacientes con fibromialgia, los investigadores revisaron 25 estudios de casos de fibromialgia y controles sanos, con un total de 2.086 participantes, en los cuales el sueño se evaluó mediante polisomnografía (19 estudios), y el Índice de Calidad del Sueño de Pittsburgh (siete estudios).
Los estudios que evaluaron el sueño con polisomnografía, informaron diferencias significativas entre los pacientes con fibromialgia, y los individuos sanos con respecto al tiempo de vigilia después del inicio del sueño, el tiempo total de sueño y la eficiencia del sueño, entre otros parámetros.
Los estudios que evaluaron el sueño, con el índice de calidad del sueño de Pittsburgh, informaron diferencias significativas en las puntuaciones globales, el período transcurrido entre el intentar dormir y el de inicio del sueño, y la calidad del sueño, entre los dos grupos de participantes.
Según esta revisión, esto puede deberse a que los pacientes con fibromialgia tienen problemas para conciliar el sueño, tienen una menor calidad del sueño y baja eficiencia del sueño, tiempo de vigilia más largo antes de quedarse dormidos, menor duración del sueño, y sueño liviano.
“Los ensayos clínicos han demostrado que la mejora de la calidad del
sueño puede reducir el dolor en los enfermos de fibromialgia”,
escribieron los investigadores.
“Por lo tanto, los proveedores de atención primaria deben ser informados de los resultados del presente estudio, y deberían evaluar tomando la iniciativa, el riesgo de trastornos del sueño en pacientes que se quejan de dolor crónico generalizado, o considerar el diagnóstico de fibromialgia en estos pacientes.
Para aquellos que no entienden la fibromialgia
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