Pessoas com fibromialgia têm mais dificuldade em adormecer, a qualidade do sono é pior, e muito menor , em comparação com a população em geral, de acordo com os resultados de uma nova revisão.
Pesquisadores chamaram a atenção de médicos especialistas em distúrbios do sono em pacientes com fibromialgia, como um sono melhor pode ajudar a melhorar os sintomas da doença.
O estudo, ” Distúrbios do Sono em Fibromialgia: uma meta-análise, estudos e controles de caso “, publicado no Journal of Psychosomatic Research , analisou diversos estudos previamente publicados relatando a relação de distúrbios do sono, com o desenvolvimento de fibromialgia.
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Segundo os pesquisadores, falta de sono afeta quase 80% dos pacientes com fibromialgia, e os estudos mostraram que a menor qualidade do sono é um fator de risco para a fibromialgia.
Na verdade, sono de má qualidade está fortemente associada com a gravidade dos sintomas, os pacientes menos sono, pior os seus sintomas.
Estudos clínicos de drogas, mostraram que a melhoria da qualidade do sono pode reduzir a dor em pacientes com fibromialgia.
Para compreender as características de distúrbios do sono, e seu efeito sobre pacientes com fibromialgia, pesquisadores revisaram 25 estudos de fibromialgia e controles saudáveis, com um total de 2.086 participantes, em que o sono foi avaliada por polissonografia(19 estudos) e Índice de Qualidade de sono de Pittsburgh (sete estudos).
Estudos que avaliaram o sono com polissonografia, relatou diferenças significativas entre pacientes com fibromialgia e indivíduos saudáveis com mais tempo acordado após o início do sono, tempo total de sono e eficiência do sono, entre outros parâmetros.
Estudos avaliando o sonho, com o índice de qualidade do sono de Pittsburgh, relatou diferenças significativas na pontuação geral, o período entre tentar dormir e início do sono e qualidade do sono entre os dois grupos participantes.
De acordo com esta análise, isso pode ser porque os pacientes com fibromialgia têm problemas para dormir, têm uma menor qualidade de sono e baixa eficiência do sono, vigília mais longa antes de adormecer, menor duração do sono e sono leve .
“Os ensaios clínicos têm demonstrado que a melhoria da qualidade do sono pode reduzir a dor em pacientes com fibromialgia , ” eles escreveram os pesquisadores.
“Portanto, os prestadores de cuidados primários devem ser informados sobre os resultados deste estudo e deve ser avaliado tomando a iniciativa, o risco de distúrbios do sono em pacientes com queixa de dor crônica generalizada, ou considerar o diagnóstico de fibromialgia esses pacientes.
Os médicos devem também tratar ativamente distúrbios do sono, especialmente quando a pequena pausa é identificado em pessoas com fibromialgia .
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