Расстройства сна у детей с ревматическими заболеваниями
Расстройства сна у детей с ревматическими заболеваниями
Кельмансон И.А. Расстройства сна у детей с ревматическими заболеваниями. Педиатрия. Consilium Medicum. 2021; 3: 285–291. DOI: 10.26442/26586630.2021.3.201074
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Kelmanson IA. Sleep disorders in children with rheumatic diseases. Pediatrics. Consilium Medicum. 2021; 3: 285–291. DOI: 10.26442/26586630.2021.3.201074
Расстройства сна у детей с ревматическими заболеваниями
Кельмансон И.А. Расстройства сна у детей с ревматическими заболеваниями. Педиатрия. Consilium Medicum. 2021; 3: 285–291. DOI: 10.26442/26586630.2021.3.201074
________________________________________________
Kelmanson IA. Sleep disorders in children with rheumatic diseases. Pediatrics. Consilium Medicum. 2021; 3: 285–291. DOI: 10.26442/26586630.2021.3.201074
Ревматические заболевания (РЗ) нередко диагностируются в детском возрасте. С ними часто ассоциированы расстройства сна у детей. Отмечается, что расстройства сна, обнаруживаемые при данном виде патологии, не являются исключительно эпифеноменами, связанными с хроническими заболеваниями, а входят в структуру клинических проявлений РЗ. Важную роль в формировании данной ассоциации играют специфические медиаторы воспаления, вовлеченные в патогенез различных РЗ, которые одновременно влияют на структуру сна и формирование его расстройств. Существуют как неспецифические, так и характерные варианты расстройств сна, выявляемые при некоторых важнейших клинических формах РЗ у детей, в частности при ювенильном ревматоидном (идиопатическом) артрите, системной красной волчанке, системной склеродермии, серонегативных спондилоартропатиях, фибромиалгии. Имеется взаимосвязь выраженности расстройств сна, активности РЗ, степени эмоциональных нарушений и болевой симптоматики у детей. Обосновываются подходы к коррекции расстройств сна у детей в контексте лечения РЗ.
Rheumatic diseases (RD) are often diagnosed in childhood. Sleep disorders are commonly associated with RD in children. It is stressed that sleep disorders found in this type of clinical pathology cannot be exceptionally considered as an epiphenomenon typical to any form of chronic disease; rather, sleep disorders should be regarded as a part of the clinical manifestations of RD. An important role in the origins of this association is played by specific inflammatory mediators involved in the pathogenesis of various RD, which simultaneously affect the structure of sleep and contribute to sleep disorders. There are both nonspecific and characteristic variants of sleep disorders detected in some leading clinical forms of RD in children, in particular in juvenile rheumatoid (idiopathic) arthritis, systemic lupus erythematosus, systemic scleroderma, seronegative spondyloarthropathies, fibromyalgia. There is a relationship between the severity of sleep disorders, the activity of RD, the degree of emotional disorders and pain symptoms in children. Approaches to the correction of sleep disorders in children in the context of the treatment of RD are substantiated.
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1. Knaack L, Janicki J. Rheumatologische Erkrankungen und Schlaf-Schlafmedizinische Aspekte der Diagnostik und Therapie-Eine literaturbasierte Übersicht. Laryngo-Rhino-Otologie. 2019;98(11):776-88.
2. Opp MR. Cytokines and sleep. Sleep Med Rev. 2005;9(5):355-64.
3. Imeri L, Opp MR. How (and why) the immune system makes us sleep. Nat Rev Neurosci. 2009;10(3):199-210.
4. Weinberger JF, Raison CL, Rye DB, et al. Inhibition of tumor necrosis factor improves sleep continuity in patients with treatment resistant depression and high inflammation. Brain Behav Immun. 2015;47:193-200.
5. Collado-Hidalgo A, Bower JE, Ganz PA, et al. Inflammatory biomarkers for persistent fatigue in breast cancer survivors. Clin Cancer Res. 2006;12(9):2759-66.
6. Louati K, Berenbaum F. Fatigue in chronic inflammation – a link to pain pathways. Arthritis Res Ther. 2015;17:254.
7. Davis CJ, Krueger JM. Sleep and cytokines. Sleep Med Clin. 2012;7(3):517-27.
8. Schäfers M, Sommer C, Geis C, et al. Selective stimulation of either tumor necrosis factor receptor differentially induces pain behavior in vivo and ectopic activity in sensory neurons in vitro. Neuroscience. 2008;157(2):414-23.
9. Khairova RA, Machado-Vieira R, Du J, Manji HK. A potential role for pro-inflammatory cytokines in regulating synaptic plasticity in major depressive disorder. Int J Neuropsychopharmacol. 2009;12(4):561-78.
10. Aletaha D, Landewe R, Karonitsch T, et al. Reporting disease activity in clinical trials of patients with rheumatoid arthritis: EULAR/ACR collaborative recommendations. Arthritis Care Res. 2008;59(10):1371-7.
11. Iaboni A, Gladman DD, Urowitz MB, Moldofsky H. Disordered sleep, sleepiness and depression in chronically tired patients with Systemic Lupus Erythematosis (SLE). Sleep. 2004;27:327-8.
12. Valencia‐Flores M, Resendiz M, Castãno VA, et al. Objective and subjective sleep disturbances in patients with systemic lupus erythematosus. Arthritis Rheum. 1999;42(10):2189-93.
13. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013;14(12):1539-52.
14. Irwin MR, Olmstead R, Carrillo C, et al. Sleep loss exacerbates fatigue, depression, and pain in rheumatoid arthritis. Sleep. 2012;35(4):537-43.
15. Valrie CR, Bromberg MH, Palermo T, Schanberg LE. A systematic review of sleep in pediatric pain populations. JDBP. 2013;34(2):120.
16. Lentz MJ, Landis CA, Rothermel J, Shaver JL. Effects of selective slow wave sleep disruption on musculoskeletal pain and fatigue in middle aged women. J Rheumatol. 1999;26(7):1586‑92.
17. Onen SH, Alloui A, Gross A, et al. The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. J Sleep Res. 2001;10(1):35-42.
18. Winfield JB. Psychological determinants of fibromyalgia and related syndromes. Curr Rev Pain. 2000;4(4):276-86.
19. Cakirbay H, Bilici M, Kavakci Ö, et al. Sleep quality and immune functions in rheumatoid arthritis patients with and without major depression. Int J Neurosci. 2004;114(2):245-56.
20. Steiger A. Neurochemical regulation of sleep. J Psychiatr Res. 2007;41(7):537-52.
21. Neeck G, Federlin K, Graef V, et al. Adrenal secretion of cortisol in patients with rheumatoid arthritis. J Rheumatol. 1990;17(1):24-9.
22. Crofford LJ, Kalogeras KT, Mastorakos G, et al. Circadian relationships between interleukin (IL)-6 and hypothalamic-pituitary-adrenal axis hormones: failure of IL-6 to cause sustained hypercortisolism in patients with early untreated rheumatoid arthritis. J Clin Endocrinol Metab. 1997;82(4):1279-83.
23. Mastorakos G, Ilias I. Relationship between interleukin-6 (IL-6) and hypothalamic-pituitary-adrenal axis hormones in rheumatoid arthritis. Z Rheumatol. 2000;59(2):II75-II9.
24. Meyer-Hermann M, Figge MT, Straub RH. Mathematical modeling of the circadian rhythm of key neuroendocrine-immune system players in rheumatoid arthritis: a systems biology approach. Arthritis Rheum. 2009;60(9):2585-94.
25. Krueger JM. The role of cytokines in sleep regulation. Curr Pharm Des. 2008;14(32):3408-16.
26. Kouri VP, Olkkonen J, Kaivosoja E, et al. Circadian timekeeping is disturbed in rheumatoid arthritis at molecular level. PLoS one. 2013;8(1):e54049.
27. Rao RT, Pierre KK, Schlesinger N, Androulakis IP. The potential of circadian realignment in rheumatoid arthritis. Crit Rev Biomed Eng. 2016;44(3):177-91.
28. Irwin MR, Carrillo C, Olmstead R. Sleep loss activates cellular markers of inflammation: sex differences. Brain Behav Immun. 2010;24(1):54-7.
29. Opp MR, Krueger JM. Sleep and Host Defense. In: Principles and practice of sleep medicine. Eds MH Kryger, T Roth, WC Dement. 6th ed. Philadelphia, PA: Elsevier, 2017; p. 193-201.
30. Irwin MR, Olmstead R, Carroll JE. Sleep disturbance, sleep duration, and inflammation: a systematic review and meta-analysis of cohort studies and experimental sleep deprivation. Biol Psychiatry. 2016;80(1):40-52.
31. Irwin MR, Wang M, Campomayor CO, et al. Sleep deprivation and activation of morning levels of cellular and genomic markers of inflammation. Arch Intern Med. 2006;166(16):1756-62.
32. Irwin MR. Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev Psychol. 2015;66:143-72.
33. Goes ACJ, Reis LAB, Silva MBG, et al. Rheumatoid arthritis and sleep quality. Rev Bras Reumatol Engl Ed. 2017;57(4):294-8.
34. Abad VC, Sarinas PSA, Guilleminault C. Sleep and rheumatologic disorders. Sleep Med Rev. 2008;12(3):211-28.
35. Løppenthin K, Esbensen BA, Jennum P, et al. Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis. Clin Rheumatol. 2015;34(12):2029-39.
36. Bjurstrom MF, Olmstead R, Irwin MR. Reciprocal relationship between sleep macrostructure and evening and morning cellular inflammation in rheumatoid arthritis. Psychosom Med. 2017;79(1):24-33.
37. Cairns AP, McVeigh JG. A systematic review of the effects of dynamic exercise in rheumatoid arthritis. Rheumatol Int. 2009;30(2):147-58.
38. Wolfe F, Michaud K, Li T. Sleep disturbance in patients with rheumatoid arthritis: evaluation by medical outcomes study and visual analog sleep scales. J Rheumatol. 2006;33(10):1942-51.
39. Drewes AM, Svendsen L, Taagholt SJ, et al. Sleep in rheumatoid arthritis: a comparison with healthy subjects and studies of sleep/wake interactions. Br J Rheumatol. 1998;37(1):71-81.
40. Bloom BJ, Owens JA, McGuinn M, et al. Sleep and its relationship to pain, dysfunction, and disease activity in juvenile rheumatoid arthritis. J Rheumatol. 2002;29(1):169-73.
41. Lopes MC, Guilleminault C, Rosa A, et al. Delta sleep instability in children with chronic arthritis. Braz J Med Biol Res. 2008;41(10):938-43.
42. Shyen S, Amine B, Rostom S, et al. Sleep and its relationship to pain, dysfunction, and disease activity in juvenile idiopathic arthritis. Clin Rheumatol. 2014;33(10):1425-31.
43. Twilt M, Schulten AJM, Nicolaas P, et al. Facioskeletal changes in children with juvenile idiopathic arthritis. Ann Rheum Dis. 2006;65(6):823-5.
44. Zamir G, Press J, Tal A, Tarasiuk A. Sleep fragmentation in children with juvenile rheumatoid arthritis. J Rheumatol. 1998;25(6):1191-7.
45. May KP, West SG, Baker MR, Everett DW. Sleep apnea in male patients with the fibromyalgia syndrome. Am J Med. 1993;94(5):505-8.
46. Shen TC, Hang LW, Liang SJ, et al. Risk of obstructive sleep apnoea in patients with rheumatoid arthritis: a nationwide population-based retrospective cohort study. BMJ Open. 2016;6(11):e013151.
47. Alamoudi O. Sleep-disordered breathing in patients with acquired retrognathia secondary to rheumatoid arthritis. Med Sci Monit. 2006;12(12):CR530-534.
48. Shoda N, Seichi A, Takeshita K, et al. Sleep apnea in rheumatoid arthritis patients with occipitocervical lesions: the prevalence and associated radiographic features. Eur Spine J. 2009;18(6):905-10.
49. Taylor-Gjevre RM, Gjevre JA, Skomro R, Nair B. Restless legs syndrome in a rheumatoid arthritis patient cohort. J Clin Rheumatol. 2009;15(1):12-5.
50. Allen RP, Picchietti DL, Garcia-Borreguero D, et al. Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria – history, rationale, description, and significance. Sleep Med. 2014;15(8):860-73.
51. Hultgren S, Broman J-E, Gudbjörnsson B, et al. Sleep disturbances in outpatients with ankylosing spondylitis – a questionnaire study with gender implications. Scand J Rheumatol. 2000;29(6):365-9.
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Авторы
И.А. Кельмансон*
ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России, Санкт-Петербург, Россия
СПб ГАОУ ВПО «Санкт-Петербургский государственный институт психологии и социальной работы», Санкт-Петербург, Россия
*iakelmanson@hotmail.com
________________________________________________
Igor A. Kelmanson*
Almazov National Medical Research Centre, Saint Petersburg, Russia
Saint Petersburg State Institute of Psychology and Social Work, Saint Petersburg, Russia
*iakelmanson@hotmail.com