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ORIJINAL ARAŞTIRMA

Fibromiyalji Sendromlu Hastalarda Huzursuz Bacak Sendromu Sıklığı ve İlişkili Faktörler
Frequency of Restless Legs Syndrome in Patients with Fibromyalgia Syndrome and Related Factors
Received Date : 22 Feb 2022
Accepted Date : 12 May 2022
Available Online : 26 May 2022
Doi: 10.31609/jpmrs.2022-88680 - Makale Dili: TR
J PMR Sci. 2022;25(3):324-31
ÖZET
Amaç: Bu çalışmada, Fibromiyalji sendromu (FMS) tanılı hastalarda huzursuz bacak sendromu (HBS) görülme sıklığının ve HBS'nin, FMS hastalık şiddetine, ağrı skoruna, uyku kalitesine, hastanın anksiyete ve depresyon durumuna ve yaşam kalitesine olan etkilerinin saptanması amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya FMS tanısı almış 100 hasta dâhil edildi. Hastaların demografik özellikleri kaydedildi. Vizüel analog skala (VAS) ile ağrı şiddeti ve Fibromiyalji etki sorgulaması (FES) ile hastalık etki düzeyi belirlendi. Yaşam kalitesi Short Form-36 (SF-36) ile, anksiyete ve depresyon düzeyi Beck anksiyete ve depresyon ölçekleri ile ve uyku kalitesi Pittsburgh uyku kalitesi indeksi (PUKİ) ile değerlendirildi. Hastalar HBS açısından değerlendirildi ve HBS tanı kriterlerini karşılayanlara Uluslararası HBS çalışma grubu hastalık şiddet ölçeği uygulanarak hastalık şiddeti belirlendi. Bulgular: HBS görülme sıklığı %62 olarak saptandı. FMS hastalarında HBS’nin hastalık seyrine etkisini incelediğimizde FES skoru, PUKİ skoru, depresyon ve anksiyete puanları HBS olan grupta HBS olmayanlara kıyasla daha yüksek olsa da fark istatistiksel olarak anlamlı bulunmadı. Yaşam kalitesi açısından değerlendirildiğinde, fiziksel fonksiyon dışında istatistiksel anlamlı bir fark saptanmadı. Fiziksel fonksiyon HBS olmayan grupta belirgin daha iyi bulundu (p=0,033). Son olarak FMS’de HBS gelişiminin olası risk faktörlerini demografik özellikler açısından incelediğimizde HBS olan hasta grubunun yaş ortalamasının (46,4±10,1) HBS olmayan gruba göre (43±10,5) daha yüksek olduğunu saptadık, ancak fark istatistiksel olarak anlamlı değildi (p=0,065). Sonuç: FMS yaşam kalitesi, emosyonel durum ve uyku üzerinde olumsuz etkileri olan kronik bir hastalıktır. FMS ve HBS birlikteliği sık görülmekle beraber, FMS’ye HBS eşlik etmesi ağrı düzeyi, FMS şiddeti, uyku kalitesi ve depresyon üzerine ek bir olumsuz etki göstermemektedir.
ABSTRACT
Objective: The aim of this study was to determine the incidence of restless legs syndrome (RLS) in patients with Fibromyalgia syndrome (FMS) and to define RLS' effects on FMS disease severity, pain score, sleep quality, patient's anxiety and depression status and quality of life. Material and Methods: 100 patients diagnosed with FMS were included in the study. Demographic characteristics of the patients were recorded. The pain intensity was assessed with Visual analog scale (VAS) and the disease effect was assessed with Fibromyalgia Impact Questionnaire (FIQ). Quality of life was assessed with Short Form-36 (SF-36), sleep quality was assessed with the Pittsburgh sleep quality index (PSQI), and the anxiety and depression level was assessed with Beck anxiety and depression scales. Patients were evaluated in terms of RLS, and disease severity was determined by applying the International RLS Study Group Illness Severity Scale to those who met the diagnostic criteria for RLS. Results: The incidence of RLS was 62% in the FMS patients. When we examined the effect of RLS on the course of the disease in FMS patients, although the FES score, PUKI score, depression and anxiety scores were higher in the group with RLS compared to those without RLS, the difference was not statistically significant. When evaluated in terms of quality of life, no statistically significant difference was found except for physical function. Physical function was significantly better in the group without RLS (p=0.033). Finally, when we examined the possible risk factors for the development of RLS in FMS in terms of demographic characteristics, we found that the mean age of the patient group with RLS (46.4±10.1) was higher than the group without RLS (43±10.5), but the difference was not statistically significant (p=0,065). Conclusion: FMS is a chronic disease that has negative effects on quality of life, emotional state and sleep. Although the coexistence of FMS and RLS is common, the accompanying RLS does not have an additional negative effect on pain level, FMS severity, sleep quality and depression.
REFERENCES
  1. Siracusa R, Paola RD, Cuzzocrea S, et al. Fibromyalgia: pathogenesis, mechanisms, diagnosis and treatment options update. Int J Mol Sci. 2021;22:3891. [Crossref]  [PubMed]  [PMC] 
  2. Mezhov V, Guymer E, Littlejohn G. Central sensitivity and fibromyalgia. Intern Med J. 2021;51:1990-8. [Crossref]  [PubMed] 
  3. Allen RP, Picchietti DL, Garcia-Borreguero D, et al; International Restless Legs Syndrome Study Group. 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;15:860-73. [Crossref]  [PubMed] 
  4. Gonzalez-Latapi P, Malkani R. Update on restless legs syndrome: from mechanisms to treatment. Curr Neurol Neurosci Rep. 2019;19:54. [Crossref]  [PubMed] 
  5. Trenkwalder C, Allen R, Högl B, et al. Restless legs syndrome associated with major diseases: a systematic review and new concept. Neurology. 2016;86:1336-43. [Crossref]  [PubMed]  [PMC] 
  6. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int. 2000;20:9-12. [Crossref]  [PubMed] 
  7. Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976). 2000;25:3130-9. [Crossref]  [PubMed] 
  8. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213. [Crossref]  [PubMed] 
  9. Ağargün MY, Kara H, Anlar Ö. The Validity and Reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry. 1996;7:107-15. [Link] 
  10. Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S467-72. [Crossref]  [PubMed]  [PMC] 
  11. Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71. [Crossref]  [PubMed] 
  12. Walters AS, LeBrocq C, Dhar A, et al; International Restless Legs Syndrome Study Group. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med. 2003;4:121-32. [Crossref]  [PubMed] 
  13. Viola-Saltzman M, Watson NF, Bogart A, et al. High prevalence of restless legs syndrome among patients with fibromyalgia: a controlled cross-sectional study. J Clin Sleep Med. 2010;6:423-7. [Crossref]  [PubMed]  [PMC] 
  14. Yunus MB, Aldag JC. Restless legs syndrome and leg cramps in fibromyalgia syndrome: a controlled study. BMJ. 1996;312:1339. [Crossref]  [PubMed]  [PMC] 
  15. Zoppi M, Maresca M. Symptoms accompanying fibromyalgia. Reumatismo. 2008;60:217-20. [Crossref]  [PubMed] 
  16. Shaver JL, Wilbur J, Robinson FP, et al. Women's health issues with fibromyalgia syndrome. J Womens Health (Larchmt). 2006;15:1035-45. [Crossref]  [PubMed] 
  17. Stehlik R, Arvidsson L, Ulfberg J. Restless legs syndrome is common among female patients with fibromyalgia. Eur Neurol. 2009;61:107-11. [Crossref]  [PubMed] 
  18. Civelek GM, Ciftkaya PO, Karatas M. Evaluation of restless legs syndrome in fibromyalgia syndrome: an analysis of quality of sleep and life. J Back Musculoskelet Rehabil. 2014;27:537-44. [Crossref]  [PubMed] 
  19. Berger K, Luedemann J, Trenkwalder C, et al. Sex and the risk of restless legs syndrome in the general population. Arch Intern Med. 2004;164:196-202. [Crossref]  [PubMed] 
  20. Tavukcuoğlu Portakal G. (2011) Fibromiyalji sendromu ve huzursuz bacak sendromunun klinik birlikteliğinin değerlendirilmesi. (Yayımlanmamış uzmanlık tezi) Trakya üniversitesi Tıp fakültesi, Edirne.
  21. Sarberg M, Josefsson A, Wiréhn AB, et al. Restless legs syndrome during and after pregnancy and its relation to snoring. Acta Obstet Gynecol Scand. 2012;91:850-5. [Crossref]  [PubMed] 
  22. Yılmaz NH, Cantürk E, Düz ÖA, et al. The prevalence of fibromyalgia in patients with restless legs syndrome. Turk Noroloji Dergisi. 2016;22:161-6. [Crossref] 
  23. Winkelmann J, Prager M, Lieb R, et al. "Anxietas tibiarum". Depression and anxiety disorders in patients with restless legs syndrome. J Neurol. 2005;252:67-71. [Crossref]  [PubMed]