ArticleThe Journal of rheumatology2020
Sleep Quality Is Related to Worsening Knee Pain in Those with Widespread Pain: The Multicenter Osteoarthritis Study.
Article in The Journal of rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Psychosocial factors associated with physical activity, weight management, and sleep in adults with hip and knee osteoarthritis: a systematic review.BMC rheumatology · 2025Pooled it
- Insomnia and progression to total joint replacement in hip (41 737) and knee pain (81 958): a prospective UK biobank cohort study.RMD open · 2026Article
- Perioperative sleep disturbances in total knee arthroplasty: incidence, mechanisms, and management strategies.Journal of orthopaedic surgery and research · 2025Review
- Are Sleep Quality, Daytime Sleepiness, and Depression Associated with Knee Pain? A Cross-Sectional Study in Older Adults.Sleep science (Sao Paulo, Brazil) · 2025Article
- An unsupervised online Tai Chi program for people with knee osteoarthritis ("My Joint Tai Chi"): Study protocol for the RETREAT randomised controlled trial.Osteoarthritis and cartilage open · 2024Article
- Article
- Maternal Childhood Adversity and Infant Epigenetic Aging: Moderation by Restless Sleep During Pregnancy.Developmental psychobiology · 2024Article
- Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study.Scientific reports · 2023Article
- Arabic version of the intermittent and constant osteoarthritis pain questionnaire (ICOAP-Ar): translation, cross-cultural adaptation, and measurement properties.BMC musculoskeletal disorders · 2023Article
- Prevalence and factors associated with knee osteoarthritis among middle-aged and elderly individuals in rural Tianjin: a population-based cross-sectional study.Journal of orthopaedic surgery and research · 2023Article
- Osteoarthritis is positively associated with self-reported sleep trouble in older adults.Aging clinical and experimental research · 2022Article
- Does osteoarthritis modify the association between NSAID use and risk of comorbidities and adverse events?Osteoarthritis and cartilage open · 2022Article
- Sleep Disturbance and Its Association with Pain Severity and Multisite Pain: A Prospective 10.7-Year Study.Pain and therapy · 2020Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveWe examined the association between sleep and odds of developing knee pain, and whether this relationship varied by status of widespread pain (WSP).
methodsAt the 60-month visit of the Multicenter Osteoarthritis Study, sleep quality and restless sleep were each assessed by using a single item from 2 validated questionnaires. Each sleep measure was categorized into 3 levels, with poor/most restless sleep as the reference. WSP was defined as pain above and below the waist on both sides of the body and axially using a standard homunculus, based on the American College of Rheumatology criteria. Outcomes from 60-84 months included (1) knee pain worsening (KPW; defined as minimal clinically important difference in WOMAC pain), (2) prevalent, and (3) incident consistent frequent knee pain. We applied generalized estimating equations in multivariable logistic regression models.
resultsWe studied 2329 participants (4658 knees; 67.9 yrs, body mass index 30.9]. We found that WSP modified the relationship between sleep quality and KPW (p = 0.002 for interaction). Among persons with WSP, OR (95% CI) for KPW was 0.53 (0.35-0.78) for those with very good sleep quality (p trend < 0.001); additionally, we found the strongest association of sleep quality in persons with > 8 painful joint sites (p trend < 0.01), but not in those with ≤ 2 painful joint sites. Similar results were observed using restless sleep, in the presence of WSP. The cross-sectional relationship between sleep and prevalence of consistent frequent knee pain was significant.
conclusionBetter sleep was related to less KPW with coexisting widespread pain.
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