Abstract
Aberrant circadian rest/activity rhythms (RARs) may promote poor aging-related health outcomes. Osteoarthritis and chronic insomnia are common age-related conditions, but the circadian RARs of each group have not been well characterized or compared. We evaluated actigraphic RARs in individuals with: (1) knee osteoarthritis (KOA) only; (2) chronic insomnia only; (3) KOA + insomnia; and (4) pain-free good sleepers. Compared to participants with KOA only, those with KOA + insomnia had less robust RARs. There were no differences between other groups. Further research is needed to evaluate whether aberrant RARs contribute to arthritis symptoms and insomnia in KOA, and whether strengthening RARs ameliorates arthritis symptoms.
Declaration of interest
This research was supported by the National Institute of Arthritis and Musculoskeletal and Skin Disease (NIAMS) grants 5R01AR054871 and 5R01AR059410.
Dr. Adam Spira is supported by a Mentored Research Scientist Development Award (1K01AG033195) from the National Institute on Aging.
Dr. Runko is employed by the Johns Hopkins Center for Sleep, Columbia, MD and The Ross Center for Anxiety and Related Disorders in Washington, DC.
Mr. Kaufmann is supported by an Individual National Research Service Award (F31AG044052) from the National Institute on Aging.
Dr. Lianqi Liu is supported by an NIH grant R21 CA158954-01A1.
Dr. Ancoli-Israel is a consultant for Acadia, Actelion, Arena, Astra Zeneca, Merck, NeuroVigil, Inc., Otsuka.
Dr. Michael Smith holds an equity stake in BMED Technologies, which develops self-help materials for behavioral disorders, including insomnia. Potential conflicts related to this interest are managed by the Johns Hopkins University Conflict of Interest Office.
Data from this study were presented at the 2012 meeting of the Associated Professional Sleep Societies, Boston, MA.