Vasculitis & polymyalgia rheumatica

Active disease, fibromyalgia and exposure to glucocorticoids differentially associate with sleep and circadian parameters in Behçet’s syndrome

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Fibromyalgia and active disease shape partially diverging sleep and circadian rhythm disruption patterns in BS patients, with glucocorticoids potentially improving BS patients' sleep regularity by limiting disease activity-related sleep disruption.

Study context

Population
Patients with Behçet's syndrome (BS)
Participants
45 patients
Exposure
Active vs non-active disease; fibromyalgic vs non-fibromyalgic BS patients; GC exposure
Outcome
Sleep and circadian rhythm parameters (7-day accelerometry; Pittsburgh Sleep Quality Index; reduced Morningness-Eveningness Questionnaire)
Methodological details7-day accelerometric monitoring, linear regression models
  • 7-day accelerometric monitoring
  • Linear regression models

Main finding

As reported in the abstract

  • Active and fibromyalgic BS patients: lower reported sleep quality and lower objectively recorded sleep efficiency vs non-active and non-fibromyalgic, respectively
  • FM associated with shorter total sleep time and a more stable day-to-day rest-activity pattern
  • Active disease associated with reduced sleep regularity
  • GC exposure associated with increased sleep regularity

Observational data: associations, not effects.

Original publication

Active disease, fibromyalgia and exposure to glucocorticoids differentially associate with sleep and circadian parameters in Behçet’s syndrome. Rheumatology (Oxford). Published 14 March 2025. doi:10.1093/rheumatology/keaf148

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