Sjögren's disease & overlap diseases

Exploring sleep health and circadian rhythm disruption in Sjögren’s disease: an accelerometric and self-reported cross-sectional study

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

SjD is associated with impaired sleep health and rest-activity rhythms.

Study context

Population
Patients with Sjögren's Disease (SjD) and age-, sex- and BMI-matched healthy controls (HCs)matched
Participants
46 vs 40
Exposure
SjD patients vs age-, sex- and BMI-matched HCs
  • SjDn = 46
  • HCsn = 40reference
Outcome
Sleep health and rest-activity parameters (7-day accelerometry, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, reduced Morningness-Eveningness Questionnaire; multidimensional sleep health index)
Methodological detailsaccelerometric and self-reported, age-, sex- and BMI-matched controls, functional linear modelling, regression analysis
  • Accelerometric and self-reported
  • Age-, sex- and BMI-matched controls
  • Functional linear modelling
  • Regression analysis

Main finding

As reported in the abstract

  • Functional linear modelling confirmed the objective shift towards eveningness in SjD patients
  • SjD vs HCs: P = 0.005
  • SjD vs HCs: P = 0.009
  • SjD vs HCs: P = 0.033

Observational data: associations, not effects.

Further findings

Predictors of sleep and rest-activity parameters within SjD (regression)

Patient-reported disease burden → sleep quality, β
0.41; P = 0.044
Patient-reported disease burden → sleepiness, β
0.83; P = 0.010
Disease activity → daily steps, β
−526; P = 0.013
Disease activity → total sleep time, β
0.15; P = 0.0496
Disease activity → sleep regularity, β
−1.3; P = 0.030
Hospital Anxiety and Depression Scale (HADS) → daily steps, β
−238; P = 0.041
HADS → total sleep time, β
−0.08; P = 0.035
HADS → sleep efficiency, β
−0.65; P = 0.012

Original publication

Exploring sleep health and circadian rhythm disruption in Sjögren’s disease: an accelerometric and self-reported cross-sectional study. Rheumatology (Oxford). Published 21 March 2026. doi:10.1093/rheumatology/keag134

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