The prevalence of sleep disorders among outpatients with chronic obstructive pulmonary disease treated at Bach Mai Hospital, 2024 - 2025
Main Article Content
Abstract
This cross-sectional study was conducted on 204 outpatients with chronic obstructive pulmonary disease treated at Bach Mai Hospital, from December 2024 to February 2025 to describe the characteristics of sleep disorders and analyze associated factors. The prevalence of sleep disorders in COPD patients was 67.6%, of which restless legs syndrome accounted for 28.4%, insomnia accounted for 25.5%, and sleep apnea syndrome accounted for 13.7%. The prevalence of sleep disorders among those with cough symptoms (OR = 9.3; 95% CI: 4.3 - 20.2), with dyspnea symptoms (OR = 4.1; 95% CI: 1.6 - 10.8), with phlegm symptoms (OR = 2.2; 95% CI: 1.0 - 4.7), and with a history of alcohol use (OR = 2.9; 95% CI: 1.3 - 6.5) was higher than in the other group. The results showed that sleep disorders were common mental disorders in patients with chronic obstructive pulmonary disease, of which insomnia and restless legs syndrome are the most common sleep disorders. Sleep disorders in this group of subjects are related to cough, dyspnea, phlegm and a history of alcohol consumption.
Article Details
Keywords
Sleep disorders, COPD, Insomnia, RLS, OSA
References
2. Gothi D. Sleep disorders in chronic obstructive pulmonary disease. Indian Journal of Sleep Medicine. 2015;10:11-21. doi:10.5005/IJSM-10-1-11
3. Du D, Zhang G, Xu D, et al. Prevalence and clinical characteristics of sleep disorders in chronic obstructive pulmonary disease: A systematic review and meta-analysis. Sleep Medicine. 2023;112:282-290. doi:10.1016/j.sleep.2023.10.034
4. Kim I, Kapella MC, Collins EG, et al. Sleep disturbance and next-day physical activity in COPD patients. Geriatr Nurs. 2020;41(6):872-877. doi:10.1016/j.gerinurse.2020.06.010
5. Agustiyaningsih T, Harini R, Setyowati L. Factors Affecting the Quality of Sleep in Patients with Chronic Obstructive Pulmonary Disease (COPD). Formosa Journal of Science and Technology. 2023;2(4):1105-1114. doi:10.55927/fjst.v2i4.3508
6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Fifth Edition. Arglington, VA, American Psychiatric Association; 2013.
7. Ngoc TM, Nguyen ND, Lam PK, et al. Validity of the Vietnamese Version of the Pittsburgh Sleep Quality Index (V-PSQI). Vietnam Journal of Preventive Medicine. 2017;27(4):50-56. doi:10.5281/zenodo.13879050
8. Duong K d, Le V t, Nguyen V n, et al. Translation and Validation of Vietnamese Version of STOP-Bang Questionnaire. In: B65. SRN: Diagnosis And Monitoring Of Sleep And Sleep Disorders. American Thoracic Society International Conference Abstracts. American Thoracic Society; 2019:A3882-A3882. doi:10.1164/ajrccm-conference.2019.199.1_MeetingAbstracts.A3882
9. Amiri S. Body mass index and sleep disturbances: a systematic review and meta-analysis. Postep Psychiatr Neurol. 2023;32(2):96-109. doi:10.5114/ppn.2023.129067
10. Morena D, Izquierdo JL, Rodríguez J, et al. The Clinical Profile of Patients with COPD Is Conditioned by Age. J Clin Med. 2023;12(24):7595. doi:10.3390/jcm12247595
11. Phan TT, Vu GV, Ngo CQ. Management of Chronic Obstructive Pulmonary Disease in Vietnam during the COVID-19 Period: Current Situation and Challenges. Tuberc Respir Dis. 2025;88(2):322-333. doi:10.4046/trd.2024.0140
12. Hogan D, Lan LTT, Diep DTN, et al. Nutritional status of Vietnamese outpatients with chronic obstructive pulmonary disease. J Human Nutrition Diet. 2017;30(1):83-89. doi:10.1111/jhn.12402
13. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-163. doi:10.1016/S0140-6736(03)15268-3
14. Budhiraja R, Siddiqi TA, Quan SF. Sleep Disorders in Chronic Obstructive Pulmonary Disease: Etiology, Impact, and Management. J Clin Sleep Med. 2015;11(3):259-270. doi:10.5664/jcsm.4540
15. McNicholas WT, Verbraecken J, Marin JM. Sleep disorders in COPD: the forgotten dimension. European Respiratory Review. 2013;22(129):365-375. doi:10.1183/09059180.00003213
16. Stege G, Vos PJE, van den Elshout FJJ, et al. Sleep, hypnotics and chronic obstructive pulmonary disease. Respiratory Medicine. 2008;102(6):801-814. doi:10.1016/j.rmed.2007.12.026
17. Holmedahl NH, Øverland B, Fondenes O, et al. Alcohol at bedtime induces minor changes in sleep stages and blood gases in stable chronic obstructive pulmonary disease. Sleep Breath. 2015;19(1):307-314. doi:10.1007/s11325-014-1020-y