Restless legs syndrome in Multiple Sclerosis patients: a contributing factor for fatigue, impaired functional capacity, and diminished health-related quality of life

Giannaki, C. D.; Aristotelous, P.; Stefanakis, M.; Hadjigeorgiou, G. M.; Manconi, Mauro; Leonidou, E.; Sakkas, G. K.; Pantzaris, M. (2018). Restless legs syndrome in Multiple Sclerosis patients: a contributing factor for fatigue, impaired functional capacity, and diminished health-related quality of life. Neurological research, 40(7), pp. 588-594. Taylor & Francis 10.1080/01616412.2018.1454719

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Objectives Restless legs syndrome (RLS) symptoms are common in Multiple Sclerosis (MS) patients. The aim of the current study was to examine for the first time whether RLS could affect the functional capacity and various contributing parameters related to quality of life and fatigue in MS patients. Methods According to their RLS status, 50 relapsing-remitting MS patients were divided into the RLS (n = 10) and non-RLS groups (n = 40). Specific questionnaires were used in order to assess the health-related quality of life (HRQoL), fatigue levels, sleep quality, daily sleepiness, and depression symptoms of the patients. Functional capacity was examined using a battery of functional tests. Total body and visceral fat levels were assessed via bioelectrical impedance analyzers. Results Sleep quality, depression, fatigue, and HRQoL levels were found to be significantly worse in the patients with RLS compared to their free-RLS counterparts (P < 0.05). In addition, patients with RLS were found to exhibit further impairments in their performance in various functional tests related mainly with strength levels of lower extremities (P < 0.05). Finally, the patients with RLS were found to have significantly higher both total and trunk fat levels compared to patients without RLS (P < 0.05). A strong correlation was observed between the severity of RLS symptoms, sleep quality, fatigue, and QoL levels. Discussion It seems that RLS contributes even further to impairments on sleep quality, fatigue, functional capacity, and therefore HRQoL levels in relapsing-remitting MS patients, whilst for the first time a link between high fat levels has been revealed.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Manconi, Mauro

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0161-6412

Publisher:

Taylor & Francis

Language:

English

Submitter:

Panagiota Milona

Date Deposited:

28 Mar 2019 07:08

Last Modified:

28 Mar 2019 07:08

Publisher DOI:

10.1080/01616412.2018.1454719

PubMed ID:

29577828

Uncontrolled Keywords:

Adolescent Adult Aged Anthropometry Body Composition Depression/*etiology Disability Evaluation Fatigue/*etiology Female Humans Linear Models Male Middle Aged Multiple Sclerosis/*complications Quality of Life/*psychology Restless Legs Syndrome/*etiology/*psychology Severity of Illness Index Statistics, Nonparametric Surveys and Questionnaires Young Adult Sleep body fat depression functional capacity

URI:

https://boris.unibe.ch/id/eprint/124686

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