Amaç: Çalışmanın amacı, fibromiyaljili bireylerin yaşa bağlı kavrama kuvvetinin, uyku kalitesinin ve depresyonun incelenmesi ve sağlıklı bireyler ile karşılaştırılmasıdır. Gereç ve Yöntemler: Çalışmaya, yaş ortalaması 50,02±8,09 yıl olan 81 fibromiyalji sendrom (FMS)lu kadın ile yaş ortalaması 48,91±10,36 yıl olan 81 sağlıklı kadın dâhil edildi. Kadınlar, yaş grubuna göre 3'e ayrıldı. Yirmi altı-45 yaş aralığındakiler Grup 1, 46-55 yaş aralığındakiler Grup 2, 56-65 yaş aralığındakiler Grup 3 olarak kabul edildi ve gruplar birbiriyle karşılaştırıldı. Kavrama kuvvetini değerlendirmek için el dinamometresi, uyku kalitesini değerlendirmek için Pittsburg Uyku Kalite İndeksi, depresyonu değerlendirmek için Beck Depresyon Ölçeği kullanıldı. Bulgular: FMS'li kadınlar, sağlıklı kadınlar ile karşılaştırıldığında kavrama kuvveti açısından tüm yaş grupları için hem sağ hem sol kavrama kuvvetinde, sağlıklı kadınlar lehine anlamlı farklılık bulundu (p=0,00). Kadınlar, depresyon ve uyku kalitesi açısından karşılaştırıldığında ise Grup 2'de, depresyon parametresi haricinde (p=0,22) tüm parametrelerde sağlıklı kadınlar lehine anlamlı farklılık bulundu (p=0,00-0,02). Sonuç: Çalışmamızın sonuçlarına göre FMS'li kadınlarda kavrama kuvvetinin, yaşla birlikte azaldığı görüldü. Ayrıca FMS'li kadınların, yaşa bağlı depresyon ve uyku kalitesinin değişmediği ama sağlıklı kadınlara göre daha fazla depresyona sahip olduğu ve uyku kalitesinin bozulduğu bulundu. Bu bireylerde kavrama kuvvetindeki azalma nedeniyle kavrama kuvvetinin, rutin değerlendirme yöntemleri arasında yer almasını önermekteyiz.
Anahtar Kelimeler: Fibromiyalji; depresyon; el gücü; uyku
Objective: The aim of the study was to investigation the hand strength, sleep quality and depression of individuals with fibromyalgia depending on age and to compare them with healthy individuals. Material and Methods: The study included 81 women with fibromyalgia syndrome (FMS) with an average age of 50.02 ± 8.09 years and 81 healthy women with an average age of 48.91±10.36 years. Women were divided into 3 according to age group. The 26-45 age group was considered as Group 1, the 46-55 age group as Group 2, and the 56-65 age group as Group 3, and the groups were compared with each other. Hand dynamometer was used to evaluate hand strength, Pittsburg Sleep Quality Index to evaluate sleep quality, and Beck Depression Scale to evaluate depression. Results: When women with FMS were compared with healthy women, a significant difference was found in favor of healthy women in both right and left hand strength for all age groups in terms of hand strength (p=0.00). When women were compared in terms of depression and sleep quality, a significant difference was found in favor of healthy women in all parameters (p=0.00- 0.02) except the depression parameter (p=0.22) in Group 2. Conclusion: According to the results of our study, it was observed that the hand strength decreased with age oin women with FMS. It was also found that depression and sleep quality did not change in women with FMS acoording to age, but had more depression and impaired sleep quality than healthy women. Due to the decrease in hand strength in these individuals, we recommend that the hand strength should be among the routine evaluation methods.
Keywords: Fibromyalgia; depression; hand strength; sleep
- Çağlıyan Türk A. [Old and new criteria for the diagnosis of fibromyalgia: comparison and evaluation]. Ankara Med J. 2019;19(1):83-95. [Link]
- Bennett RM, Friend R, Marcus D, Bernstein C, Han BK, Yachoui R, et al. Criteria for the diagnosis of fibromyalgia: validation of the modified 2010 preliminary American College of Rheumatology criteria and the development of alternative criteria. Arthritis Care Res (Hoboken). 2014;66(9):1364-73. Erratum in: Arthritis Care Res (Hoboken). 2014;66(10):1596. [Crossref] [PubMed]
- Cronan TA, Serber ER, Walen HR, Jaffe M. The influence of age on fibromyalgia symptoms. J Aging Health. 2002;14(3):370-84. [Crossref] [PubMed]
- Mannerkorpi K, Burckhardt CS, Bjelle A. Physical performance characteristics of women with fibromyalgia. Arthritis Care Res. 1994;7(3):123-9. [Crossref] [PubMed]
- Umay E, Gundogdu I, Ozturk EA. What happens to muscles in fibromyalgia syndrome. Ir J Med Sci. 2020;189(2):749-56. [Crossref] [PubMed]
- Koca I, Savas E, Ozturk ZA, Boyaci A, Tutoglu A, Alkan S, et al. The evaluation in terms of sarcopenia of patients with fibromyalgia syndrome. Wien Klin Wochenschr. 2016;128(21-22):816-21. [Crossref] [PubMed]
- Bann D, Hire D, Manini T, Cooper R, Botoseneanu A, McDermott MM, et al; LIFE Study Group. Light intensity physical activity and sedentary behavior in relation to body mass index and grip strength in older adults: cross-sectional findings from the Lifestyle Interventions and Independence for Elders (LIFE) study. PLoS One. 2015;3;10(2):e0116058. Erratum in: PLoS One. 2015;10(4):e0126063. [Crossref] [PubMed] [PMC]
- Nevill AM, Holder RL. Modelling handgrip strength in the presence of confounding variables: results from the Allied Dunbar National Fitness Survey. Ergonomics. 2000;43(10):1547-58. [Crossref] [PubMed]
- Köklü K, Sarigül M, Özişler Z, Şirzai H, Özel S. Handgrip strength in fibromyalgia. Arch Rheumatol. 2015;26;31(2):158-61. [Crossref] [PubMed] [PMC]
- Panton LB, Kingsley JD, Toole T, Cress ME, Abboud G, Sirithienthad P, et al. A comparison of physical functional performance and strength in women with fibromyalgia, age- and weight-matched controls, and older women who are healthy. Phys Ther. 2006;86(11):1479-88. [Crossref] [PubMed]
- McBeth J, Silman AJ. The role of psychiatric disorders in fibromyalgia. Curr Rheumatol Rep. 2001;3(2):157-64. [Crossref] [PubMed]
- Epstein SA, Kay G, Clauw D, Heaton R, Klein D, Krupp L, et al. Psychiatric disorders in patients with fibromyalgia. A multicenter investigation. Psychosomatics. 1999;40(1):57-63. [Crossref] [PubMed]
- Andrade A, Vilarino GT, Sieczkowska SM, Coimbra DR, Bevilacqua GG, Steffens RAK, et al. The relationship between sleep quality and fibromyalgia symptoms. J Health Psychol. 2020;25(9):1176-86. [Crossref] [PubMed]
- Singh G, Kaul S. Anxiety and depression are common in fibromyalgia patients and correlate with symptom severity score. Indian J Rheumatol. 2018;13(3):168-72. [Crossref]
- Robinson RL, Kroenke K, Williams DA, Mease P, Chen Y, Faries D, et al. Longitudinal observation of treatment patterns and outcomes for patients with fibromyalgia: 12-month findings from the reflections study. Pain Med. 2013;14(9):1400-15. [Crossref] [PubMed]
- Wolfe F, Cathey MA. The epidemiology of tender points: a prospective study of 1520 patients. J Rheumatol. 1985;12(6):1164-8. [PubMed]
- Buskila D, Neumann L, Alhoashle A, Abu-Shakra M. Fibromyalgia syndrome in men. Semin Arthritis Rheum. 2000;30(1):47-51. [Crossref] [PubMed]
- Häuser W, Brähler E, Ablin J, Wolfe F. 2016 modified American College of Rheumatology fibromyalgia criteria, ACTTION-APS Pain Taxonomy criteria and the prevalence of fibromyalgia. Arthritis Care Res (Hoboken). 2020:5. [PubMed]
- Cobankara V, Unal UO, Kaya A, Bozkurt AI, Ozturk MA. The prevalence of fibromyalgia among textile workers in the city of Denizli in Turkey. Int J Rheum Dis. 2011;14(4):390-4. [Crossref] [PubMed]
- Gezer HH, Karaahmet ÖZ, Erdoğdu D, Gürçay E, Acer S, Çakcı A, et al. [The exercise tolerance test in stroke patients and the evaluation of influencing factors]. Turk J Phys Med Rehab. 2017;63(1):50-8. [Crossref]
- Haidar SG, Kumar D, Bassi RS, Deshmukh SC. Average versus maximum grip strength: which is more consistent? J Hand Surg Br. 2004;29(1):82-4. [Crossref] [PubMed]
- Ağargün MY, Kara H, Anlar Ö. [The validity and reliability of the pittsburgh sleep quality index]. Türk Psikiyatri Dergisi. 1996;7(2):107-15. [Link]
- Hisli N. [A study on the validity of Beck Depression Inventory]. J Psychol. 1988;6:118-22. [Link]
- Maquet D, Croisier JL, Renard C, Crielaard JM. Muscle performance in patients with fibromyalgia. Joint Bone Spine. 2002;69(3):293-9. [Crossref] [PubMed]
- Borman P, Celiker R, Hasçelik Z. Muscle performance in fibromyalgia syndrome. Rheumatol Int. 1999;19(1-2):27-30. [Crossref] [PubMed]
- Sallı A, Yılmaz H, Kocabaş H, Uğurlu H. [Relationship between handgrip strength and ısokinetic shoulder abduction-adduction muscle strength in primer fibromyalgia]. Arch Rheumatol. 2008;23(1):5-8. [Link]
- Sahin G, Ulubaş B, Calikoğlu M, Erdoğan C. Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: is there any relationship? South Med J. 2004;97(1):25-9. [Crossref] [PubMed]
- Frederiksen H, Hjelmborg J, Mortensen J, McGue M, Vaupel JW, Christensen K, et al. Age trajectories of grip strength: cross-sectional and longitudinal data among 8,342 danes aged 46 to 102. Ann Epidemiol. 2006;16(7):554-62. [Crossref] [PubMed]
- Güleç H, Sayar K, Yazıcı Güleç M. [The relationship between psychological factors and health care-seeking behavior in fibromyalgia patients]. Türk Psikiyatri Dergisi. 2007;18(1):22-30. [Link]
- Gowin KM. Diffuse pain syndromes in the elderly. Rheum Dis Clin North Am. 2000;26(3):673-82. [Crossref] [PubMed]
- Avis NE, Brambilla D, McKinlay SM, Vass K. A longitudinal analysis of the association between menopause and depression. Results from the Massachusetts Women's Health Study. Ann Epidemiol. 1994;4(3):214-20. [Crossref] [PubMed]
- Rizzi M, Sarzi-Puttini P, Atzeni F, Capsoni F, Andreoli A, Pecis M, et al. Cyclic alternating pattern: a new marker of sleep alteration in patients with fibromyalgia? J Rheumatol. 2004;31(6):1193-9. [PubMed]
- Bigatti SM, Hernandez AM, Cronan TA, Rand KL. Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Arthritis Rheum. 2008;15;59(7):961-7. [Crossref] [PubMed] [PMC]
- Munguía-Izquierdo D, Legaz-Arrese A. Determinants of sleep quality in middle-aged women with fibromyalgia syndrome. J Sleep Res. 2012;21(1):73-9. [Crossref] [PubMed]
- Diaz-Piedra C, Catena A, Sánchez AI, Miró E, Martínez MP, Buela-Casal G, et al. Sleep disturbances in fibromyalgia syndrome: the role of clinical and polysomnographic variables explaining poor sleep quality in patients. Sleep Med. 2015;16(8):917-25. [Crossref] [PubMed]
.: Process List