Effect of COVID-19 home confinement on sleep monitorization and cardiac autonomic function in people with multiple sclerosis: A prospective cohort study

Low sleep quality, cardiac autonomic dysfunction and poor quality of life are some of the most prevalent symptoms in people with Multiple Sclerosis (MS). In addition to the progression of the disease, these symptoms are aggravated by physical inactivity. Therefore, home confinement due to COVID-19 p...

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Bibliographic Details
Published in:Physiology & behavior 2021-08, Vol.237, p.113392-113392, Article 113392
Main Authors: Andreu-Caravaca, Luis, Ramos-Campo, Domingo, Manonelles, Pedro, Abellán-Aynés, Oriol, Chung, Linda H., Rubio-Arias, Jacobo Á
Format: Article
Language:English
Subjects:
Adult
Cardiovascular
COVID-19
Exercise
Female
Heart rate variability
Humans
Lockdown
Male
Middle Aged
Multiple Sclerosis - complications
Pandemics
Prospective Studies
Quality of Life
SARS-CoV-2
Sedentarism
Sleep
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Summary:Low sleep quality, cardiac autonomic dysfunction and poor quality of life are some of the most prevalent symptoms in people with Multiple Sclerosis (MS). In addition to the progression of the disease, these symptoms are aggravated by physical inactivity. Therefore, home confinement due to COVID-19 pandemic restrictions could further worsen these symptoms. This study aims to analyze the effect of home confinement on objective and subjective sleep quality, cardiac autonomic control based on heart rate variability (HRV), and health-related quality of life in people with MS. Actigraphic and subjective sleep quality (Karolinska Sleep Diary, KSD), HRV (Polar-H7), and quality of life (Multiple Sclerosis Quality of Life-54) were measured before and after 2 months of home confinement in 17 people with MS (7:10 men/women; age: 43.41±10.88 years; body mass index: 24.87±3.31 kg/m2; Expanded Disability Status Scale: 2.85±1.34 a.u.). Actigraphic sleep quality (sleep efficiency: ES=1.27, p = 0.01, sleep time: ES=0.81, p = 0.01) and subjective sleep quality (sleep quality: ES=-0.34, p = 0.05), sleep comfort: ES=0.60; p = 0.03, ease of falling asleep: ES=0.70; p = 0.01, ease of waking up: ES=0.87, p
ISSN:0031-9384
1873-507X
DOI:10.1016/j.physbeh.2021.113392