title: Effects of esomeprazole on sleep in patients with gastroesophageal reflux disease as assessed on actigraphy.
abstract: OBJECTIVE
  Gastroesophageal reflux disease (GERD) is strongly associated with sleep disturbances. Although treatment with proton pump inhibitors (PPIs) helps to improve GERD symptoms and subjective sleep parameters, the effects of PPI therapy on objective sleep parameters are conflicting. The aim of this study was to examine the effects of esomeprazole treatment on GERD symptoms and sleep parameters assessed using actigraphs and questionnaires.
  
  
  METHODS
  Thirteen patients with GERD received 20 mg of esomeprazole once daily for two weeks. The patients wore actigraphs from three days before the initiation of PPI treatment to the end of therapy. They were also asked to answer the following self-reported questionnaires: Frequency Scale for the Symptoms of GERD (FSSG), Pittsburg Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Objective sleep parameters were evaluated using actigraphy.
  
  
  RESULTS
  Treatment with esomeprazole significantly decreased the total FSSG score, including the scores for reflux and dysmotility, as well as the ESS score, although it had no effect on the PSQI score. After the second week of treatment, esomeprazole significantly decreased the wake time (from 47.5±39.6 min to 36.0±27.1 min) and sleep latency period (from 19.5±19.8 min to 9.9±10.2 min) and increased the percentage of sleep time (from 89.1±8.8% to 91.9±6.3%); however, improvements were not noted in all objective parameters.
  
  
  CONCLUSIONS
  Esomeprazole treatment significantly improves various objective sleep parameters in Japanese patients with GERD. Further placebo-controlled randomized trials are needed to obtain detailed results.
authors: Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan.
authors: Keiko
authors: K
authors: Hiramoto
authors: Yasuhiro
authors: Y
authors: Fujiwara
authors: Masahiro
authors: M
authors: Ochi
authors: Masatsugu
authors: M
authors: Okuyama
authors: Tetsuya
authors: T
authors: Tanigawa
authors: Hirokazu
authors: H
authors: Yamagami
authors: Masatsugu
authors: M
authors: Shiba
authors: Kenji
authors: K
authors: Watanabe
authors: Toshio
authors: T
authors: Watanabe
authors: Kazunari
authors: K
authors: Tominaga
authors: Tetsuo
authors: T
authors: Arakawa
mesh_terms: D056044:Actigraphy; D000328:Adult; D000368:Aged; D044466:Asian People; D064098:Esomeprazole / Q000627:therapeutic use*; D005260:Female; D005764:Gastroesophageal Reflux / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use*; D012890:Sleep / Q000187:drug effects*; D012893:Sleep Wake Disorders / Q000188:drug therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D054328:Proton Pump Inhibitors; D064098:Esomeprazole