PMID- 34115015 OWN - NLM STAT- MEDLINE DCOM- 20210622 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 23 DP - 2021 Jun 11 TI - Effects of pain on depression, sleep, exercise tolerance, and quality of life in patients with nontuberculous mycobacterial pulmonary disease. PG - e26249 LID - 10.1097/MD.0000000000026249 [doi] LID - e26249 AB - The experience and causes of pain in patients with nontuberculous mycobacterial pulmonary disease (NTM-PD) have not been clarified.This study aimed to determine the prevalence and severity of bodily pain (BP) in patients with NTM-PD. We also investigated the clinical indicators that contribute to pain.We used a retrospective cross-sectional study design. The participants were 114 NTM-PD patients (109 women) with a mean age of 65 years. The prevalence and severity of pain were measured using 2 items from the 36-Item Short Form Survey version 2 (SF-36), and the BP score was calculated. Functional limitation due to dyspnea was quantified using the Modified Medical Research Council Dyspnea Scale (mMRC), depression was assessed using the Center for Epidemiological Studies Depression Scale (CES-D), sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI); health-related quality of life was assessed using the Leicester Cough Questionnaire (LCQ), and exercise tolerance was measured using the Incremental Shuttle Walk Test (ISWT).Pain was reported by 70.2% of the patients (n = 80), and of these, 35.7% (n = 25) reported moderate to very severe pain. NTM-PD patients with high levels of pain had significantly higher scores on the mMRC, CES-D, and PSQI scores, and significantly lower performance on the ISWT and LCQ. Multiple regression analysis identified ISWT, CES-D, and PSQI as independent factors that affected BP scores.Our findings suggest that pain significantly impacts daily life associated with reduced exercise tolerance, the presence of depressive symptoms, and poor sleep quality in patients with NTM-PD. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Mori, Kosuke AU - Mori K AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Tabusadani, Mitsuru AU - Tabusadani M AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Yamane, Kazumasa AU - Yamane K AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Takao, Satoshi AU - Takao S AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Kuroyama, Yuki AU - Kuroyama Y AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Matsumura, Yusuke AU - Matsumura Y AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Ono, Kazuki AU - Ono K AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Kawahara, Kazuma AU - Kawahara K AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Omatsu, Shunya AU - Omatsu S AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. FAU - Fujiwara, Keiji AU - Fujiwara K AD - Respiratory Diseases Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo. FAU - Furuuchi, Koji AU - Furuuchi K AD - Respiratory Diseases Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo. AD - Department of Basic Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. FAU - Morimoto, Kozo AU - Morimoto K AD - Respiratory Diseases Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo. AD - Division of Clinical Research, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan. FAU - Kimura, Hiroshi AU - Kimura H AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. AD - Respiratory Diseases Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo. FAU - Senjyu, Hideaki AU - Senjyu H AUID- ORCID: 0000-0003-0489-8615 AD - Department of Clinical Mycobacteriology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki. AD - Respiratory Care and Rehabilitation Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association. LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Aged MH - Cross-Sectional Studies MH - Depression/epidemiology/etiology/*psychology MH - Exercise Tolerance/*physiology MH - Female MH - Humans MH - Japan/epidemiology MH - Male MH - Middle Aged MH - Mycobacterium/pathogenicity MH - Pain/*complications/epidemiology/psychology MH - Pain Measurement/methods MH - Prevalence MH - Psychometrics/instrumentation/methods MH - Quality of Life/psychology MH - Respiratory Tract Diseases/*complications/epidemiology/physiopathology MH - Retrospective Studies MH - Sleep/*physiology MH - Statistics, Nonparametric MH - Surveys and Questionnaires PMC - PMC8202577 COIS- The authors have no conflicts of interest to disclose. EDAT- 2021/06/12 06:00 MHDA- 2021/06/23 06:00 PMCR- 2021/06/11 CRDT- 2021/06/11 12:17 PHST- 2021/02/07 00:00 [received] PHST- 2021/05/19 00:00 [accepted] PHST- 2021/06/11 12:17 [entrez] PHST- 2021/06/12 06:00 [pubmed] PHST- 2021/06/23 06:00 [medline] PHST- 2021/06/11 00:00 [pmc-release] AID - 00005792-202106110-00038 [pii] AID - MD-D-21-00907 [pii] AID - 10.1097/MD.0000000000026249 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Jun 11;100(23):e26249. doi: 10.1097/MD.0000000000026249.