Correlation of Functional Performance with Sleep Quality in Patients with Pulmonary Tuberculosis

with PTB in India has been reported to be 17%.Contributing factors include gender, marital status, family atmosphere, the onset and progression of various diseases, depression, cancer, compromised immune function, along with lifestyle-related factors and environment. 10Sleep quality is directly proportional to lymphocyte counts and depression scores in PTB patients. [11][12]][13] Impaired lung function in PTB with reduced exercise capacity, overburdened by poor sleep quality, leads to fatigue hindering rehabilitation efforts.The relationship between sleep quality and functional performance becomes imperative for tailoring pulmonary rehabilitation programs for optimizing functional capacity by focusing on nocturnal recovery. 14 IntroductIonPulmonary tuberculosis (PTB) is an infectious disease that causes widespread morbidity and mortality.Before the COVID-19 pandemic, PTB was the highest cause of mortality from a single infectious agent, surpassing human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). 1 Primary PTB is a prevalent condition most commonly observed in adults, accounting for approximately 70-80% of all cases.Extrapulmonary involvement may also occur, affecting an estimated 20-45% of patients. 2According to the World Health Organization (WHO) Global TB Report 2022, the Indian Ministry of Health and Family Welfare reported an 18% reduction in the country's tuberculosis incidence rate since 2015. 3The End TB Program aims to eradicate tuberculosis as a public health threat by 2025, with a primary focus on preventive therapy, public awareness, and collaboration with stakeholders to reduce tuberculosis prevalence and impact in the nation. 4ulmonary tuberculosis results in a range of functional impairments, including reduced lung capacity and oxygen exchange, productive cough, breathlessness, reduced functional capacity, muscle weakness, and deconditioning accompanied by psychological manifestations such as anxiety, depression, social isolation, and stigma associated with the disease. 5These findings have been observed during antituberculosis treatment (ATT) from 6-week to 6-month. 6,7 Sleep is an essential aspect of overall health, and disturbances such as insomnia can result in tiredness, daytime sleepiness, and irritability. 8,9The prevalence of poor sleep in patients 1-