The effect of acetazolamide on the improvement of central apnea caused by abusing opioid drugs in the clinical trial
AbstractPurposeAcetazolamide is utilized as a treatment which falls effective in treating some type of CSA. Hence, it might be effective as far as opium addicts who suffer from CSA are concerned.Materials and methodThe current study was a double-blind, placebo-controlled, cross-over study (clinicalTrials.gov ID: NCT02371473). The whole procedures were identical for both placebo and acetazolamide phases of clinical research. There were 14 CSA more than 5/h and more than 50% of apnea-hypopnea index (AHI). Out of these 14 patients, 10 volunteered to participate in the study. Fast Fourier transformation was used to separate he...
Source: Sleep and Breathing - December 5, 2019 Category: Respiratory Medicine Source Type: research

Differences in electroencephalographic spectra during pre-sleep wakefulness, N1, and R sleep between comorbid insomnia and obstructive sleep apnea.
CONCLUSIONS: Data suggest that patients with insomnia and sleep apnea, compared to patients with only sleep apnea, presented higher left high-frequency rhythms during pre-sleep wakefulness and R sleep stage, and may be for increased emotional and cognitive-related activity, while in stage N1, presented higher left delta power, which suggest some slowing after sleep deprivation. PMID: 31797216 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - December 3, 2019 Category: Sleep Medicine Authors: Páramo-Brando AM, Durán P, Del Río-Portilla IY, Poblano A, Haro R Tags: Sleep Breath Source Type: research

Nasal vs. oronasal mask during PAP treatment: a comparative DISE study.
FCP Abstract PURPOSE: The present study evaluated the upper airway pattern of obstruction in individuals undergoing drug-induced sleep endoscopy (DISE) exam with positive airway pressure (PAP), and compared this effect through a nasal or oronasal mask. METHODS: Prospective study. Patients requiring PAP due to obstructive sleep apnea (OSA) were evaluated through DISE at three different moments: (1) a baseline condition (without PAP); (2) PAP treatment with a nasal mask; and (3) PAP with an oronasal mask at the same pressure. The conditions were compared intra-individually, following VOTE classification. A TOTA...
Source: Sleep and Breathing - December 3, 2019 Category: Sleep Medicine Authors: Yui MS, Tominaga Q, Lopes BCP, Eckeli AL, Rabelo FAW, Küpper DS, Valera FCP Tags: Sleep Breath Source Type: research

Nasal vs. oronasal mask during PAP treatment: a comparative DISE study
AbstractPurposeThe present study evaluated the upper airway pattern of obstruction in individuals undergoing drug-induced sleep endoscopy (DISE) exam with positive airway pressure (PAP), and compared this effect through a nasal or oronasal mask.MethodsProspective study. Patients requiring PAP due to obstructive sleep apnea (OSA) were evaluated through DISE at three different moments: (1) a baseline condition (without PAP); (2) PAP treatment with a nasal mask; and (3) PAP with an oronasal mask at the same pressure. The conditions were compared intra-individually, following VOTE classification. A TOTAL VOTE score (the sum of...
Source: Sleep and Breathing - December 3, 2019 Category: Respiratory Medicine Source Type: research

Differences in electroencephalographic spectra during pre-sleep wakefulness, N1, and R sleep between comorbid insomnia and obstructive sleep apnea
ConclusionsData suggest that patients with insomnia and sleep apnea, compared to patients with only sleep apnea, presented higher left high-frequency rhythms during pre-sleep wakefulness and R sleep stage, and may be for increased emotional and cognitive-related activity, while in stage N1, presented higher left delta power, which suggest some slowing after sleep deprivation. (Source: Sleep and Breathing)
Source: Sleep and Breathing - December 3, 2019 Category: Respiratory Medicine Source Type: research

Sleep duration and health-related quality of life in Korean adults: 2007-2015 Korea National Health and Nutrition Examination Survey.
Abstract PURPOSE: To evaluate the association of sleep duration with health-related quality of life (HRQOL) and examine the influence of age, sex, and common comorbidities on this association. METHODS: Using appropriate survey design, we analyzed 50,181 adults who participated in the 2007-2015 Korea National Health and Nutrition Examination Survey. Participants were categorized into five groups according to self-reported sleep duration ≤ 5 (short sleeper), 6, 7, 8, and ≥ 9 h (long sleeper). HRQOL was measured with the European Quality of Life-5 Dimensions (EQ-5D) index and visual anal...
Source: Sleep and Breathing - December 2, 2019 Category: Sleep Medicine Authors: Cho J, Kwak N, Choi SM, Lee J, Park YS, Lee CH, Lee SM, Yoo CG, Kim YW, Han SK Tags: Sleep Breath Source Type: research

Impact of severe OSA on pharmacoinvasive treatment in ST elevation myocardial infarction patients.
Abstract PURPOSE: The negative association between obstructive sleep apnea (OSA) and adverse cardiovascular outcomes in patients undergoing percutaneous coronary intervention (PCI) is well documented. However, little is known about the influence of OSA on fibrinolytic therapy. The aim of this study was to evaluate the impact of severe OSA on pharmacoinvasive treatment in ST elevation myocardial infarction (STEMI) patients. METHODS: We enrolled consecutive STEMI patients without previous vascular disease, heart failure, or OSA diagnosis. All patients underwent either a pharmacoinvasive therapy or primary PCI. ...
Source: Sleep and Breathing - December 2, 2019 Category: Sleep Medicine Authors: Maroja F, Caixeta A, Poyares D, Tufik S, de Paola A, Castro L, Storti L, Burke P, Cintra F Tags: Sleep Breath Source Type: research

Response to: Obstructive sleep apnea syndrome and obesity: screening ability.
PMID: 31792909 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - December 2, 2019 Category: Sleep Medicine Authors: Unal Y, Aslan Ozturk D, Tosun K, Kutlu G Tags: Sleep Breath Source Type: research

Impact of severe OSA on pharmacoinvasive treatment in ST elevation myocardial infarction patients
AbstractPurposeThe negative association between obstructive sleep apnea (OSA) and adverse cardiovascular outcomes in patients undergoing percutaneous coronary intervention (PCI) is well documented. However, little is known about the influence of OSA on fibrinolytic therapy. The aim of this study was to evaluate the impact of severe OSA on pharmacoinvasive treatment in ST elevation myocardial infarction (STEMI) patients.MethodsWe enrolled consecutive STEMI patients without previous vascular disease, heart failure, or OSA diagnosis. All patients underwent either a pharmacoinvasive therapy or primary PCI. Syntax score (SS) wa...
Source: Sleep and Breathing - December 2, 2019 Category: Respiratory Medicine Source Type: research

Sleep duration and health-related quality of life in Korean adults: 2007-2015 Korea National Health and Nutrition Examination Survey
AbstractPurposeTo evaluate the association of sleep duration with health-related quality of life (HRQOL) and examine the influence of age, sex, and common comorbidities on this association.MethodsUsing appropriate survey design, we analyzed 50,181 adults who participated in the 2007 –2015 Korea National Health and Nutrition Examination Survey. Participants were categorized into five groups according to self-reported sleep duration ≤ 5 (short sleeper), 6, 7, 8, and ≥ 9 h (long sleeper). HRQOL was measured with the European Quality of Life-5 Dimensions (EQ-5D) index an d visual analogue scale (...
Source: Sleep and Breathing - December 2, 2019 Category: Respiratory Medicine Source Type: research

Response to: Obstructive sleep apnea syndrome and obesity: screening ability
(Source: Sleep and Breathing)
Source: Sleep and Breathing - December 2, 2019 Category: Respiratory Medicine Source Type: research

Effectiveness of barbed repositioning pharyngoplasty for the treatment of obstructive sleep apnea (OSA): a prospective randomized trial.
CONCLUSIONS: BRP appears to be a promising technique and might be included within the surgical armamentarium of a sleep surgeon. Patients affected by severe OSA may benefit from this surgery with more significant reduction of AHI values. PMID: 31786746 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 30, 2019 Category: Sleep Medicine Authors: Vicini C, Meccariello G, Montevecchi F, De Vito A, Frassineti S, Gobbi R, Pelucchi S, Iannella G, Magliulo G, Cammaroto G Tags: Sleep Breath Source Type: research

Self-setup of home respiratory polygraphy for the diagnosis of sleep apnea syndrome: cost-efficiency study.
CONCLUSIONS: The setup of HRP by either the patient or nurse had similar costs and data acquisition. Both installation procedures of HRP were similar regarding test reliability and costs. Main findings are that self-installation by the patient could be similarly reliable and economic as installation by a nurse, as far as consensus guidelines are followed. This study demonstrates that self-setup of HRP is a potentially viable option for the diagnosis of OSA. PMID: 31786747 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 30, 2019 Category: Sleep Medicine Authors: Barriuso B, Martin L, Sevilla C, Muñoz C, López V, Bello MJ, Manchado N, Pamiés M, Díez P, Sanz R, Ciorba C, Ordax E, Terán-Santos J, Alonso-Alvarez ML Tags: Sleep Breath Source Type: research

Sleep spindles, K-complexes, limb movements and sleep stage proportions may be biomarkers for amnestic mild cognitive impairment and Alzheimer's disease.
CONCLUSIONS: AD and aMCI patients have abnormal sleep stage proportions, spindles, KCs and PLMS. The combination of the above alterations may distinguish aMCI and AD patients from controls with high specificity and sensitivity. PMID: 31786748 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 30, 2019 Category: Sleep Medicine Authors: Liu S, Pan J, Tang K, Lei Q, He L, Meng Y, Cai X, Li Z Tags: Sleep Breath Source Type: research

Refining screening questionnaires for prediction of sleep apnea severity in children.
CONCLUSIONS: Elimination of redundant items in screening questionnaires improves their prediction performance for OSA severity in children with high pre-test probability for the condition. PMID: 31776897 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 27, 2019 Category: Sleep Medicine Authors: Isaiah A, Shikara M, Pereira KD, Das G Tags: Sleep Breath Source Type: research

Obstructive sleep apnea syndrome and obesity: screening ability.
PMID: 31776898 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 27, 2019 Category: Sleep Medicine Authors: Kawada T Tags: Sleep Breath Source Type: research

Effect of lung function on the apnea-hypopnea index in patients with overlap syndrome: a multicenter cross-sectional study.
Abstract PURPOSE: Patients with chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) are referred to as having overlap syndrome (OVS). However, the relationship of lung function with the apnea-hypopnea index (AHI) in patients with OVS has not been evaluated. This multicenter study aimed to evaluate the relationship. METHODS: COPD patients diagnosed by spirometry were recruited from four Chinese tertiary hospitals. Those patients were requested to attend an overnight polysomnography (PSG). The relationships between parameters of lung function and sleep respiration in patients with OVS...
Source: Sleep and Breathing - November 25, 2019 Category: Sleep Medicine Authors: Zhu J, Zhao Z, Nie Q, Wang Y, Fu Z, Guo X, Hu K Tags: Sleep Breath Source Type: research

Treatment outcome of oral appliance in patients with REM-related obstructive sleep apnea.
CONCLUSIONS: No significant differences in success rate of OA treatment were found between REM-related OSA and non-stage-specific OSA. BMI has greater impact on treatment outcome of OA in patients with REM-related OSA. PMID: 31768931 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 25, 2019 Category: Sleep Medicine Authors: Nishio Y, Hoshino T, Murotani K, Furuhashi A, Baku M, Sasanabe R, Kazaoka Y, Shiomi T Tags: Sleep Breath Source Type: research

Patient characteristics affecting accurate detection of sleep apnea using a bed sheet-type portable monitor.
Abstract PURPOSE: Although performed inside a laboratory, attended polysomnography (PSG) has long been the gold standard for the diagnosis of sleep apnea. However, high costs and long wait times have led to the development of home-based portable monitoring devices. A bed sheet-shaped device called SD102 (Suzuken Co., Nagoya, Japan) has been developed, and its accuracy in evaluating sleep apnea is becoming evident. The purpose of this study was to confirm the accuracy of SD102 in evaluating sleep apnea and to investigate patient characteristics that may contribute to inaccurate test results in patients with suspect...
Source: Sleep and Breathing - November 22, 2019 Category: Sleep Medicine Authors: Miyata S, Otake H, Ando M, Okuda M, Fujishiro H, Iwamoto K, Noda A, Sone M, Ozaki N Tags: Sleep Breath Source Type: research

Is image interpretation in drug-induced sleep endoscopy that reliable?
CONCLUSION: Even in a French ENT Sleep Experts group, DISE appears to be a technique with a limited interobserver agreement in the detection of obstructive sites, without any learning curve effect. In its current state, DISE interpretation may not be totally reliable. PMID: 31758434 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 22, 2019 Category: Sleep Medicine Authors: Bartier S, Blumen M, Chabolle F Tags: Sleep Breath Source Type: research

A review of the association between oral bacterial flora and obstructive sleep apnea-hypopnea syndrome comorbid with cardiovascular disease.
CONCLUSION: We propose that the underlying mechanism of CVDs resulting from oral microbiota in patients with OSAHS should be elucidated in further studies. PMID: 31758435 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 22, 2019 Category: Sleep Medicine Authors: Zeng YM, Hu AK, Su HZ, Ko CY Tags: Sleep Breath Source Type: research

Chronic intermittent hypoxia in obstructive sleep apnea: a narrative review from pathophysiological pathways to a precision clinical approach.
Abstract Obstructive sleep apnea syndrome (OSAS) is a prevalent condition caused by dynamic upper airway collapse during sleep. The pathological impact and consequences are due to chronic intermittent hypoxia (CIH). Hypoxia increases the expression of several inflammatory stress markers and endothelial dysfunction. Recent studies suggest that patients with a similar AHI but with severe nocturnal hypoxia using oximetric parameters, such as the lowest saturation of oxygen during the night (min SaO2), percentage of total sleep time with oxygen saturation
Source: Sleep and Breathing - November 22, 2019 Category: Sleep Medicine Authors: Labarca G, Gower J, Lamperti L, Dreyse J, Jorquera J Tags: Sleep Breath Source Type: research

Randomized crossover study of tongue-retaining device and positive airway pressure for obstructive sleep apnea.
Abstract PURPOSE: To compare the efficacy of tongue-retaining device (TRD) versus continuous positive airway pressure (CPAP) for treatment of obstructive sleep apnea (OSA). STUDY DESIGN: Randomized crossover study. SUBJECTS AND METHODS: Thirty-six patients with a mean age of 52.7 ± 10.6 years were enrolled. Inclusion criteria were age ≥ 18 years, apnea-hypopnea index (AHI) ≥ 5 events/h, and minimum oxygen saturation (SO2) ≥ 70% from polysomnography (PSG). Exclusion criteria were severe periodontal disease, unstable cardiopulmonary or neurologic...
Source: Sleep and Breathing - November 21, 2019 Category: Sleep Medicine Authors: Banhiran W, Durongphan A, Keskool P, Chongkolwatana C, Metheetrairut C Tags: Sleep Breath Source Type: research

Prophylactic use of exogenous melatonin and melatonin receptor agonists to improve sleep and delirium in the intensive care units: a systematic review and meta-analysis of randomized controlled trials
AbstractTo investigate the efficacy of exogenous administration of melatonin and melatonin receptor agonists for the improvement of delirium, sleep, and other clinical outcomes of subjects in the intensive care unit (ICU). We carefully searched three electronic databases, i.e., Pubmed/Medline, Embase, and Cochrane library, to retrieve randomized controlled trials (RCTs) administrating melatonin or melatonin receptor agonists to adult subjects admitted to the ICU. Useful data such as the prevalence of delirium, duration of sleep, number of awakenings per night, duration of mechanical ventilation, and ICU stay as well as in-...
Source: Sleep and Breathing - November 20, 2019 Category: Respiratory Medicine Source Type: research

Tongue peak pressure: a tool to aid in the identification of obstruction sites in patients with obstructive sleep apnea/hypopnea syndrome.
Abstract Purpose of this study was to evaluate whether tongue peak pressure measured using the Iowa Oral Performance Instrument is correlated with the topographic site of obstruction in patients with obstructive sleep apnea/hypopnea syndrome observed during drug-induced sleep endoscopy. Thirty-five consecutive adult patients (29 men, 6 women) were prospectively enrolled after having been diagnosed with severe obstructive sleep apnea/hypopnea syndrome by polysomnography. An apnea-hypopnea index> 30 was confirmed, and age, gender, and body mass index were recorded by Epworth Sleepiness Scale questionnaire,...
Source: Sleep and Breathing - November 19, 2019 Category: Sleep Medicine Authors: O'Connor-Reina C, Plaza G, Garcia-Iriarte MT, Ignacio-Garcia JM, Baptista P, Casado-Morente JC, De Vicente E Tags: Sleep Breath Source Type: research

Tongue peak pressure: a tool to aid in the identification of obstruction sites in patients with obstructive sleep apnea/hypopnea syndrome
AbstractPurpose of this study was to evaluate whether tongue peak pressure measured using the Iowa Oral Performance Instrument is correlated with the topographic site of obstruction in patients with obstructive sleep apnea/hypopnea syndrome observed during drug-induced sleep endoscopy. Thirty-five consecutive adult patients (29 men, 6 women) were prospectively enrolled after having been diagnosed with severe obstructive sleep apnea/hypopnea syndrome by polysomnography. An apnea –hypopnea index>  30 was confirmed, and age, gender, and body mass index were recorded by Epworth Sleepiness Scale questionnaire, a...
Source: Sleep and Breathing - November 19, 2019 Category: Respiratory Medicine Source Type: research

Association between body mass index and effectiveness of continuous positive airway pressure in patients with obstructive sleep apnea: a retrospective study.
This study investigated the predictive value of body mass index (BMI) to assess the efficacy of CPAP in patients with OSA. METHODS: Data were extracted from a retrospective study performed in Silkeborg Hospital. The primary outcome was the improvement of Apnea-Hypopnea Index (AHI) after CPAP treatment. Association between BMI and improvement of AHI was assessed by multivariable linear regression. Interactions between BMI, baseline AHI severity (≥ 30 or
Source: Sleep and Breathing - November 18, 2019 Category: Sleep Medicine Authors: Huang X, Bao L, Tang X, Shen J, Ni X, Shen Y Tags: Sleep Breath Source Type: research

Association between body mass index and effectiveness of continuous positive airway pressure in patients with obstructive sleep apnea: a retrospective study
This study investigated the predictive value of body mass index (BMI) to assess the efficacy of CPAP in patients with OSA.MethodsData were extracted from a retrospective study performed in Silkeborg Hospital. The primary outcome was the improvement of Apnea-Hypopnea Index (AHI) after CPAP treatment. Association between BMI and improvement of AHI was assessed by multivariable linear regression. Interactions between BMI, baseline AHI severity ( ≥ 30 or
Source: Sleep and Breathing - November 18, 2019 Category: Respiratory Medicine Source Type: research

Prevalence of obstructive sleep apnea in patients with peripheral arterial diseases.
Abstract BACKGROUND: The presence of obstructive sleep apnea (OSA), a novel cardiovascular risk factor, contributes to the development of peripheral arterial diseases (PAD). There is a lack of data showing how often these diseases coexist. AIMS: The aim of the study was to determine the prevalence of OSA in the population of patients with PAD. METHODS: Patients previously qualified for the first revascularization due to PAD were included in the study. All patients underwent an overnight sleep study to detect OSA. Diagnosis of OSA was made when the apnea-hypopnea index (AHI) was ≥5 per hour. RESUL...
Source: Sleep and Breathing - November 14, 2019 Category: Sleep Medicine Authors: Szymanski FM, Gorko D, Platek AE, Ostrowski T, Celejewski K, Chudzinski W, Szymanska A, Stepkowski K, Rys-Czaporowska A, Semczuk-Kaczmarek K, Galazka Z, Filipiak KJ Tags: Sleep Breath Source Type: research

Prevalence of obstructive sleep apnea in patients with peripheral arterial diseases
AbstractBackgroundThe presence of obstructive sleep apnea (OSA), a novel cardiovascular risk factor, contributes to the development of peripheral arterial diseases (PAD). There is a lack of data showing how often these diseases coexist.AimsThe aim of the study was to determine the prevalence of OSA in the population of patients with PAD.MethodsPatients previously qualified for the first revascularization due to PAD were included in the study. All patients underwent an overnight sleep study to detect OSA. Diagnosis of OSA was made when the apnea –hypopnea index (AHI) was ≥5 per hour.ResultsFrom 141 patients (60% me...
Source: Sleep and Breathing - November 14, 2019 Category: Respiratory Medicine Source Type: research

Indication of CPAP without a sleep study in patients with high pretest probability of obstructive sleep apnea.
CONCLUSION: CPAP indication without a previous sleep study showed a low sensitivity (≅ 22%) but a specificity greater than 95% in patients with high pretest probability for OSA (snoring, report of frequent apneas, BMI> 25 kg/m2 and sleepiness or tiredness plus comorbidity). PMID: 31720981 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 12, 2019 Category: Sleep Medicine Authors: Nigro CA, Borsini E, Dibur E, Larrateguy L, Cazaux A, Elias C, de la Vega M, Berrozpe C, Maggi S, Grandval S, Cambursano H, Visentini D, Blanco M, Ernst G, Bledel I, Nogueira F Tags: Sleep Breath Source Type: research

Efficacy of Antidepressants in the Treatment of Obstructive Sleep Apnea Compared to Placebo. A Systematic Review with Meta-Analyses.
Abstract PURPOSE: To establish the efficacy of oral antidepressants compared to placebo in improving obstructive sleep apnea (OSA) as measured on a polysomnography study. Secondary outcomes included self-reported sleepiness. METHODS: Authors identified prospective randomized placebo-controlled studies from MEDLINE through PubMed, Web of Science, the Cochrane Library and EMBASE up to February 2019 in English language. Antidepressants included tricyclic antidepressants (TCA), tetracyclic antidepressants (TeCA), selective serotonin reuptake inhibitors (SSRI), and serotonin receptor modulators (SRM). Studies were...
Source: Sleep and Breathing - November 12, 2019 Category: Sleep Medicine Authors: AbdelFattah MR, Jung SW, Greenspan MA, Padilla M, Enciso R Tags: Sleep Breath Source Type: research

Efficacy of Antidepressants in the Treatment of Obstructive Sleep Apnea Compared to Placebo. A Systematic Review with Meta-Analyses.
AbstractPurposeTo establish the efficacy of oral antidepressants compared to placebo in improving obstructive sleep apnea (OSA) as measured on a polysomnography study. Secondary outcomes included self-reported sleepiness.MethodsAuthors identified prospective randomized placebo-controlled studies from MEDLINE through PubMed, Web of Science, the Cochrane Library and EMBASE up to February 2019 in English language. Antidepressants included tricyclic antidepressants (TCA), tetracyclic antidepressants (TeCA), selective serotonin reuptake inhibitors (SSRI), and serotonin receptor modulators (SRM). Studies were assessed for inclus...
Source: Sleep and Breathing - November 12, 2019 Category: Respiratory Medicine Source Type: research

Indication of CPAP without a sleep study in patients with high pretest probability of obstructive sleep apnea
ConclusionCPAP indication without a previous sleep study showed a low sensitivity ( ≅ 22%) but a specificity greater than 95% in patients with high pretest probability for OSA (snoring, report of frequent apneas, BMI> 25 kg/m2 and sleepiness or tiredness plus comorbidity). (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 12, 2019 Category: Respiratory Medicine Source Type: research

Bidirectional associations of insomnia symptoms with somatic complaints and posttraumatic stress disorder in child and adolescent earthquake survivors: a longitudinal study.
CONCLUSIONS: Insomnia symptoms, which were commonly seen after the earthquake, could longitudinally predict the development of PTSD and various somatic symptoms, and PTSD and headache could longitudinally predict the developments of insomnia symptoms among children and adolescent earthquake survivors. These findings highlight the importance of assessing and addressing insomnia symptoms in children and adolescents following a traumatic event. PMID: 31701337 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 8, 2019 Category: Sleep Medicine Authors: Zhang Y, Zhang J, Ren R, Tang X Tags: Sleep Breath Source Type: research

Bidirectional associations of insomnia symptoms with somatic complaints and posttraumatic stress disorder in child and adolescent earthquake survivors: a longitudinal study
ConclusionsInsomnia symptoms, which were commonly seen after the earthquake, could longitudinally predict the development of PTSD and various somatic symptoms, and PTSD and headache could longitudinally predict the developments of insomnia symptoms among children and adolescent earthquake survivors. These findings highlight the importance of assessing and addressing insomnia symptoms in children and adolescents following a traumatic event. (Source: Sleep and Breathing)
Source: Sleep and Breathing - November 8, 2019 Category: Respiratory Medicine Source Type: research

A randomized, placebo-controlled trial using a novel PAP delivery platform to treat patients with OSA and comorbid PTSD.
Abstract PURPOSE: Positive airway pressure (PAP) adherence is poor in comorbid OSA/PTSD. SensAwake™ (SA) is a wake-sensing PAP algorithm that lowers pressure when wake is detected. We compared auto-PAP (aPAP) with and without SA for comorbid OSA/PTSD. METHODS: Prospective, randomized crossover study comparing aPAP to aPAP + SA. We enrolled patients with OSA/PTSD who were PAP naïve. Four weeks after randomization, the patients were crossed over to the alternate treatment group, with final follow-up at eight weeks. Sleep questionnaires (ESS, ISI, FSS, and FOSQ-10) were assessed at basel...
Source: Sleep and Breathing - November 6, 2019 Category: Sleep Medicine Authors: Holley A, Shaha D, Costan-Toth C, Slowik J, Robertson BD, Williams SG, Terry S, Golden D, Andrada T, Skeete S, Sheikh K, Butler G, Collen JF Tags: Sleep Breath Source Type: research

A randomized, placebo-controlled trial using a novel PAP delivery platform to treat patients with OSA and comorbid PTSD
AbstractPurposePositive airway pressure (PAP) adherence is poor in comorbid OSA/PTSD. SensAwake ™ (SA) is a wake-sensing PAP algorithm that lowers pressure when wake is detected. We compared auto-PAP (aPAP) with and without SA for comorbid OSA/PTSD.MethodsProspective, randomized crossover study comparing aPAP to aPAP  + SA. We enrolled patients with OSA/PTSD who were PAP naïve. Four weeks after randomization, the patients were crossed over to the alternate treatment group, with final follow-up at eight weeks. Sleep questionnaires (ESS, ISI, FSS, and FOSQ-10) were assessed at baseline and follow-up....
Source: Sleep and Breathing - November 6, 2019 Category: Respiratory Medicine Source Type: research

Validity analysis of respiratory events of polysomnography using a plethysmography chest and abdominal belt.
CONCLUSIONS: Scored respiratory events from RIP flow data effectively reflected the respiratory flow and statistically correlated with the results from standard polysomnography sensors. Therefore, analyzing RIP flow utilizing an RIP sensor is considered a reliable method for respiratory event scoring. PMID: 31667682 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 30, 2019 Category: Sleep Medicine Authors: Park DY, Kim T, Lee JJ, Ha JH, Kim HJ Tags: Sleep Breath Source Type: research

Validity analysis of respiratory events of polysomnography using a plethysmography chest and abdominal belt
ConclusionsScored respiratory events from RIP flow data effectively reflected the respiratory flow and statistically correlated with the results from standard polysomnography sensors. Therefore, analyzing RIP flow utilizing an RIP sensor is considered a reliable method for respiratory event scoring. (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 30, 2019 Category: Respiratory Medicine Source Type: research

Sleep disturbances and nicotine addiction:a bidirectional relationship?
en ML PMID: 31646423 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 24, 2019 Category: Sleep Medicine Authors: Leonel LF, Morelhão PK, Tufik S, Andersen ML Tags: Sleep Breath Source Type: research

Sleep disturbances and nicotine addiction:a bidirectional relationship?
(Source: Sleep and Breathing)
Source: Sleep and Breathing - October 24, 2019 Category: Respiratory Medicine Source Type: research

Gender differences in clinical manifestations and polysomnographic findings in Chinese patients with obstructive sleep apnea.
Abstract PURPOSE: The gender differences in patients with obstructive sleep apnea (OSA) are not fully understood so far, as previous studies had conflicting results. No reports have addressed the differences in OSA between Chinese men and women. Therefore, the purpose of this study was to investigate the clinical and polysomnographic differences between Chinese men and women with OSA. METHODS: This case-paired control retrospective study included 580 consecutive Chinese patients (290 males and 290 females) newly diagnosed as OSA by overnight polysomnography from the Sleep Disorders Center of Tangdu Hospital a...
Source: Sleep and Breathing - October 23, 2019 Category: Sleep Medicine Authors: Zhang Z, Cheng J, Yang W, Zou H, Su C, Miao J Tags: Sleep Breath Source Type: research

Gender differences in clinical manifestations and polysomnographic findings in Chinese patients with obstructive sleep apnea
AbstractPurposeThe gender differences in patients with obstructive sleep apnea (OSA) are not fully understood so far, as previous studies had conflicting results. No reports have addressed the differences in OSA between Chinese men and women. Therefore, the purpose of this study was to investigate the clinical and polysomnographic differences between Chinese men and women with OSA.MethodsThis case-paired control retrospective study included 580 consecutive Chinese patients (290 males and 290 females) newly diagnosed as OSA by overnight polysomnography from the Sleep Disorders Center of Tangdu Hospital affiliated to the Fou...
Source: Sleep and Breathing - October 23, 2019 Category: Respiratory Medicine Source Type: research

The impact of depression, self-esteem, and body image on sleep quality in patients with PCOS: a cross-sectional study.
Abstract BACKGROUND: To date, some factors associated with quality of sleep in patients with PCOS have been identified. Previous studies have mainly focused on limited psychological variables related to sleep disorder without evaluating them in a comprehensive framework. OBJECTIVE: The aim of the present study was to evaluate the impact of predictive factors on the sleep quality of PCOS patients using structural equation modeling (SEM). MATERIAL AND METHODS: The present study is a case control that is done in an infertility clinic in Hormozgan, Iran. The case group (n = 201) consisted of wo...
Source: Sleep and Breathing - October 19, 2019 Category: Sleep Medicine Authors: Azizi Kutenaee M, Amirjani S, Asemi Z, Taghavi SA, Allan H, Kamalnadian SN, Khashavi Z, Bazarganipour F Tags: Sleep Breath Source Type: research

The impact of depression, self-esteem, and body image on sleep quality in patients with PCOS: a cross-sectional study
AbstractBackgroundTo date, some factors associated with quality of sleep in patients with PCOS have been identified. Previous studies have mainly focused on limited psychological variables related to sleep disorder without evaluating them in a comprehensive framework.ObjectiveThe aim of the present study was to evaluate the impact of predictive factors on the sleep quality of PCOS patients using structural equation modeling (SEM).Material and methodsThe present study is a case control that is done in an infertility clinic in Hormozgan, Iran. The case group (n = 201) consisted of women with PCOS and the contro...
Source: Sleep and Breathing - October 19, 2019 Category: Respiratory Medicine Source Type: research

Is there an association between sleep bruxism and obstructive sleep apnea syndrome? A systematic review.
CONCLUSION: There is no scientific evidence to support a conclusive relationship between SB and OSA. Further, well-designed and randomized studies with control groups are needed to investigate whether possible mechanisms common to SB and OSA exist and whether OSA treatment could improve SB negative oral health outcomes in patients with SB and comorbidity of OSA. PMID: 31628624 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 18, 2019 Category: Sleep Medicine Authors: da Costa Lopes AJ, Cunha TCA, Monteiro MCM, Serra-Negra JM, Cabral LC, Júnior PCS Tags: Sleep Breath Source Type: research

Is there an association between sleep bruxism and obstructive sleep apnea syndrome? A systematic review
ConclusionThere is no scientific evidence to support a conclusive relationship between SB and OSA. Further, well-designed and randomized studies with control groups are needed to investigate whether possible mechanisms common to SB and OSA exist and whether OSA treatment could improve SB negative oral health outcomes in patients with SB and comorbidity of OSA. (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 18, 2019 Category: Respiratory Medicine Source Type: research

The influence of position-dependency on surgical success in sleep apnea surgery - a systematic review.
CONCLUSION: Although preoperative characteristics in PP (e.g., lower BMI and AHI) seem to be in favor for higher surgical success compared to NPP, it remains unclear whether position-dependency is a predictor for surgical outcome. It is suggested that the largest differences and expected preoperative and postoperative changes occur in non-supine AHI. In PP, the preoperative non-supine AHI is already lower compared to NPP suggesting a lower chance of surgical success in PP. PMID: 31625004 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 17, 2019 Category: Sleep Medicine Authors: Vonk PE, Rotteveel PJ, Ravesloot MJL, den Haan C, de Vries N Tags: Sleep Breath Source Type: research

The influence of position-dependency on surgical success in sleep apnea surgery — a systematic review
ConclusionAlthough preoperative characteristics in PP (e.g., lower BMI and AHI) seem to be in favor for higher surgical success compared to NPP, it remains unclear whether position-dependency is a predictor for surgical outcome. It is suggested that the largest differences and expected preoperative and postoperative changes occur in non-supine AHI. In PP, the preoperative non-supine AHI is already lower compared to NPP suggesting a lower chance of surgical success in PP. (Source: Sleep and Breathing)
Source: Sleep and Breathing - October 17, 2019 Category: Respiratory Medicine Source Type: research