Multi-Night Home Assessment of Total Sleep Time Misperception in Obstructive Sleep Apnea with and Without Insomnia Symptoms DOI Creative Commons
Joachim Kühn,

Laura R. B. Schiphorst,

Bernice M. Wulterkens

et al.

Clocks & Sleep, Journal Year: 2024, Volume and Issue: 6(4), P. 777 - 788

Published: Dec. 5, 2024

Total sleep time (TST) misperception has been reported in obstructive apnea (OSA). However, previous findings on predictors were inconsistent and predominantly relied single-night polysomnography, which may alter patients’ perception. We leveraged advances wearable staging to investigate of TST OSA over multiple nights the home environment. The study included 141 patients with OSA, 75 without insomnia symptoms (OSA group), 66 (OSA-I group). Objective was measured using a previously validated wrist-worn photoplethysmography accelerometry device. Self-reported assessed digital diary. quantified index (MI), calculated as (objective − self-reported TST)/objective TST. MI values differed significantly between (median = −0.02, IQR [−0.06, 0.02]) OSA-I group (0.05, [−0.02, 0.13], p < 0.001). Multilevel modeling revealed that presence (β 0.070, 0.001) lower daily quality −0.229, predictive higher (TST underestimation), while apnea–hypopnea (AHI) overestimation; β −0.001, 0.006). Thus, AHI are associated patients, but opposite directions. This association extends

Language: Английский

A review of automated sleep stage based on EEG signals DOI

Xiaoli Zhang,

Xizhen Zhang, Qiong Huang

et al.

Journal of Applied Biomedicine, Journal Year: 2024, Volume and Issue: 44(3), P. 651 - 673

Published: June 29, 2024

Language: Английский

Citations

8
Diagnosis and Management of Obstructive Sleep Apnea: Updates and Review DOI Creative Commons

Shan Luong,

L.E. Lezama,

Safia S. Khan

et al.

Journal of Otorhinolaryngology Hearing and Balance Medicine, Journal Year: 2024, Volume and Issue: 5(2), P. 16 - 16

Published: Oct. 29, 2024

Obstructive sleep apnea (OSA) is a heterogenous disease process that cannot be adequately categorized by AHI alone. There significant prevalence of OSA in the general population with ongoing efforts to evaluate risk factors contributing and its associated clinical implications. Only improving our understanding can we advance methods diagnosis treatment OSA. For this article, authors reviewed keywords obstructive therapy databases Embase, Medline, Medline ePub over past 3 years, excluding any articles only addressed children under age 17 years. This review article divided into three main sections. First, will investigate use novel screening tools, biomarkers, anthropometric measurements, wearable technologies show promise mention comorbid conditions seen patients since certain combinations significantly worsen health should raise awareness diagnose manage those concomitant disorders. The second section look at current developing options for These include positive airway (PAP), mandibular advancement device (MAD), exciting new findings medications, orofacial myofunctional (OMT), hypoglossal nerve stimulation (HGNS), other surgical options. We conclude reviewing Clinical Practice Guidelines Diagnostic Testing Adults Sleep Apnea from 2017, which strongly advises polysomnography (PSG) or home testing (HSAT), along comprehensive evaluation uncomplicated presentation

Language: Английский

Citations

1
Sex differences in sleep and sleep-disordered breathing DOI Creative Commons
Esther I. Schwarz, Sophia E. Schiza

Current Opinion in Pulmonary Medicine, Journal Year: 2024, Volume and Issue: 30(6), P. 593 - 599

Published: Aug. 26, 2024

Purpose of review There is increasing evidence for relevant sex differences in pathophysiology, symptom presentation and outcomes obstructive sleep apnoea (OSA). However, research on sex-specific phenotypes sleep-disordered breathing (SDB) still its infancy data other SDB very scarce. Recent findings While OSA more common men than premenopausal women, the prevalence doubles postmenopausally becomes comparable to that men. Women have a lower collapsibility upper airway arousal threshold. In addition, rapid eye movement (REM)-apnoea–hypopnoea index (AHI) typically higher women men, but non-REM-AHI thus total AHI often lower. are symptomatic at present frequently with symptoms fragmentation poor quality. Both certain forms (e.g. REM-OSA) COMISA) women. Men risk high loop gain central apnoea. Summary For better understanding sex-typical aim targeted treatment approach SDB, adequately powered studies should be conducted.

Language: Английский

Citations

0
Multi-Night Home Assessment of Total Sleep Time Misperception in Obstructive Sleep Apnea with and Without Insomnia Symptoms DOI Creative Commons
Joachim Kühn,

Laura R. B. Schiphorst,

Bernice M. Wulterkens

et al.

Clocks & Sleep, Journal Year: 2024, Volume and Issue: 6(4), P. 777 - 788

Published: Dec. 5, 2024

Total sleep time (TST) misperception has been reported in obstructive apnea (OSA). However, previous findings on predictors were inconsistent and predominantly relied single-night polysomnography, which may alter patients’ perception. We leveraged advances wearable staging to investigate of TST OSA over multiple nights the home environment. The study included 141 patients with OSA, 75 without insomnia symptoms (OSA group), 66 (OSA-I group). Objective was measured using a previously validated wrist-worn photoplethysmography accelerometry device. Self-reported assessed digital diary. quantified index (MI), calculated as (objective − self-reported TST)/objective TST. MI values differed significantly between (median = −0.02, IQR [−0.06, 0.02]) OSA-I group (0.05, [−0.02, 0.13], p < 0.001). Multilevel modeling revealed that presence (β 0.070, 0.001) lower daily quality −0.229, predictive higher (TST underestimation), while apnea–hypopnea (AHI) overestimation; β −0.001, 0.006). Thus, AHI are associated patients, but opposite directions. This association extends

Language: Английский

Citations

0