Effect of exercise versus mandibular advancement device in moderate obstructive sleep apnea patients with mandibular retrognathia: A randomized clinical trial.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-09-22 DOI:10.1080/08869634.2024.2401643

Wei Huang, Haichun Lai

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引用次数: 0

Abstract

Objective: The aim of this study was to investigate the effects of exercise and mandibular advancement device (MAD) on severity of Obstructive sleep apnea syndrome (OSAS) with mandibular retrognathia.

Methods: Patients were randomly allocated into either exercise group or MAD group. All patients underwent blood tests, polysomnography studies and questionnaires studies at enrollment and at the 12-week's follow-up.

Results: Our study showed MAD was superior to exercise in improving polysomnographic outcomes and Snore Scale (SS) score. No significant difference was observed between the two treatments in terms of Epworth Sleepiness Scale (ESS) score. Moreover, in the exercise group, improvements were also observed in total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C).

Conclusion: MAD was more effective than exercise in improving sleep efficiency. Exercise can improve daytime sleepiness and lipid metabolism, independent of the effects on BMI.Trial registration ChiCTR2000034188.

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运动与下颌前突矫正器对中度阻塞性睡眠呼吸暂停伴下颌后缩患者的影响：随机临床试验。

研究目的本研究旨在探讨运动和下颌前突矫正器（MAD）对伴有下颌后缩的阻塞性睡眠呼吸暂停综合征（OSAS）严重程度的影响：患者被随机分配到运动组或下颌后缩器组。方法：患者被随机分配到运动组和 MAD 组，所有患者在入组时和 12 周的随访中均接受了血液检查、多导睡眠图检查和问卷调查：研究结果表明，MAD 在改善多导睡眠图结果和鼾声量表（SS）评分方面优于运动。在埃普沃思嗜睡量表（ESS）评分方面，两种治疗方法没有明显差异。此外，运动组的总胆固醇（TC）和低密度脂蛋白胆固醇（LDL-C）也有所改善：结论：在提高睡眠效率方面，MAD 比运动更有效。结论：在提高睡眠效率方面，MAD 比运动更有效。运动可改善白天嗜睡和脂质代谢，与对体重指数的影响无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.