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Detecting Lucid Dreams by Electroencephalography and Eyebrow Movements. 通过脑电图和眉毛运动检测迷梦
IF 1.6
Sleep Science Pub Date : 2023-11-22 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1776749
Michael Raduga, Andrey Shashkov
{"title":"Detecting Lucid Dreams by Electroencephalography and Eyebrow Movements.","authors":"Michael Raduga, Andrey Shashkov","doi":"10.1055/s-0043-1776749","DOIUrl":"10.1055/s-0043-1776749","url":null,"abstract":"<p><p><b>Objective</b>  When metacognition arises during rapid eye movement (REM) sleep, people experience lucid dreaming (LD). Studies on this phenomenon face different obstacles. For example, its standard verification protocol requires at least three types of sensors. We hypothesized that preagreed frontalis movements (PAFMs), as a sign of lucidity, could be seen on electroencephalography (EEG) during REM sleep. In this case, only one EEG sensor would be needed to verify LD. <b>Method</b>  Under laboratory observation, five volunteers were instructed to induce LD, during which they needed to use the standard verification protocol with pre-agreed eye movements (PAEMs) and then immediately raise their eyebrows three times as a PAFM. <b>Results</b>  All participants were able to send signals from a total of eight LDs using one or both methods. Preagreed frontalis movements and PAEMs were equally distinctive on most EEGs, but PAFM quality was strongly dependent on the accuracy of the method. Preagreed frontalis movements exhibited two types of EEG patterns and led to immediate awakening when LD was not stable. <b>Discussion</b>  Though the outcomes show that PAFMs can be used to verify LD, this method was less consistent and apparent than PAEMs. Furthermore, accurate instructions are needed before using PAFMs. When polysomnography is unavailable, PAFMs can be applied, as it requires only one EEG sensor to detect REM sleep and consciousness simultaneously.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e408-e416"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review. 下颌前突矫治器治疗小儿阻塞性睡眠呼吸暂停:综述。
IF 1.6
Sleep Science Pub Date : 2023-11-22 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1776747
Carolina Cozzi-Machado, Fátima Rosana Albertini, Silvana Silveira, Almiro José Machado-Júnior
{"title":"Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review.","authors":"Carolina Cozzi-Machado, Fátima Rosana Albertini, Silvana Silveira, Almiro José Machado-Júnior","doi":"10.1055/s-0043-1776747","DOIUrl":"10.1055/s-0043-1776747","url":null,"abstract":"<p><p><b>Introduction</b>  Obstructive sleep apnea (OSA) is defined as intermittent partial or complete collapse of the upper airway during sleep. It is a common condition in childhood, with an incidence ranging from 1.2% to 5.7%, and it can harm several aspects of children's life, such as cognitive, metabolic and cardiovascular functions, among others. There are treatment options, such as adenotonsillectomy, myofunctional therapy, mandibular advancement appliances (MAAs), rapid maxillary expansion, and positive airway pressure devices, but there is still doubt about which method is more suitable for the treatment of OSA in children. <b>Objective</b>  To analyze the effectiveness of MAAs in the treatment of pediatric OSA. <b>Materials and Methods</b>  The search was conducted in August 2021 in different electronic databases, such as PubMed, EBSCO (Dentistry & Oral Sciences Source), LILACS, Ovid, SciELO, Web of Science, EMBASE BIREME, BBO BIREME, and the Cochrane Library. <b>Results</b>  Only three systematic reviews and two meta-analyses were included in the present study. All studies showed improvement in the score on the apnea-hypopnea index after using MAAs in the treatment of pediatric OSA. <b>Conclusion</b>  Although more randomized studies are needed, based on the present umbrella review, MAAs must be considered part of the multidisciplinary treatment for pediatric OSA.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e468-e475"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Performance of the NOSE Questionnaire in Mask Selection for Home CPAP Titration. NOSE 问卷在家用 CPAP 滴定法面罩选择中的表现。
IF 1.6
Sleep Science Pub Date : 2023-11-22 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1776769
Magalí Blanco, Glenda Ernst, Alberto Rabino, Alejandro Salvado, Eduardo Enrique Borsini
{"title":"Performance of the NOSE Questionnaire in Mask Selection for Home CPAP Titration.","authors":"Magalí Blanco, Glenda Ernst, Alberto Rabino, Alejandro Salvado, Eduardo Enrique Borsini","doi":"10.1055/s-0043-1776769","DOIUrl":"10.1055/s-0043-1776769","url":null,"abstract":"<p><p><b>Introduction</b>  Many patients abandon CPAP treatment because they find the mask uncomfortable. Therefore, specialists may benefit from the predictive value of airway assessment tools. <b>Objective</b>  To identify nasal ventilation failure through the Nasal Obstruction Symptom Evaluation (NOSE) scale in patients with obstructive sleep apnea (OSA) who undergo home-based auto-adjusting CPAP titration and to determine whether there is a correlation between NOSE score and the type of mask selected. <b>Materials and Methods</b>  In this prospective correlational study, the NOSE scale was used in terms of mask selection and titration indicators. Patients were classified based on their NOSE score: > or < 50. <b>Results</b>  We included 303 patients; 226 men (74.5%), BMI: 33.2 ± 6.1 kg/m <sup>2</sup> , neck circumference (cm): 42.8 ± 3.6 and Epworth (ESS) score: 9.2 ± 5.6, mild OSA: 12 (3.9%), moderate OSA: 127 (41.9%), and severe OSA: 164 (54.1%). The mean NOSE score was 24.3 ± 22.8 and 42 patients (13.8%) had NOSE scores > 50. Indicators for both groups were: compliance (5.9 ± 1.3 vs. 5.8 ± 1.4 hours) p: 0.41, therapeutic pressure (9.1 ± 2.0 vs. 8.8 ± 1.6 cm of H <sub>2</sub> O) p: 0.23, residual AHI (2.3 ± 1.8 vs. 2.8 ± 2.6 events/hour) p: 0.25, and leaks (20.5 ± 10.6 vs. 21.3 ± 10.7 liters/minute) p: 0.64. According to adjusted multiple regression, a NOSE of > 50 was not a predictor of mask selection. <b>Conclusions</b>  A > 50 NOSE score was not a predictor of mask selection, and it was not correlated to titration performance.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e425-e429"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Sleep Quality and Cardiac Autonomic Modulation in Adolescents: A Cross Sectional Study. 青少年睡眠质量与心脏自主神经调节之间的关系:一项横断面研究
IF 1.6
Sleep Science Pub Date : 2023-11-22 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1776750
Ozeas de Lima Lins-Filho, Aluisio Andrade-Lima, Auguste Daniel Torres, Luciano Machado Oliveira, Wagner Luiz do-Prado, Raphael Ritti-Dias, Diego Giulliano Destro Christofaro, Breno Quintella Farah
{"title":"Association between Sleep Quality and Cardiac Autonomic Modulation in Adolescents: A Cross Sectional Study.","authors":"Ozeas de Lima Lins-Filho, Aluisio Andrade-Lima, Auguste Daniel Torres, Luciano Machado Oliveira, Wagner Luiz do-Prado, Raphael Ritti-Dias, Diego Giulliano Destro Christofaro, Breno Quintella Farah","doi":"10.1055/s-0043-1776750","DOIUrl":"10.1055/s-0043-1776750","url":null,"abstract":"<p><p><b>Objective</b>  To analyze the impact of sleep quality/duration on cardiac autonomic modulation on physically active adolescents with obesity. <b>Materials and Methods</b>  The present cross-sectional study included 1,150 boys with a mean age of 16.6 ± 1.2 years. The assessment of cardiac functions included the frequency domain of heart rate variability (HRV; low frequency - LF; high frequency - HF; and the ratio between these bands -LF/HF -, defined as the sympathovagal balance), and each parameter was categorized as <i>low</i> / <i>high</i> . Physical activity levels and sleep quality/duration were obtained by questionnaires. Abdominal obesity was assessed and defined as waist circumference > 80 <sup>th</sup> percentile. <b>Results</b>  Poor sleep quality resulted in lower HF (odds ratio [OR]: 1.8; 95% confidence interval [95%CI]: 1.01-3.21]) regardless of physical activity and abdominal obesity. Moreover, the study found no association between sleep duration and HRV parameters in adolescents. <b>Conclusion</b>  Sleep quality, not sleep duration, reduces parasympathetic cardiac modulation apart from other factors such as physical activity and abdominal obesity in adolescents.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e462-e467"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults – Brazilian Sleep Association 2023 年成人失眠症诊断和治疗指南 - 巴西睡眠协会
IF 1.6
Sleep Science Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1776281
L. F. Drager, Maria Assis, Andrea Frota Rego Bacelar, D. Poyares, Silvia Gonçalves Conway, G. Pires, Alexandre Pinto de Azevedo, Alicia Carissimi, A. Eckeli, Álvaro Pentagna, Carlos Maurício Oliveira Almeida, C. Franco, E. Sobreira, F. Stelzer, Giuliana Macedo Mendes, G. Minhoto, Ila Marques Porto Linares, Ksdy Maiara Moura Sousa, L. Gitaí, Lucia Sukys-Claudino, M. Sobreira-Neto, Marcio Andrei Zanini, Regina Margis, Sandra Cristina Gonçalves Martinez
{"title":"2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults – Brazilian Sleep Association","authors":"L. F. Drager, Maria Assis, Andrea Frota Rego Bacelar, D. Poyares, Silvia Gonçalves Conway, G. Pires, Alexandre Pinto de Azevedo, Alicia Carissimi, A. Eckeli, Álvaro Pentagna, Carlos Maurício Oliveira Almeida, C. Franco, E. Sobreira, F. Stelzer, Giuliana Macedo Mendes, G. Minhoto, Ila Marques Porto Linares, Ksdy Maiara Moura Sousa, L. Gitaí, Lucia Sukys-Claudino, M. Sobreira-Neto, Marcio Andrei Zanini, Regina Margis, Sandra Cristina Gonçalves Martinez","doi":"10.1055/s-0043-1776281","DOIUrl":"https://doi.org/10.1055/s-0043-1776281","url":null,"abstract":"Abstract Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P – Patient, problem, or population; I – Intervention; C – Comparison, control, or comparator; O – Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"45 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association 巴西睡眠集中语言听力科学共识- 2023巴西睡眠协会
Sleep Science Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1776109
Luciana Moraes Studart-Pereira, Esther Mandelbaum Gonçalves Bianchini, Márcia Assis, Marieli Timpani Bussi, Camila de Castro Corrêa, Thays Crosara Abrahão Cunha, Luciano Ferreira Drager, Vanessa Ieto, Geraldo Lorenzi-Filho, Gabriele Ramos de Luccas, Evelyn Lucien Brasil, Silmara Regina Pavani Sovinski, Edilson Zancanella, Gabriel Natan Pires
{"title":"Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association","authors":"Luciana Moraes Studart-Pereira, Esther Mandelbaum Gonçalves Bianchini, Márcia Assis, Marieli Timpani Bussi, Camila de Castro Corrêa, Thays Crosara Abrahão Cunha, Luciano Ferreira Drager, Vanessa Ieto, Geraldo Lorenzi-Filho, Gabriele Ramos de Luccas, Evelyn Lucien Brasil, Silmara Regina Pavani Sovinski, Edilson Zancanella, Gabriel Natan Pires","doi":"10.1055/s-0043-1776109","DOIUrl":"https://doi.org/10.1055/s-0043-1776109","url":null,"abstract":"Abstract Introduction This consensus aimed to develop a structured document presenting the role of sleep-focused Speech-Language-Hearing (SPH) Sciences (SPHS). The recommendations were based on the expertise of specialists and on evidence in the literature, aiming to guide the coverage of this area and the consequent improvement in the quality of the professionals' approach. Methods A Delphi method was conducted with 49 SLH pathologists (SLHP), four sleep physicians, one dentist, one physical therapist, and one methodologist. Four Delphi panel rounds were conducted in Google Forms. The items were analyzed based on the panelists' percentage of agreement; consensuses were reached when ⅔ (66.6%) of valid responses were on a same on a same answer (either “agree” or “disagree”). Results Participants voted on 102 items. The mean consensus rate was 89.9% ± 10.9%. The essential topics were the importance of professional training, the SLH diagnosis, and the SLH treatment of sleep disorders. It was verified that all fields of the SLHS are related to the area of sleep; that sleep-focused SLH pathologists (SLHP) are the responsible for assessing, indicating, and conducting specific orofacial myofunctional therapy for sleep-disordered breathing alone or in combination with other treatments; that SLHP are included in interdisciplinary teams in the area of sleep in public and private services. Discussion The Brazilian consensus on sleep-focused SLHS is a landmark in this area. This consensus described the scope of action of sleep-focused SLHP and systematized recommendations being useful as a reference for the professional practice in the area of sleep.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136011147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Positive Pressure Ventilation Treatment Based on Daytime and Night-time Titration in Patients with Obesity Hypoventilation Syndrome: A Randomized Controlled Trial 基于昼夜滴定的正压通气治疗肥胖低通气综合征患者:一项随机对照试验
Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1773790
Babak Amra, Marzieh Ghasemi, Forogh Soltaninejad, Mehrzad Salmasi
{"title":"Positive Pressure Ventilation Treatment Based on Daytime and Night-time Titration in Patients with Obesity Hypoventilation Syndrome: A Randomized Controlled Trial","authors":"Babak Amra, Marzieh Ghasemi, Forogh Soltaninejad, Mehrzad Salmasi","doi":"10.1055/s-0043-1773790","DOIUrl":"https://doi.org/10.1055/s-0043-1773790","url":null,"abstract":"Abstract Objectives The aim of the present study was to investigate the improvements of gas exchange and excessive daytime sleepiness in patients with obesity hypoventilation syndrome (OHS) in daytime and night-time split polysomnography (DSPSG and NSPSG). Materials and Methods In the present randomized controlled trial, patients with OHS were enrolled in two DSPSG (51 patients) and NSPSG (50 patients) groups in the Bamdad respiratory and sleep research center in Isfahan, Iran. In both groups, the diagnostic polysomnography (PSG) and titration were conducted in one session according to the guidelines of NSPSG. SpO2, PaCO2, and the Epworth Sleepiness Scale (ESS), were measured initially and 12 weeks after treatment. Furthermore, the PSG parameters and the type of treatments for the two groups were recorded and analyzed. Results A total of 101 OHS patients (age: 62.02 ± 12.4 year old; 61 females [60.4%]) were evaluated. There were no significant differences regarding BMI, gender, and AHI between groups (p > 0.05). Primary SpO2, PaCO2, and ESS were not significantly different between the two groups. After 12 weeks of treatment by continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP), there were significant improvement of SpO2, PaCO2, and ESS score (p < 0.001). The amount of change of these variables was not different between groups. Among all variables, only the lower SpO2 and higher PaCO2 were associated with response to BiPAP. Discussion There were no significant differences in the number of changes of SpO2, PaCO2, and ESS by treatment in the DSPSG and NSPSG groups. Therefore, DSPSG may be considered as a valuable alternative method for the diagnosis and titration in OHS patients. Clinical Trials IRCT20170512033930N2","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Shift Work on the Immune System: A Narrative Review 轮班工作对免疫系统的影响:一个叙述性的回顾
Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772810
Marianne Stenbekk Thorkildsen, Lise Tuset Gustad, Jan Kristian Damås
{"title":"The Effects of Shift Work on the Immune System: A Narrative Review","authors":"Marianne Stenbekk Thorkildsen, Lise Tuset Gustad, Jan Kristian Damås","doi":"10.1055/s-0043-1772810","DOIUrl":"https://doi.org/10.1055/s-0043-1772810","url":null,"abstract":"Abstract Working a shift work schedule has been hypothesized to have negative effects on health. One such described consequence is altered immune response and increased risk of infections. Former reviews have concluded that more knowledge is needed to determine how shift work affects the immune system. Since the last review focusing on this subject was published in 2016, new insight has emerged. We performed a search of the topic in PubMed, Scopus and Embase, identifying papers published after 2016, finding a total of 13 new studies. The articles identified showed inconsistent effect on immune cells, cytokines, circadian rhythms, self-reported infections, and vaccine response as a result of working a shift schedule. Current evidence suggests working shifts influence the immune system, however the clinical relevance and the mechanism behind this potential association remains elusive. Further studies need to include longitudinal design and objective measures of shift work and immune response.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cervical Fat Tissue Volume is a Predictor for Moderate to Severe OSA 宫颈脂肪组织体积是中度至重度OSA的预测指标
Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772827
Glenda Ernst, Pablo Dalzotto, Melina Saban, Fernando M. Ferraro, Alejandro Salvado, Eduardo Enrique Borsini
{"title":"The Cervical Fat Tissue Volume is a Predictor for Moderate to Severe OSA","authors":"Glenda Ernst, Pablo Dalzotto, Melina Saban, Fernando M. Ferraro, Alejandro Salvado, Eduardo Enrique Borsini","doi":"10.1055/s-0043-1772827","DOIUrl":"https://doi.org/10.1055/s-0043-1772827","url":null,"abstract":"Abstract Objective Obstructive sleep apnea (OSA) is a disorder characterized by recurrent pharyngeal obstruction during sleep, in which upper airway anatomy plays a key role in its pathogenesis. The aim of this study was to describe whether the quantification of cervical fat tissue volume (CFTV) obtained by Computed Tomography (CT)cephalometry is related to the severity of OSA. Methods Retrospective study between 2018 and 2020 in those patients > 18 years old, with diagnosis of OSA who performed a volumetric cephalometric imaging. Three-dimensional reconstruction of the images was performed and CFTV was measured. Results 91 patients were included in this study of which: without OSA (n: 7), mild (n: 19), moderate (n: 39) and severe OSA (n: 26). We observed a progressive increase of CFTV related to OSA severity has been observed (without OSA: 58.9 ml (47.9-87.5), mild: 59.1ml (48.4-78.3), moderate: 71 ml (42.6-127.1) and severe OSA 103.6 ml (81-153); p < 0.01); nevertheless, no differences were found in the airway volume and neck area. It was showed a significant correlation between CFTV and OSA indicators: AHI, ODI and T90 (Sp r: 0.48; 0.38 and 0.36; p < 0.01 respectively). CFTV cut-off value to discriminate AHI >15 ev/h with best sensitivity-specificity relationship was 64.1 ml with an area under the curve of 0.6 ± 0.06. Multivariate analysis showed that CFTV is a predictor for moderate to severe OSA (OR:3.05, IC95%: 1.14-8.17). Conclusion Cervical fat quantification by CT cephalometry correlates with OSA severity in adults. Fat volume > 64.1 ml increased more than three times the risk of OSA moderate to severe.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"377 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Importance of Sleep for Successful Neurorehabilitation after Stroke 睡眠对中风后神经康复的重要性
Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772805
Cristina Frange, Brian James Murray, Fernando Morgadinho Santos Coelho
{"title":"The Importance of Sleep for Successful Neurorehabilitation after Stroke","authors":"Cristina Frange, Brian James Murray, Fernando Morgadinho Santos Coelho","doi":"10.1055/s-0043-1772805","DOIUrl":"https://doi.org/10.1055/s-0043-1772805","url":null,"abstract":"Abstract Sleep has important clinical implications for neurorehabilitation after stroke. We aimed to systematically explore sleep (including naps) as an essential factor in the neurorehabilitation of patients after stroke. After titles and abstracts were screened, 49 full texts were reviewed, and 7 were included in this review. Data were extracted and assessed for quality and risk of bias. We looked at any neurorehabilitation setting, and compared sleep with no sleep and explored these factors in stroke patients versus healthy individuals. Rehabilitation is critical for many activities that may need to be learned or re-learned following stroke and for returning to everyday life. In this context, sleep is essential in neurorehabilitation and physical therapy practice as it supports neuroplasticity, memory, and learning. The available data suggest that sleep should be considered in the treatment plan for successfully targeted physiotherapy to optimize cognitive and motor learning. Physical therapists should advise about sleep hygiene and therapies to improve sleep, both quality and quantity.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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