Sleep and Breathing最新文献

{"title":"Use of vouchers for CPAP therapy initiation - public and private health care could work together.","authors":"Toni Jämsänen, Pirkko Brander, Adel Bachour","doi":"10.1007/s11325-024-03159-1","DOIUrl":"https://doi.org/10.1007/s11325-024-03159-1","url":null,"abstract":"<p><strong>Purpose: </strong>The increasing incidence of sleep apnea has led to an increased workload for healthcare professionals. Continuous positive airway pressure (CPAP) is the gold standard therapy for obstructive sleep apnea. To reduce the CPAP waiting list in public healthcare, we proposed a CPAP voucher for use in private clinics for CPAP initiation. This study evaluated the success rate of CPAP initiation via this voucher.</p><p><strong>Methods: </strong>We selected patients from our sleep apnea clinic referred to CPAP initiation aged 18-80 years with no significant physical or psychological comorbidity. Three private clinics (A, B, C) accepted the CPAP voucher.</p><p><strong>Results: </strong>A total of 1922 patients fulfilled CPAP voucher criteria. Of these, we included 1604 patients (38% women). Mean BMI was 32 kg/m², mean age was 55 years, and mean apnea-hypopnea index was 34/h. Data were missing for 113 patients at the 1-year follow-up visit. Of the remaining 1491 patients, 1398 continued CPAP therapy beyond 1 year, indicating a CPAP therapy success rate of 94%. There were no significant differences between clinics in the number of patients staying on CPAP at 1 year after initiation.</p><p><strong>Conclusion: </strong>A CPAP voucher may reduce the CPAP initiation waiting list in public healthcare with a good success rate.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress is simultaneously related to sleep and temporomandibular disorders.","authors":"Hao Chih Chuang, Yoshihiro Tamura, Haruka Fukuda, Shunya Yamazaki, Kosei Kubota, Koki Takagi, Shotaro Komatsu, Akihiro Matsumura, Shigeyuki Nakaji, Koichi Murashita, Wataru Kobayashi","doi":"10.1007/s11325-024-03139-5","DOIUrl":"https://doi.org/10.1007/s11325-024-03139-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to clarify the relationship between the oral environment and psychological factors as predictor variables of sleep quality, in addition to inferring the relevant mechanisms of sleep and temporomandibular disorders (TMDs) by analyzing the relationship between TMDs and stress.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from 1,032 participants, comprising 420 men and 612 women, from the 2017 Iwaki Health Promotion Project using multiple regression analysis. The primary endpoints were the scores of each item in the Pittsburgh Sleep Quality Index (PSQI) and its sum. Predictor variables included the number of teeth; TMDs; stress, assessed using the World Health Organization-5 (WHO-5); sleep bruxism; and oral health-related quality of life, assessed using the oral health impact profile-14 (OHIP14). The confounding factors included age, body mass index, and alcohol intake.</p><p><strong>Results: </strong>Multiple regression analysis revealed that TMDs (β value = 0.293, p = 0.034) and stress (β value = 1.3, p < 0.001) were significantly correlated with the PSQI total score. In addition, TMDs were significantly correlated with stress (β value = 0.076, p = 0.007).</p><p><strong>Conclusion: </strong>The significant relationship between sleep and TMDs suggests that mental stress contributes to the development sleep disorders and consequently is associated with the development of TMD symptoms.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of Aerobic and oropharyngeal exercises on sleep quality of patients with obstructive sleep Apnoea syndrome: a randomized controlled study.","authors":"Eda Arslan, Ömer Şevgin","doi":"10.1007/s11325-024-03157-3","DOIUrl":"https://doi.org/10.1007/s11325-024-03157-3","url":null,"abstract":"<p><strong>Purpose: </strong>Our objective was to examine the effect of co-treatment of aerobic and oropharyngeal exercises on daytime sleepiness, sleep quality, fatigue severity, and life quality in patients with obstructive sleep apnea (OSA) syndrome.</p><p><strong>Methods: </strong>This study was conducted as a randomized controlled trial with individuals aged 18 to 65 diagnosed with OSA at the Sleep Polyclinic and Research Hospital in Turkey between September 2023 and December 2023. The exercise group (n = 12) followed an eight-week oropharyngeal exercise program and the combined exercise group (n = 13) followed an aerobic exercise in addition to oropharyngeal exercises. The control group (n = 15) did not receive any exercise. Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Modified Medical Research Council (mMRC) Dyspnoea Scale, Functional Outcomes of Sleep Questionnaire (FOSQ) were used as outcome measures. The protocol is registered with http://clinicaltrials.gov/ (01/September /2023, Clinical Trial, NCT06006520).</p><p><strong>Results: </strong>Both exercise programs were effective in improving daytime sleepiness, sleep quality, fatigue severity, and life quality. The mMRC dyspnoea scale, FOSQ, and PSQI scores did not differ between groups pre-and post-intervention. Participants receiving oropharyngeal exercise therapy showed a significant reduction in ESS and FSS scores compared to the combination treatment group.</p><p><strong>Conclusion: </strong>A comprehensive program of oropharyngeal exercises produced better changes in fatigue severity and daytime sleepiness in moderate to severe OSA patients compared to the combination of aerobic and oropharyngeal exercises.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcopenia and sleep in individuals with chronic obstructive pulmonary disease","authors":"Daniele Dala Pola, Thaiuana Maia, Elis Moraes, Leticia Ogochi, Arthur Mesas, Fabio Pitta","doi":"10.1007/s11325-024-03126-w","DOIUrl":"https://doi.org/10.1007/s11325-024-03126-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>To verify the relationship between sarcopenia and sleep in individuals with chronic obstructive pulmonary disease (COPD).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Individuals with COPD were cross-sectionally assessed for lung function (spirometry), sleep (both subjectively [Pittsburgh Sleep Quality Index, PSQI] and objectively [Actiwatch sleep monitor]) and the presence of sarcopenia (handgrip strength by dynamometry). All tests were carried out in accordance with international standards.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Twenty-nine individuals with COPD were analyzed (16 women; 69 ± 7 years; BMI 27 ± 5 kg/m²; FEV₁ 59 ± 19% predicted). Upon division in groups according to the presence or absence of sarcopenia, individuals with sarcopenia (in comparison to those without sarcopenia) had shorter sleep time (81 [75–85] vs. 86 [81–90] %; <i>p</i> = 0.043), lower sleep efficiency (77 [69–83] vs. 85 [75–87] %; <i>p</i> = 0.038), longer time awake after sleep onset (92 [71–120] vs. 58 [47–83] minutes; <i>p</i> = 0.0012) and more marked sleep fragmentation, represented by a higher number of sleep blocks/night (46 [41–49] vs. 34 [26–48]; <i>p</i> = 0.018), higher number of awake blocks/night (45 [40–49] vs. 34 [26–48]; <i>p</i> = 0.018) and shorter duration of sleep blocks/night (9 [8–10] vs. 14 [8–58] minutes; <i>p</i> = 0.043). There was no statistical difference when comparing the PSQI variables between the groups. However, handgrip strength was negatively associated with PSQI components 2 [<i>R</i>= -0.51, <i>p</i> = 0.005] and 5 [<i>R</i>= -0.39, <i>p</i> = 0.037].</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Individuals with COPD and sarcopenia (as measured by handgrip strength) have worse objectively measured sleep outcomes. This was not the case regarding a self-reported perception of worse sleep quality, although there was weak-to-moderate association between handgrip strength and subjective sleep.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of large muscle movements on excessive daytime sleepiness in patients with obstructive sleep apnea","authors":"Merve Aktan Suzgun, Gulcin Benbir Senel, Derya Karadeniz","doi":"10.1007/s11325-024-03156-4","DOIUrl":"https://doi.org/10.1007/s11325-024-03156-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Obstructive sleep apnea (OSA) is a heterogeneous disorder requiring personalized diagnostic approaches. Restless sleep and excessive daytime sleepiness (EDS) frequently accompany OSA, and are mainly linked to sleep fragmentation secondary to apneas and/or hypopneas. In this study, we aimed to analyze the characteristics of LMMs in OSA and to evaluate interrelationship between LMMs and EDS.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Untreated-naïve adult OSA patients, with vs. without EDS were prospectively enrolled. Patients with comorbid neurological/psychiatric diagnosis, usage of drugs/substances known to affect sleep and positive airway pressure therapy were excluded. Routine evaluation of video-polysomnography was followed by LMM scoring. LMMs were compared between OSA with vs. without EDS, and correlations of LMMs with ESS scores and macrostructural sleep parameters were analyzed.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Sixty patients were included (median age 43.5 [37.0] years, %78.3 men); 17 had EDS with Epworth Sleepiness Scale (ESS) ≥ 10 (28.3%). Total LMM index in total sleep time (TST) was 7.9 [20.6]. Total LMM index in TST (<i>p</i> = 0.048) and N1 (<i>p</i> = 0.020), and arousal-related LMM index in TST (<i>p</i> = 0.050) and N1 (<i>p</i> = 0.026) were higher in OSA with EDS than those without EDS. ESS scores were positively correlated with total (<i>r</i> = 0.332,<i>p</i> = 0.028) and arousal-related (<i>r</i> = 0.338,<i>p</i> = 0.025) LMM indexes in N1, and abnormal respiratory event-related LMM indexes in N1 (<i>r</i> = 0.440,<i>p</i> = 0.003) and N3 (<i>r</i> = 0.293,<i>p</i> = 0.050) after correction for age, sex, body-mass-index and apnea-hypopnea index.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Our study demonstrated that LMMs were more frequent in OSA with EDS than those without EDS. This may have broad implications for the mechanisms of motor restlessness and residual sleepiness in OSA and warrants larger-scale, long-term follow-up studies.</p><h3 data-test=\"abstract-sub-heading\">Clinical trial registration</h3><p>No clinical trial registration due to the observational design of the study.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real world challenges and barriers for positive airway therapy use in acute ischemic stroke patients","authors":"Maeve Pascoe, Madeleine M Grigg-Damberger, Harneet Walia, Noah Andrews, Lu Wang, James Bena, Irene Katzan, Ken Uchino, Nancy Foldvary-Schaefer","doi":"10.1007/s11325-024-03161-7","DOIUrl":"https://doi.org/10.1007/s11325-024-03161-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Untreated obstructive sleep apnea (OSA) in patients with acute ischemic stroke (AIS) is associated with increased morbidity and mortality. However, diagnosing and treating OSA in AIS is challenging. We aimed to determine the feasibility of portable monitoring (PM) for diagnosis and positive airway pressure therapy for treatment of OSA in an inpatient stroke population.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We recruited inpatients with AIS from Cleveland Clinic. Those who consented underwent PM; participants with a respiratory event index (REI) ≥ 10 were offered auto-titrating positive airway pressure therapy (APAP). Ease-of-use questionnaires were completed. We summarized categorical variables using n(%) and continuous variables using mean ± SD or median [IQR].</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>27 participants (age 59.8 ± 11.8, 51.9% female, 51.9% Black, BMI 33.4 ± 8.5) enrolled. The study ended early due to Medicare contracting that forced most patients to complete stroke rehabilitation outside the Cleveland Clinic health system. 59.3% had large vessel occlusions and 53.8% had moderate/severe disability (Modified Rankin score ≥ 2). PM was attempted in 21 participants, successful in 18. Nurses and patients rated the PM device as highly easy to use. 13 of 18 (72%) patients who had an REI ≥ 10 consented to APAP titration, but only eight (61.5%) of those 13 used APAP for more than one night, and only five (27.8%) used APAP up to 90 days with data captured for only one participant. Five required troubleshooting at titration, and only one had adherent APAP usage by objective assessment after discharge.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>This study demonstrates the real-world challenges of assessing and treating OSA in an AIS population, highlighting the necessity for further research into timely and feasible screening and treatment.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aerobic exercise training and obstructive sleep apnea: dose-response meta-analyses","authors":"Imran Hasan Iftikhar, Alexandria M. Reynolds, Essa AlBisher, Shawn D. Youngstedt, Ahmed BaHammam","doi":"10.1007/s11325-024-03158-2","DOIUrl":"https://doi.org/10.1007/s11325-024-03158-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Several studies have shown that aerobic exercise training improves obstructive sleep apnea (OSA) severity. However, a dose-response relationship has never been shown. This study aimed to quantify any dose-response relationships between time spent per week in aerobic exercise and key sleep apnea outcomes.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Randomized controlled trials (RCT) were selected from literature search studying the effects of supervised aerobic exercise training on patients with OSA. Dose-response meta-analyses were performed, where the ‘dose’ was the total weekly duration of aerobic exercise training. Primary outcomes were apnea hypopnea index (AHI), cardiorespiratory fitness (maximum oxygen consumption or VO₂peak) and Epworth Sleepiness Scale (ESS).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Analysis of data from 11 RCTs showed a non-linear dose-response relationship between the total weekly duration of aerobic exercise training and mean differences in AHI. Maximum effects on AHI (-10.92 (95%CIs: -15.57; -6.27)) were observed when the weekly duration of aerobic exercise reached 100 min/week. Similar non-linear dose-response trend was observed in the mean differences in VO₂peak. Studies in which aerobic exercise training lasted <i>≥</i> 12 weeks showed greater proportional changes in mean AHI differences with maximal effects reaching a peak at ∼ 70 min/week of aerobic exercise training. ESS and total weekly duration of aerobic exercise training showed a linear dose-response relationship based on 4 RCTs.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Based on these analyses, aerobic exercise training of 70–100 min/week over 3 or 5 days a week should be recommended as adjunctive treatment for patients with OSA.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elastography as a non-invasive method of screening non-alcoholic fatty liver disease in the adult phenotype of paediatric obstructive sleep apnoea","authors":"Anna Durdikova, Peter Durdik, Marek Prso, Dominika Dvorska, Lukas Remen, Jarmila Vojtkova, Filip Oleksak, Peter Banovcin","doi":"10.1007/s11325-024-03149-3","DOIUrl":"https://doi.org/10.1007/s11325-024-03149-3","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>The high prevalence of non-alcoholic fatty liver disease (NAFLD) in obese children with obstructive sleep apnoea (OSA) calls for early non-invasive screening. The aim of this study was to use ultrasonographic liver echogenicity and elasticity to evaluate the early stages of liver injury in obese children with OSA.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Fifty-five obese children with OSA aged 12 to 15 years were included. The control group (<i>n</i> = 56) consisted of healthy, non-obese children. All children underwent ultrasound examination to assess liver echogenicity using the hepatorenal index (HRI) and real-time elastography to determine the liver fibrosis index (LFI). Polysomnographic parameters, sonographic values, and clinical-biochemical assessment were statistically analysed according to OSA and its severity. Subgroup 1 was obese children with OSA and AHI &lt; 5 and subgroup 2 was obese children with OSA and AHI ≥ 5.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Higher average values of HRI and LFI were recorded in the group of obese paediatric patients with OSA (mean age ± SD, 14.1 ± 2.2 year; 53% male; BMI z-score, 2.6 ± 0.35) compared to the control group (1.37 ± 0.19 vs. 1.12 ± 0.07, <i>p</i> &lt; 0.001 and 1.82 ± 0.31 vs. 1.02 ± 0.27, <i>p</i> &lt; 0.001). A significantly higher LFI was recorded in subgroup 2 compared to subgroup 1 (2.0 ± 0.3 vs. 1.6 ± 0.2, p <b>&lt;</b> 0.001) while laboratory parameters and HRI (1.4 ± 0.2 vs. 1.4 ± 0.2, p <b>=</b> 0.630) did not change significantly. A strong positive correlation was found between the severity of OSA and the LFI (r <b>=</b> 0.454; p <b>&lt;</b> 0.01).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These findings suggest that ultrasound elastography is a useful non-invasive screening test for OSA-related steatohepatitis in obese adolescents, but other clinical studies are needed to confirm this result.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and characterization of sleep quality and insomnia in security guards working on the day and night shift in Delhi-NCR","authors":"Manisha Singhania, Fauzia J. Sheereen, Taimul Ali, M. Kashif Reza, Abdurraheem Khan, Amir Iqbal, Fuzail Ahmad, Rashid A. Beg, Mohammad A. Shaphe, Ahmad H. Alghadir","doi":"10.1007/s11325-024-03153-7","DOIUrl":"https://doi.org/10.1007/s11325-024-03153-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>In today’s modern world, shift working has become an important part of society and industrial work; prolonged wakefulness is a widespread phenomenon due to which the sleep patterns of individuals are getting disturbed, and many sleep disorders are arising.</p><h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>This study compared the sleep quality and insomnia of the security guards working the day and night shifts.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This observational study comprised 100 security guards from Delhi and the NCR region. Self-administered questionnaires, i.e., the Pittsburgh sleep quality index (PSQI) and the Athens Insomnia Scale (AIS), were used to assess sleep quality and insomnia. Fifty questionnaires were filled out by the day shift security guards, and the night shift security guards filled out 50. The data underwent analysis, and a comparison was conducted between security workers on night and day shifts using a Mann–Whitney U test, with a significance level set at p &lt; 0.05.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The result revealed a significant difference (95% CI; p &lt; 0.05) for the variables, sleep quality and insomnia when compared between night and day shift working security guards. Among night shift workers, 74% reported issues with sleep quality and 48% experienced insomnia. In comparison, among day shift workers, 58% reported concerns about sleep quality, while 32% reported experiencing insomnia.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The study concluded that night-shift working security guards had poorer sleep quality and a higher prevalence of insomnia compared to their day-shift counterparts. These differences are highly significant, highlighting the potential adverse effects of night shift work on sleep health, urging the need for interventions to improve sleep quality and manage insomnia among night shift workers.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association and interaction effect of shift work and the risk for obstructive sleep apnea on diabetes mellitus in middle-aged Korean workers","authors":"Kyusung Kim, Hi-Ju Kim, Seunghyun Lee, Wanhyung Lee","doi":"10.1007/s11325-024-03160-8","DOIUrl":"https://doi.org/10.1007/s11325-024-03160-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To investigate the association of shift work and the risk for obstructive sleep apnea (OSA) with diabetes mellitus (DM), and the interaction effect of shift work and the risk for OSA on DM.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2019–2021 were used. The participants were 3012 employees aged 40 to 59 years. Shift work was assessed using self-reporting questionnaires. The risk for OSA was assessed by STOP-BANG score. The distribution of demographic factors was calculated using the chi-square test. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated using multivariable logistic regression. An interaction effect between shift work and the risk for OSA on DM was evaluated using relative excess risk owing to interaction (RERI) and attributable proportion (AP) with 95% CIs. The synergic index (SI) was also calculated.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Shift work and the risk for OSA were each significantly associated with DM. There was also a significant interaction effect between shift work and the risk for OSA on DM. The RERI was 0.543 (95% CI 0.205–1.361) and the AP was 0.230 (95% CI 0.145–0.342). The SI was 1.662 (95% CI 1.481–1.843).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>There was an association and a significant interaction effect of shift work and the risk for OSA on DM. The management of OSA in shift workers should be implemented to prevent DM.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}