Sleep Medicine Research最新文献_第8页

Anatomy and Pathophysiology of Upper Airway Obstructive Sleep Apnoea: Review of the Current Literature 上呼吸道阻塞性睡眠呼吸暂停的解剖学和病理生理学：文献综述

Sleep Medicine Research Pub Date : 2021-06-30 DOI: 10.17241/smr.2020.00829

T. S. Nee, Yang Hyung Chae, Lim Sang chul

引用次数: 4

The Influence of Obesity on the Association of Obstructive Sleep Apnea and Atrial Fibrillation. 肥胖对阻塞性睡眠呼吸暂停与心房颤动关系的影响

Sleep Medicine Research Pub Date : 2021-06-01 Epub Date: 2021-06-24 DOI: 10.17241/smr.2021.00857

Patrick L Stafford, Evan K Harmon, Paras Patel, McCall Walker, Gen-Min Lin, Seung-Jung Park, Neal A Chatterjee, Nishaki K Mehta, Sula Mazimba, Kenneth Bilchick, Younghoon Kwon

{"title":"The Influence of Obesity on the Association of Obstructive Sleep Apnea and Atrial Fibrillation.","authors":"Patrick L Stafford, Evan K Harmon, Paras Patel, McCall Walker, Gen-Min Lin, Seung-Jung Park, Neal A Chatterjee, Nishaki K Mehta, Sula Mazimba, Kenneth Bilchick, Younghoon Kwon","doi":"10.17241/smr.2021.00857","DOIUrl":"10.17241/smr.2021.00857","url":null,"abstract":"Background and objective: The association between obstructive sleep apnea (OSA) and atrial fibrillation (AF) has been closely studied. However, obesity is a powerful confounder in the causal relationship between OSA and cardiovascular disease. The contribution of obesity in the relationship between OSA and AF remains unclear.Methods: We recruited 457 consecutive patients equally with and without AF who underwent clinically indicated diagnostic polysomnography at a single academic sleep center. Multivariable logistic regression adjusting for age, sex, hypertension, and heart failure was performed to study the independent association between OSA and AF stratified by obesity.Results: A total of 457 patients (male: 56.2%, mean age 63.1 ± 13.3 years) was included. OSA prevalence was similar between those with and without AF (52.6% vs. 47.4%, respectively; p = 0.24). In multivariable analysis, no association was found between AF and OSA regardless of obesity status. When severe OSA (vs. non-severe OSA) was modeled as a dependent variable, AF was associated with a higher likelihood of severe OSA in non-obese patients [odds ratio (OR): 2.29, 95% confidence interval (CI): 1.23-4.35, p = 0.01], but not in obese patients (OR: 0.95, 95% CI: 0.48-1.90, p = 0.89).Conclusion: The association of OSA with AF was present only in the non-obese and was limited to severe OSA patients. In contrast, no association was found in obese patients. The association between OSA and AF is partly dependent on the body habitus.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":"12 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423346/pdf/nihms-1726051.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39397542","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

The development and psychometric evaluation of the Survey of Obstructive Sleep Apnea Functional Health Literacy. 阻塞性睡眠呼吸暂停功能性健康素养调查的开发和心理测量评估。

Sleep Medicine Research Pub Date : 2021-06-01 DOI: 10.17241/smr.2021.00885

Rebecca Robbins, Ron D Hays, José Luís Calderón, Azizi Seixas, Valerie Newsome, Alicia Chung, Girardin Jean-Louis

{"title":"The development and psychometric evaluation of the Survey of Obstructive Sleep Apnea Functional Health Literacy.","authors":"Rebecca Robbins, Ron D Hays, José Luís Calderón, Azizi Seixas, Valerie Newsome, Alicia Chung, Girardin Jean-Louis","doi":"10.17241/smr.2021.00885","DOIUrl":"10.17241/smr.2021.00885","url":null,"abstract":"Objective and objective: Obstructive Sleep Apnea (OSA) is a highly prevalent disorder that disparately affects racial/ethnic minorities. OSA functional health literacy can contribute to health disparities. Documenting poor OSA functional health literacy is needed to inform research agendas, policy, and advocacy efforts. The objective of this study is to develop a scale for measuring OSA functional health literacy among diverse audiences and a variety of reading levels and to ascertain its reliability and validity.Methods: Development of the 18-item Survey of OSA Functional Health Literacy (SOFHL) was guided by literature review and input from experts. A convenience sample of persons enrolled in a clinical trial completed the survey (n=194). The psychometric evaluation was conducted using factor analysis to identify the number of dimensions in the SOFHL and their relationship to other domains that are relevant to OSA functional health literacy.Results: Internal consistency reliability (alpha) was estimated for the resulting scale and correlations with educational attainment and income completed. All respondents were Black and 29% reported average household income less than $10,000 USD. Confirmatory factor analysis provided support for two dimensions: OSA general knowledge (alpha=0.81) and self-efficacy for OSA self-management (alpha=0.71).Conclusions: Higher educational attainment and socioeconomic status were associated with better OSA functional health literacy. These results provide preliminary support for the SOFHL, a measure that can be used to assess OSA functional health literacy.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":"12 1","pages":"64-73"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594920/pdf/nihms-1751798.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39886657","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

Sleep-Related Eating Disorder and Nocturnal Eating Syndrome 睡眠相关进食障碍和夜间进食综合症

Sleep Medicine Research Pub Date : 2020-12-31 DOI: 10.17241/smr.2020.00780

Jahyeon Cho, J. Lee, Seung-Chul Hong

引用次数: 2

Restless Genital Syndrome: A Rare Case Series of Four Patients and a Literature Review 不宁生殖器综合征:一个罕见的病例系列的四个病人和文献回顾

Sleep Medicine Research Pub Date : 2020-12-31 DOI: 10.17241/smr.2020.00787

Hye-Rim Shin, S. Han, K. Jung

引用次数: 1

Effect of National Health Insurance Coverage on Adherence to Positive Airway Pressure Therapy in Obstructive Sleep Apnea Patients 国家健康保险覆盖对阻塞性睡眠呼吸暂停患者坚持气道正压治疗的影响

Sleep Medicine Research Pub Date : 2020-12-31 DOI: 10.17241/smr.2020.00766

Ji-Hwan Park, Ji-Hun Kang, Myeong-gu Seo, Ha-Nee Kwon, Sung-Dong Kim, Kyu-Sup Cho

{"title":"Effect of National Health Insurance Coverage on Adherence to Positive Airway Pressure Therapy in Obstructive Sleep Apnea Patients","authors":"Ji-Hwan Park, Ji-Hun Kang, Myeong-gu Seo, Ha-Nee Kwon, Sung-Dong Kim, Kyu-Sup Cho","doi":"10.17241/smr.2020.00766","DOIUrl":"https://doi.org/10.17241/smr.2020.00766","url":null,"abstract":"Background and ObjectiveaaPositive airway pressure (PAP) is considered a standard treatment for obstructive sleep apnea (OSA). Although PAP is effective in resolving upper airway collapse, a major challenge is maximizing adherence. Polysomnography and PAP have been included in Korean National Health Insurance (NHI) coverage since July 2018. This study was performed to investigate the adherence to PAP therapy according to the device manager after NHI coverage in OSA patients. MethodsaaBetween July 2018 and May 2020, a total of 211 patients were prescribed PAP in a single tertiary hospital, and the PAP devices were managed by two companies. Among them, 187 patients constituted the final study population. Assessment of adherence was performed at 3 and 12 months after initiating PAP therapy. Good adherence was defined as using a PAP device for ≥ 4 hours daily and on ≥ 70% of nights. ResultsaaNinety-three patients used the PAP machine obtained from device manager A and 94 patients used the PAP machine obtained from device manager B. During 90 days, the total good adherence rate was 66.8% (n = 125). The good adherence rate for device manager A was 66.7% (62/93) and that for device manager B was 67.0% (63/94), which was not statistically different (p = 0.959). However, the good adherence rate at 1 year after initiating PAP therapy was 38.7% (36/93) for device manager A and 58.5% (55/94) for device manager B, which was statistically significant (p = 0.007). ConclusionsaaThe good adherence rate was decreased at 1 year after initiating PAP therapy despite NHI coverage. Furthermore, the device manager may play an important role in increasing the adherence rate in patients with OSA. Sleep Med Res 2020;11(2):140-144","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49065309","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: 1

Evaluating Diet and Sleep Quality of Shift and Non-Shift Nurses Using Three-Factor Pittsburgh Sleep Quality Index and Healthy Eating Index-2015 用三因素匹兹堡睡眠质量指数和健康饮食指数评估轮班护士和非轮班护士饮食和睡眠质量-2015

Sleep Medicine Research Pub Date : 2020-12-31 DOI: 10.17241/smr.2020.00682

Gizem Helvacı, N. N. Aslan Çİn, Şahinde Canbulat, H. Yardımcı

{"title":"Evaluating Diet and Sleep Quality of Shift and Non-Shift Nurses Using Three-Factor Pittsburgh Sleep Quality Index and Healthy Eating Index-2015","authors":"Gizem Helvacı, N. N. Aslan Çİn, Şahinde Canbulat, H. Yardımcı","doi":"10.17241/smr.2020.00682","DOIUrl":"https://doi.org/10.17241/smr.2020.00682","url":null,"abstract":"Background and ObjectiveaaThe objective of this study was to determine whether there were differences in diet and sleep quality between shift and non-shift nurses. Nurses among healthcare professionals mostly work in shifts. Therefore, they may face many health problems. Changes of their dietary pattern and sleep quality might be among underlying causes for their health risks. MethodsaaThis descriptive and cross-sectional research enrolled 298 nurses working in two hospitals who volunteered to participate in this study. The work schedule of nurses included a non-shift work and a shift-work. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using a three-factor PSQI model. ResultsaaBased on the three-factor PSQI model, scores for sleep efficiency, sleep quality, and daily disturbances were significantly (p < 0.05) higher in shift nurses than in non-shift nurses. Among individuals with good sleep quality, the diet quality of shift nurses was worse (p < 0.05) than that of non-shift nurses. Among individuals with poor sleep quality, there was no significant (p > 0.05) difference in total diet quality score according to shift status. ConclusionsaaShift work was significantly associated with poor sleep quality. Among nurses with good sleep quality, the diet quality of shift nurses was worse than that of non-shift nurses. Sleep Med Res 2020;11(2):94-101","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43061753","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: 2

Determination of Sleep Apnea Severity Using Multi-Layer Perceptron Neural Network 应用多层感知器神经网络测定睡眠呼吸暂停严重程度

Sleep Medicine Research Pub Date : 2020-12-17 DOI: 10.17241/smr.2020.00689

Z. Kohzadi, R. Safdari, K. Haghighi

{"title":"Determination of Sleep Apnea Severity Using Multi-Layer Perceptron Neural Network","authors":"Z. Kohzadi, R. Safdari, K. Haghighi","doi":"10.17241/smr.2020.00689","DOIUrl":"https://doi.org/10.17241/smr.2020.00689","url":null,"abstract":"Background and ObjectiveaaSleep apnea is a rather common illness, which occurs due to dyspnea during night sleep. The effects of this illness can cause problems in the patient’s life and affect its quality. Therefore, its timely diagnosis, using machine algorithms can be an important step towards preventing and controlling this illness. MethodsaaIn this study is using artificial neural networks, in order to detect the severity of sleep apnea among 200 patients, who visited the Imam Khomeini sleep clinic in Tehran. Then the artificial neural network with the structure (8-10-3-1), Sigmoid transfer function and 120 educational cycles were designed and educated based on 70% of the data at hand. The artificial neural network was designed, using MATLAB2018. ResultsaaUsing the multi-layer perceptron classifier with 10-fold cross validation tests led to 96.5%, 92.4%, 91.5% and 94.5% correctness, respectively for normal, mild, moderate and severe classifications. Enough correctness of the algorithm reduces the patients’ need to take the polysomnography test. ConclusionsaaThe results show that using artificial neural network can be useful in detecting the sleep apnea severity, without using costly tests and limited PSG. Sleep Med Res 2020;11(2):70-76","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48135743","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: 1

The Effect of Breathing Cycles Program on Heart Rate and Sleep Parameters in Healthy Young Adults 呼吸循环程序对健康青年心率和睡眠参数的影响

Sleep Medicine Research Pub Date : 2020-12-17 DOI: 10.17241/smr.2020.00668

Jirawat Wattanapanyawech, Premtip Thaveeratitham

{"title":"The Effect of Breathing Cycles Program on Heart Rate and Sleep Parameters in Healthy Young Adults","authors":"Jirawat Wattanapanyawech, Premtip Thaveeratitham","doi":"10.17241/smr.2020.00668","DOIUrl":"https://doi.org/10.17241/smr.2020.00668","url":null,"abstract":"Background and ObjectiveaaIn recent years, sleep problems have been increasing globally, there exists an urgent need to develop a therapeutic program promoting sleep quality. This study investigated the effect of three types of deep breathing cycles programs on heart rate (HR) and sleep parameters in healthy young adults. MethodsaaThirty healthy participants were recruited. HR and sleep parameters were measured via a smartwatch in all participants for two consecutive days. Participants were randomized into the forced deep breathing cycles (FDBC), non-forced deep breathing cycles (N-FDBC) and breathing control (BC) groups, with each participant performing the breathing cycle programs before sleep latency for 30 minutes. ResultsaaN-FDBC showed a significant increase in sleep quality (p < 0.001), time in bed (p < 0.05), and total sleep time (p < 0.001), as well as a significant decrease in sleep latency and %awake during sleep (p < 0.001). During sleep, maximum HR, minimum HR, average awake HR during sleep, average light sleep HR, and average deep sleep HR were significantly lower (p < 0.01). For the FDBC group, significant increases in sleep latency (p < 0.05) and decreases in %awake during sleep (p < 0.05) were observed. HR before sleep was higher (p < 0.01). Average HR while awake during sleep and light sleep stages significantly decreased (p < 0.001). Such changes in all parameters were not observed after the BC group. ConclusionsaaOur study demonstrates that N-FDBC yields clinical benefits by improving sleep quality and HR response during sleep in healthy adults. Sleep Med Res 2020;11(2):108-115","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42036177","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: 1

Drug-Induced Sleep Endoscopy: A Guide for Treatment Selection 药物诱发睡眠内窥镜检查:治疗选择指南

Sleep Medicine Research Pub Date : 2020-06-30 DOI: 10.17241/smr.2020.00584

Jin Youp Kim, Seung Cheol Han, H. J. Lim, H. J. Kim, Jeong-Whun Kim, C. Rhee

引用次数: 1