成人睡眠磨牙症与打鼾之间的关系：观察研究

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2024-09-12 DOI:10.1016/j.sleep.2024.08.032

Helena Polmann , Patrícia Pauletto , Joyce Duarte , Jéssica Conti Réus , Israel Maia , Graziela De Luca Canto

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引用次数: 0

摘要

本研究评估了睡眠磨牙症与打鼾之间的关系。方法根据美国睡眠医学学会的标准，对疑似有睡眠障碍的成人（n = 61）进行单晚视频多导睡眠图检查。使用经过验证的问卷评估嗜睡程度和睡眠质量，并进行临床检查以记录体重和身高。统计分析采用 Jamovi 软件。结果未发现睡眠磨牙症与打鼾之间存在关联（P> 0.31），影响范围较小（V = 0.171）。然而，研究发现，打鼾指数会影响快速眼动睡眠期间的节律性咀嚼肌活动指数，其几率为 1.018 (95 % CI: 1.005 to 1.03; P = 0.05)。此外，逻辑回归显示，不饱和指数的几率为 5.01（95 % CI：0.96 至 26.13；P = 0.056），效应大小为中等（>3.5）。睡眠磨牙症与年龄、性别、体重指数或其他睡眠变量无关。睡眠磨牙症与性别、年龄或体重指数之间没有关联。这种不相关性突出了睡眠磨牙症和打鼾的复杂性，并强调了进一步研究的必要性。在睡眠结构方面，只有在快速动眼期睡眠中的不饱和发作与磨牙症有关。睡眠质量和嗜睡都与睡眠磨牙症无关。

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Association between sleep bruxism and snoring in adults: An observational study

Objective

This study evaluated the association between sleep bruxism and snoring. Additionally, the associations between sleep bruxism and age, sex, body mass index, sleep structure, sleep quality, and sleepiness were evaluated.

Methods

Adults suspected of having sleep disorders (n = 61) underwent single-night video polysomnography according to the American Academy of Sleep Medicine criteria. Validated questionnaires were used to assess sleepiness and sleep quality, and clinical examinations were performed to document weight and height. Jamovi software was used for statistical analysis. Logistic regression analyses of the different sleep stages—REM sleep, NREM sleep, and total sleep time—were conducted.

Results

No association was found between sleep bruxism and snoring (P > 0.31), with a small effect size (V = 0.171). However, the snore index was found to influence the rhythmic masticatory muscle activity index during REM sleep, with an odds ratio of 1.018 (95 % CI: 1.005 to 1.03; P = 0.05). Moreover, logistic regression showed that the desaturation index presented an odds ratio of 5.01 (95 % CI: 0.96 to 26.13; p = 0.056), with a medium effect size (>3.5). Sleep bruxism was not associated with age, sex, body mass index, or other sleep variables.

Conclusion

Snoring appears to be associated with bruxism during REM sleep. No associations were found between sleep bruxism and sex, age, or body mass index. This lack of association underscores the complexity of sleep bruxism and snoring and highlights the need for further research. Concerning sleep architecture, only desaturation episodes were associated with bruxism during REM sleep. Neither sleep quality nor sleepiness was associated with sleep bruxism.

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.