scholarly journals Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Theerakorn Theerakittikul ◽  
Jindarat Chaiard ◽  
Jirawan Deeluea
Keyword(s):  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Positive Airway Pressure ◽  
Quality Of Sleep ◽  
Daytime Functioning ◽  
Content Type ◽  
Cpap Treatment ◽  
Obstructive Sleep

PurposeThe purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients.Design/methodology/approachA repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixed-effects modeling approach were used.FindingsThirty-nine participants completed the study. Approximately 53% (n = 25) and 71.1% (n = 27) of the patients adhered to CPAP treatment by the end of the 1- and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β = −2.65, 95% CI = −1.60, −4.13), daytime functioning (β = 3.24, 95% CI = 1.87, 4.61) and decreased daytime sleepiness (β = −3.29, 95% CI = −1.85, −4.73). At 3 months, the intervention still improved quality of sleep (β = −3.53, 95% CI = −2.05, −5.01), and daytime functioning (β = 4.34, 95% CI = 2.76, 5.92), and decreased daytime sleepiness (β = −4.82, 95% CI = −3.16, −6.49).Originality/valueAdherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics.

scholarly journals Improvement of Cognitive Function after Continuous Positive Airway Pressure Treatment for Subacute Stroke Patients with Obstructive Sleep Apnea: A Randomized Controlled Trial

2019 ◽  
Vol 9 (10) ◽  
pp. 252 ◽  
Author(s):  
Kim ◽  
Im ◽  
Park ◽  
Kim ◽  
Sohn ◽  
...  
Keyword(s):  
Treatment Group ◽  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Control Group ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Cpap Treatment ◽  
Obstructive Sleep

Background: Obstructive sleep apnea (OSA) is common after stroke. Various studies on continuous positive airway pressure (CPAP) therapy for OSA after stroke have been published. However, there have been no studies from Korea and Asia. The present Korean study aimed to determine whether CPAP treatment during inpatient rehabilitation of stroke patients with sleep disorders, especially OSA, improves function, cognition, sleep quality, and daytime sleepiness. Methods: This single-blind randomized controlled study included 40 stroke patients with OSA between November 2017 and November 2018. The patients were divided into the CPAP treatment group (CPAP and rehabilitation; n = 20) and control group (only rehabilitation; n = 20). The intervention period was 3 weeks. The primary outcomes were function and cognition improvements, and the secondary outcomes were sleep-related improvements. Results: CPAP treatment started at an average of 4.6 ± 2.8 days after admission. Both groups showed improvements in stroke severity, function, and cognition after the 3-week intervention. However, after the intervention, the degree of change in attention and calculation was significantly higher in the CPAP treatment group than in the control group. Additionally, the improvements in sleep quality and daytime sleepiness were greater in the CPAP treatment group than in the control group. Conclusion: CPAP treatment can improve cognitive function, sleep quality, and daytime sleepiness, and it should be considered as part of the rehabilitation program for patients with stroke. Our findings might help in the treatment of stroke patients with OSA in Korea.

scholarly journals Sleep Characteristics Among Women With and Without PCOS

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A745-A745
Author(s):  
Karen Oppermann ◽  
Stéfanie Zamboni Perozzo Hemkemeier ◽  
Ana Victoria Reichert ◽  
Lais Weber ◽  
Laura Rinaldi
Keyword(s):  
Sleep Apnea ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Daytime Sleepiness ◽  
Abdominal Circumference ◽  
Control Group ◽  
Quality Of Sleep ◽  
Obstructive Sleep ◽  
The Mean

Abstract Clinical studies indicate that sleep disorders, including obstructive sleep apnea (OSA) and excessive daytime sleepiness, occur more frequently among women with PCOS compared to comparison groups without the syndrome. The presence of OSA in PCOS is associated with worsening of metabolic parameters. There is some evidence that obesity directly contributes to OSA among women with PCOS, although, it does not fully account for findings from community-and clinic-based studies. Questionnaires are used as screening for sleep disorders. The objective was to verify the quality of sleep, the prevalence of OSA and daytime sleepness among women with PCOS compared to control group. The sample size calculation was based on estimates bad quality of sleep among women with PCOS in 80% and among control women in 45% (1). The sample with 58 women, 29 each group, had a power of 80%, with a significance level of 0.05. This is a cross sectional study with 29 patients with PCOS and 31 controls from Gynecology Endocrinology Ambulatory of São Vicente de Paulo Hospital, Passo Fundo, RS, Brazil, who consulted between January 2017 and March 2020. Women with PCOS by Rotterdam criteria and controls were under 40 years old and no pregnant. Controls women had regular cycles, no history of PCOS or hirsutism and had normal ovaries on transvaginal ultrasound. Age, BMI, blood pressure (BP), waist circumference (WC) were measured. It was applied the validated questionnaires of Pittsburgh Sleep Quality Index, to classify in good and bad sleep quality; Epworth Sleepiness Scale for daytime sleepiness and Berlim Questionnaire for evaluate sleep apnea risk. The mean of age was 30.6 ± 5.9, PCOS 29.1± 6.7 versus 32.3±4.7, p=0.06. The group of PCOS women was heavier (BMI 32.4±6.1versus 28.0 ± 5.3, p=0.04) and presented higher WC (101.3±16.1 versus 91.6 ±14cm, p=0.03). The mean of BP was similar between the groups. The prevalence of bad sleep quality was 53.6% for women with PCOS and 63.1% for controls (p=0.29). The daytime sleepiness was present in 14,5% of the women with PCOS and 35.7% of controls (p=0,061) and the sleep apnea risk was 32.1% for women with PCOS and 21.4% for controls (p=0.27). The association of risk of OSA was verified with robust multivariate Poisson. The prevalence ratio (PR) of BMI ≥ 30 was 1.820 (CI 1.281-2.587) p<0.001, BMI ≥ 25 1.549 (IC 1.067- 2.250) p=0.02, adjusted for age, WC and PCOS diagnosis. In conclusion, there was no difference in prevalence of quality of sleep, OSA risk or daytime sleepiness between women with PCOS and controls. The risk of OSA was higher in obese women independently of age, abdominal circumference and PCOS diagnosis. Reference: (1) Fernandez et al., Nature and Science of Sleep 2018; 10: 45–64.

scholarly journals Sleep in elite swimmers: prevalence of sleepiness, obstructive sleep apnoea and poor sleep quality

2019 ◽  
Vol 5 (1) ◽  
pp. e000673
Author(s):  
Pavol Surda ◽  
Matus Putala ◽  
Pavel Siarnik ◽  
Abigail Walker ◽  
Katherine De Rome ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Obstructive Sleep Apnoea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Apnoea ◽  
Quality Of Sleep ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Elite Swimmers

ObjectivesLimited data suggest that swimmers might be affected by poor quality of sleep significantly. The aim was to explore the prevalence of sleep disturbances in swimmers and possible link between rhinitis and sleep disturbance.MethodsStudy 1 was an observational case–control, questionnaire-based study involving 157 elite and non-elite swimmers, 36 non-swimming athletes and 50 controls. In study 2, we measured sleep quality and duration using actigraphy in 20 elite swimmers. We also looked for presence of sleep-disordered breathing using overnight pulse oximetry monitor.ResultsIn study 1, we observed a significant difference in prevalence of excessive daytime sleepiness between groups of elite swimmers and controls. Pittsburgh Sleep Quality Index (PSQI) scores do not suggest that quality of sleep in group of swimmers is impaired. In study 2, we found that prevalence of obstructive sleep apnoea (OSA) in elite swimmers defined as oxygen desaturation index ≥5 was 30%. Analysis of actigraphy data revealed that on nights prior to training days, ‘going to’ bed time was significantly earlier and total sleep time was significantly reduced.ConclusionSwimmers and non-swimming athletes suffer significantly more with excessive daytime sleepiness than healthy controls. In elite swimmers, this is likely linked to high prevalence of OSA. PSQI scores do not suggest that quality of sleep in group of swimmers is impaired, but actigraphy shows great variations between sleep pattern preceding training and rest day. This seems to be associated with early-morning sessions which can be a disruptive element of weekly sleep patterns.

436 Obstructive Sleep Apnea Treatment (e.g., CPAP) Differential Effects on Cognitive Performance

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A172-A173
Author(s):  
Ei Hlaing ◽  
Stephanie Clancy Dollinger ◽  
Terry Brown
Keyword(s):  
Sleep Quality ◽  
Cognitive Deficits ◽  
Daytime Sleepiness ◽  
Short Term Memory ◽  
Cognitive Tests ◽  
Subjective Sleep Quality ◽  
Cognitive Improvement ◽  
Cpap Treatment ◽  
Integrative Research ◽  
Obstructive Sleep

Abstract Introduction The efficacy of CPAP treatment for cognitive improvement among patients with OSA is inconsistent. Naegele et al. (1995) found that short term memory impairment persisted even after 4 to 6 months of CPAP; O’Donoghue et al. (2012) have reported they did not find improvement in vigilance or memory; Felver-Grant (2007) found that working memory improved but not other cognitive tests. Kanbay et al. (2015) found patients improved on the MMSE scores after 3 months of CPAP treatment. Kim et al. (2018) claimed just 3 weeks of CPAP treatment improved attention, sleep quality, and excessive daytime sleepiness (EDS). CPAP therapy has little effect on the improvement of cognitive deficits associated with OSA if the patients did not complain of daytime sleepiness (Zhou et al,, 2016). Methods Both untreated OSA patients (N=19) and ApneaLinkTM- screened controls (N=16) were administered a battery of cognitive tests before the patients started using CPAP and these two conditions were tested again after 3 months of CPAP treatment. A Fisher’s Exact Chi-Square test was used to determine if there was an association between conditions (OSA patients vs. Controls) and level of performance on cognitive tests (low vs. high scores) at the baseline and after 3 months of treatment. Results Depression scores, subjective sleep quality scores (global PSQI), EDS scores (Epworth Sleepiness Scale), and mood disturbance (Profile of Mood States) decreased after 3 months of CPAP treatment just for patients. Controls (individuals without moderate or severe OSA) performed better at the second time on phonemic fluency, immediate recall memory test, and 30 minute delayed memory recall test. Conclusion The fact that patients did not do better at time 2 on any of the cognitive tests may indicate a long term effect of hypoxia on the brain. The cognitive deficits may not reverse within the first 3 months of CPAP although self-reported depressive symptoms and perception of sleep quality and positive mood have improved when patients reported they are compliant with the treatment. Support (if any) A grant from the Center for Integrative Research on Cognitive Neural Science, Southern Illinois University Carbondale was received.

scholarly journals Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260582
Author(s):  
Doug Cary ◽  
Angela Jacques ◽  
Kathy Briffa
Keyword(s):  
Sleep Quality ◽  
Online Survey ◽  
General Information ◽  
Control Group ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Patient Reported ◽  
Sleep Posture

Introduction Research with a focus on sleep posture has been conducted in association with sleep pathologies such as insomnia and positional obstructive sleep apnoea. Research examining the potential role sleep posture may have on waking spinal symptoms and quality of sleep is however limited. The aims of this research were to compare sleep posture and sleep quality in participants with and without waking spinal symptoms. Methods Fifty-three participants (36 female) were, based on symptoms, allocated to one of three groups; Control (n = 20, 16 female), Cervical (n = 13, 10 female) and Lumbar (n = 20, 10 female). Participants completed an online survey to collect general information and patient reported outcomes and were videoed over two consecutive nights to determine sleep posture using a validated classification system including intermediate sleep postures. Results Participants in the symptomatic groups also reported a lower sleep quality than the Control group. Compared to Control group participants, those in the Cervical group had more frequent posture changes (mean (SD); 18.3(6.5) versus 23.6(6.6)), spent more time in undesirable/provocative sleep postures (median IQR; 83.8(16.4,105.2) versus 185.1(118.0,251.8)) minutes and had more long periods of immobility in a provocative posture, (median IQR: 0.5(0.0,1.5) versus 2.0 (1.5,4.0)). There were no significant differences between the Control and Lumbar groups in the number of posture changes (18.3(6.5) versus 22.9(9.1)) or the time spent in provocative sleep postures (0.5(0.0,1.5) versus 1.5(1.5,3.4)) minutes. Discussion This is the first study using a validated objective measure of sleep posture to compare symptomatic and Control group participants sleeping in their home environment. In general, participants with waking spinal symptoms spent more time in provocative sleep postures, and experienced poorer sleep quality.

scholarly journals P.2.33 The association between pattern of shift work and sleep quality amongst nurses in university hospital in northeastern region of thailand

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A95.3-A96
Author(s):  
Kampanat Wangsan ◽  
Naesinee Chaiear ◽  
Kittisak Sawanyawisuth ◽  
Paanumas Krisorn
Keyword(s):  
Sleep Quality ◽  
Shift Work ◽  
Poor Quality ◽  
University Hospital ◽  
Quality Of Sleep ◽  
Screening Questionnaire ◽  
Northeastern Region ◽  
Obstructive Sleep ◽  
Shift Pattern

IntroductionShift work associated with many health problems, work performance and injury. Disturbance of sleep quality is the main mechanism of shift work effects. Nurses are at risk of many occupational hazards and also shift work. The information about shiftwork and the association of sleep quality amongst nurses of Thailand is still limit.ObjectiveTo study the association of shift work and quality of sleep and which pattern has highest risk of poor quality of sleep amongst nurses in university hospital in Northeastern region of Thailand.Material and methodOne thousand and one hundred nurses were met inclusion and exclusion criteria with 75.5%(n=831) participation rate. The data was collected via questionnaire including personal information, shift schedule, depression screening questionnaire, obstructive sleep apnea screening questionnaire and sleep quality questionnaire (PSQI). Cross-sectional analytical study was conducted.ResultAll patterns of shift work amongst sample were irregular shift work. There were statistically significant association between shift work and poor quality of sleep . Predominant backward shift pattern has higher association of poor quality of shiftwork than predominant forward shift pattern.ConclusionEven shift work associate with poor quality of sleep but good strategy of shift work scheduling help to decrease risk of poor quality of sleep.

Training zu Hause verbessert die Schlafqualität und die Tagesschläfrigkeit älterer Menschen

2019 ◽  
Vol 7 (6) ◽  
pp. 327-328
Author(s):  
Helmut Frohnhofen
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Cognitive Decline ◽  
Daytime Sleepiness ◽  
Exercise Program ◽  
Sleep Hygiene ◽  
Northeastern Brazil ◽  
Home Exercise ◽  
Quality Of Sleep

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scale (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders. Trial registration: Ensaiosclinicos.gov.br process number: RBR-3cqzfy.

Association of dietary quality indices with sleep quality in chronic obstructive pulmonary disease patients

2020 ◽  
Vol 50 (6) ◽  
pp. 1295-1307
Author(s):  
Zamzam Paknahad ◽  
Leila Yazdanpanah ◽  
Mohammad Reza Maracy ◽  
Amir Reza Moravejolahkami ◽  
Seyed Ali Javad-Mousavi ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Sleep Quality ◽  
Diet Quality ◽  
Chronic Obstructive ◽  
Quality Indices ◽  
Quality Of Sleep ◽  
Obstructive Pulmonary Disease ◽  
Content Type ◽  
Copd Patients

Purpose Patients with chronic obstructive pulmonary disease (COPD) suffer from many health problems including poor sleep. This paper aims to evaluate the relationship between diet quality indices (DQIs) and sleep quality in COPD. Design/methodology/approach The current cross-sectional study was carried on 121 COPD patients. Subjective quality of sleep was determined by Pittsburgh Sleep Quality Index (PSQI) and categorized into “poor” and “good” sleep quality. Dietary history was assessed by the DQIs. Disease status was categorized according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines. Findings In total, 103 men and 18 women with a mean age of 66.1 ±10.9 were studied. The subjects were categorized into four groups based on GOLD; 3.3% of subjects were at Stage 1, 38% in Stage 2, 38% in Stage 3 and 20.7% in Stage 4. In total, 38% of subjects were good, and 62% were bad sleepers according to PSQI score. There was no significant relationship between the severity of COPD and PSQI score. We observed a significant inverse relation between PSQI total score and Mediterranean diet (MED) scale, Healthy Eating Index (HEI)-2010 and HEI-2005 (p = 0.024, 0.037 and 0.024, respectively) in males. Originality/value This study showed a high prevalence of poor quality of sleep and sleep disturbances among COPD patients. There was an inverse association between PSQI and sleep disorders and DQIs scores in COPD patients. Regardless of the severity of airflow obstruction, poor diet quality may constitute a risk factor for sleep quality.

scholarly journals The Role of Daytime Sleepiness in Psychosocial Outcomes after Treatment for Obstructive Sleep Apnea

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Esther Yuet Ying Lau ◽  
Gail A. Eskes ◽  
Debra L. Morrison ◽  
Malgorzata Rajda ◽  
Kathleen F. Spurr
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Functional Outcomes ◽  
Psychosocial Outcomes ◽  
Activity Level ◽  
Cpap Treatment ◽  
Obstructive Sleep

We investigated the role of daytime sleepiness and sleep quality in psychosocial outcomes of patients with obstructive sleep apnea (OSA) treated with continuous positive airway pressure (CPAP). Thirty-seven individuals with moderate to severe OSA and compliant with CPAP treatment for at least 3 months were compared to 27 age- and education-matched healthy controls. The OSA group and the control group were studied with overnight polysomnography (PSG) and compared on measures of daytime sleepiness (Epworth Sleepiness Scale), sleep quality (Pittsburg Sleep Quality Index), mood (Beck Depression Inventory, Profile of Mood States), and functional outcomes (Functional Outcomes of Sleep Questionnaire). After CPAP treatment, the OSA group improved on sleep quality and sleepiness. As a group, they did not differ from controls on sleep architecture after CPAP. The OSA group also showed significant improvements in functional outcomes and was comparable to controls on mood and functional outcomes. Persistent difficulties included lowered activity level and residual sleepiness in some individuals. Sleepiness was found to be a significant predictor of mood and affective states, while both sleepiness and sleep quality predicted functional outcomes. These results highlight the importance of assessment and intervention targeting psychosocial functioning and sleepiness in individuals with OSA after treatment.

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