Analysis of the Correlation between Sleep Hygiene and Clinical Symptoms in Obstructive Sleep Apnea Patients

Abstract Introduction The emphasis on disease prevention, early detection, and preventive treatments will revolutionize the way sleep clinicians evaluate their patients. Obstructive Sleep Apnea (OSA) is one of the most prevalent sleep disorders with approximately 100 millions patients been diagnosed worldwide. The effectiveness of sleep disorder therapies can be enhanced by providing personalized and real-time prediction of OSA episode onsets. Previous attempts at OSA prediction are limited to capturing the nonlinear, nonstationary dynamics of the underlying physiological processes. Methods This paper reports an investigation into heart rate dynamics aiming to predict in real time the onsets of OSA episode before the clinical symptoms appear. The method includes (a) a representation of a transition state space network to characterize dynamic transition of apneic states (b) a Dirichlet-Process Mixture-Gaussian-Process prognostic method for estimating the distribution of the time estimate the remaining time until the onset of an impending OSA episode by considering the stochastic evolution of the normal states to an anomalous (apnea) Results The approach was tested using three datasets including (1) 20 records from 14 OSA subjects in benchmark ECG apnea databases (Physionet.org), (2) records of eight subjects from previous work. The average prediction accuracy (R2) is reported as 0.75%, with 87% of observations within the 95% confidence interval. Estimated risk indicators at 1 to 3 min till apnea onset are reported as 85.8 %, 80.2 %, and 75.5 %, respectively. Conclusion The present prognosis approach can be integrated with wearable devices to facilitate individualized treatments and timely prevention therapies. Support N/A

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PREVALENCE OF OBSTRUCTIVE SLEEP APNEA IN AN INDIAN POPULATION: USING STOPBANG QUESTIONNAIRE

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i11.27598 ◽

2018 ◽

Vol 11 (11) ◽

pp. 100 ◽

Cited By ~ 1

Author(s):

Snigdha Pattanaik ◽

Rajagopal R ◽

Neeta Mohanty ◽

Swati Pattanaik

Keyword(s):

Quality Of Life ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Clinical Symptoms ◽

Age Groups ◽

Age Group ◽

Prime Concern ◽

Obstructive Sleep ◽

Significant Difference

Objective: Obstructive sleep apnea (OSA) is a condition characterized by complete/partial obstruction of the upper airway that disrupts normal sleep pattern. It has become highly prevalent and negatively affects the quality of life. Reports show ≥4% of men and ≥2% of women, and mostly, the obese individuals are affected by OSA. OSA is independently associated with an increased likelihood of hypertension, cardiovascular disease, and diminished quality of life. Hence, it becomes a prime concern for health-care personnel to diagnose it at earliest. A screening tool is necessary to stratify patients based on their clinical symptoms, their physical examinations, and their risk factors. Thus, this study was taken up to assess the prevalence of OSA using the STOP-Bang questionnaire.Methods: A total number of 1012 participants were selected using random sampling technique from various community health camps for the study. The participants were asked to fill in the STOP-Bang questionnaire. All questionnaire respondents were precisely briefed about this study in a face-to-face interview. Data obtained from the survey were subjected to statistics, and descriptive analysis was done.Results: The prevalence of OSA was found to be 13.7% by using the Stop Bang questionnaire. It was found that the prevalence of OSA was highest in the age group of 50–59 (21.7%) and least in the age group of 18–29 (12.0%). Gender-wise distribution of OSA based on the scoring was seen to be more, among males (14.8%) and females showed a prevalence of 12.9%.Conclusion: This study concludes that the STOP-Bang method of screening showed a prevalence of 13.7%. However, the prevalence of OSA did not show any significant difference in various age groups; it was found that males had a higher prevalence of OSA compared to females.

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Clinical symptoms and related factors of obstructive sleep apnea among overweight and obese taxi drivers

Medical Journal of Indonesia ◽

10.13181/mji.v24i4.1279 ◽

2015 ◽

Vol 24 (4) ◽

pp. 206-14 ◽

Cited By ~ 1

Author(s):

Agus D. Susanto ◽

Barmawi Hisyam ◽

Lientje S. Maurits ◽

Faisal Yunus

Keyword(s):

Risk Factors ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Duration ◽

Clinical Symptoms ◽

Taxi Drivers ◽

Unrefreshing Sleep ◽

Obstructive Sleep ◽

The Family ◽

Waking Up

Background: Obstructive sleep apnea (OSA) is common condition in commercial drivers while overweight and obesity as the most important risk factors. This study aimed to know the clinical symptoms and risk factors of OSA in overweight and obese taxi drivers in Jakarta, Indonesia. Methods: A cross-sectional study was done in 103 taxi drivers in Jakarta from November 2011–September 2013, by systematic random sampling from 10 taxi stations. Inclusion criteria were taxi drivers with body mass index (BMI) which 23–29.9 and mild or moderate OSA. Portable polysomnography (PSG) test was used to diagnose OSA. Parametric and nonparametric test were used in bivariate analysis. Logistic regression multivariable was used to final evaluate risk factors of OSA.Results: There were 54 (52.4%) of 103 drivers with OSA and 49 (47.6%) without OSA. Clinical symptoms found significantly (p<0.05) were snoring, unrefreshing sleep, occasional sleep while driving, and headache or nausea on waking up in the morning. Risk factors for OSA were increased BMI (OR=0.60, 95% CI=0.45–0.79, p=0.001), snoring history in the family (OR=4.92, 95% CI=1.82–13.31, p=0.002) and sleep duration <7 hours within 24 hours (OR=5.14, 95% CI=1.37–19.23, p=0.015).Conclusion: Clinical symptoms of OSA were snoring, unrefreshing sleep, occasional sleep while driving and headache or nausea on waking up in the morning. Risk factors of OSA were increased BMI, snoring history in the family and sleep duration <7 hours within 24 hours.

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Sleep hygiene-related conditions in patients with mild to moderate obstructive sleep apnea

Auris Nasus Larynx ◽

10.1016/j.anl.2018.06.003 ◽

2019 ◽

Vol 46 (1) ◽

pp. 95-100 ◽

Cited By ~ 3

Author(s):

Su Young Jung ◽

Hyung-sik Kim ◽

Jin-Young Min ◽

Kyoung Jin Hwang ◽

Sung Wan Kim

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Hygiene ◽

Obstructive Sleep

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Clinical Symptoms Associated With Brief Obstructive Sleep Apnea in Normal Infants

SLEEP ◽

10.1093/sleep/16.5.409 ◽

1993 ◽

Vol 16 (5) ◽

pp. 409-413 ◽

Cited By ~ 31

Author(s):

A. Kahn ◽

J. Groswasser ◽

M. Sottiaux ◽

E. Rebuffat ◽

M. Sunseri ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Clinical Symptoms ◽

Obstructive Sleep

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The Association between Sleep-Disordered Breathing and Magnetic Resonance Imaging Findings in a Pediatric Cohort with Chiari 1 Malformation

Canadian Respiratory Journal ◽

10.1155/2015/831569 ◽

2015 ◽

Vol 22 (1) ◽

pp. 31-36 ◽

Cited By ~ 17

Author(s):

Reshma Amin ◽

Priya Sayal ◽

Aarti Sayal ◽

Colin Massicote ◽

Robin Pham ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Disordered Breathing ◽

Clinical Symptoms ◽

Apnea Hypopnea Index ◽

Imaging Findings ◽

Tonsillar Herniation ◽

Predominant Type ◽

Obstructive Sleep ◽

Disordered Breathing

BACKGROUND: The prevalence of sleep-disordered breathing (SDB) reported in the literature for Chiari malformation type 1 (CM1) is uniformly high (24% to 70%). In Canada, there is limited access to pediatric polysomnography (PSG). Therefore, the identification of clinical features would be invaluable for triaging these children.OBJECTIVE: To identify demographic features, clinical symptoms/signs and radiological findings associated with SDB in a large pediatric cohort with CM1.METHODS: A retrospective review was conducted on children with CM1 who underwent baseline PSG. Data were collected on patient demographics (age, sex, weight, height, body mass index), clinical symptoms (chart review and clinical questionnaires), diagnostic imaging of the brain and cervicothoracic spine, and medical history at the time of referral.RESULTS: A total of 68 children were included in the review. The mean (± SD) age of the children at the time of PSG was 7.33±4.01 years; 56% (n=38) were male. There was a 49% prevalence of SDB in this cohort based on the overall apnea-hypopnea index. Obstructive sleep apnea was the predominant type of SDB. Tonsillar herniation was significantly correlated with obstructive apnea-hypopnea index (r=0.24; P=0.036).CONCLUSIONS: A direct relationship between the degree of cerebellar tonsillar herniation and obstructive sleep apnea was demonstrated. However, further prospective studies that include neurophysiological assessment are needed to further translate the central nervous system imaging findings to predict the presence of SDB.

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Clinical symptoms that predict the presence of Obstructive Sleep Apnea

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2017.02.018 ◽

2017 ◽

Vol 95 ◽

pp. 139-144

Author(s):

Kevin C. Lewis ◽

James W. Schroeder ◽

Bushra Ayub ◽

Bharat Bhushan

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Clinical Symptoms ◽

Obstructive Sleep

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Sleep hygiene education for patients with obstructive sleep apnea

Sleep and Biological Rhythms ◽

10.1007/s41105-015-0015-9 ◽

2015 ◽

Vol 14 (S1) ◽

pp. 101-106 ◽

Cited By ~ 1

Author(s):

Takuro Kitamura ◽

Soichiro Miyazaki ◽

Hiroki Koizumi ◽

Shoko Takeuchi ◽

Takahisa Tabata ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Hygiene ◽

Obstructive Sleep ◽

Hygiene Education

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OBSTRUCTIVE APNEA SYNDROME IN SLEEP: A MODERN LOOK AT DIAGNOSTICS AND TREATMENT

EurasianUnionScientists ◽

10.31618/esu.2413-9335.2021.2.82.1206 ◽

2021 ◽

Vol 2 (1(82)) ◽

pp. 20-23

Author(s):

Sh. Khamidjonov ◽

Sh. Khodjanov ◽

N. Akhundjaov

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Clinical Symptoms ◽

Sleep Apnea Syndrome ◽

Upper Airways ◽

Air Supply ◽

Obstructive Sleep ◽

Air Intake ◽

Apnea Syndrome ◽

Hypopnea Syndrome

Obstructive sleep apnea syndrome (OSA) is a violation of breathing during sleep as a result of the closure of the upper airways, leading to a partial or complete cessation of air supply, the onset of hypoxia, and as a result, a transient decrease in the depth of sleep, followed by restoration of patency of the upper airways and air intake [1,2]. During a patient's sleep, such episodes can occur hundreds of times per night, which in the presence of clinical symptoms is called OSAS syndrome or obstructive sleep apnea-hypopnea syndrome [3].

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