scholarly journals Daytime Sleepiness Among Young Adult Omani Car Drivers

2018 ◽  
Vol 18 (2) ◽  
pp. 143 ◽  
Author(s):  
Mohammed A. Al-Abri ◽  
Samir Al-Adawi ◽  
Ibrahim Al-Abri ◽  
Faisal Al-Abri ◽  
Atsu Dorvlo ◽  
...  
Keyword(s):  
Young Adult ◽  
Sleep Duration ◽  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
University Hospital ◽  
Motor Vehicles ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Berlin Questionnaire ◽  
Nocturnal Sleep ◽  
Obstructive Sleep

Objectives: Sleepiness and fatigue play significant roles in exacerbating the occurrence of car crashes. However, there is a dearth of studies examining the prevalence of sleepiness while driving among Omanis. This study aimedto determine the proportion of young Omani adults who confess to daytime sleepiness while driving and to investigate associations between gender, daytime sleepiness and risk of obstructive sleep apnoea syndrome (OSAS). Methods: This cross-sectional study took place at the Sultan Qaboos University Hospital, Muscat, Oman, between May and July 2014 and included 600 young adult Omani non-commercial drivers. The Berlin Questionnaire and Epworth Sleepiness Scale (ESS) were distributed among the participants, along with additional questions about their sleeping habits. Associations between daytime sleepiness while driving and nocturnal sleep duration, risk of OSAS and gender were determined. Results: A total of 492 private vehicle drivers took part in the study (response rate: 82%), of which 50.4% were male. Overall, 124 Omanis (25.2%) reported experiencing daytime sleepiness while driving at least once per month. There was a significant association between nocturnal sleep duration of <6 hours and sleepiness while driving (P = 0.042). Female participants were significantly more likely to score >10 on the ESS, indicating a greater propensity for daytime sleepiness (P = 0.006). However, male drivers were significantly more likely to report sleepiness while driving (P = 0.001). Conclusion: Sleepiness while driving was common among young male drivers in Oman and might be due to nocturnal sleep deprivation. Further studies are needed so that preventative measures can be developed.Keywords: Motor Vehicles; Traffic Accidents; Sleep; Fatigue; Obstructive Sleep Apnea Syndrome; Oman.

scholarly journals A case of obstructive sleep apnea syndrome associated with floppy eyelid syndrome: positive effect of CPAP therapy

2017 ◽  
Vol 87 (1) ◽  
Author(s):  
Roberto Porta ◽  
Laura Comini ◽  
Luca Barbano ◽  
Luca Bianchi ◽  
Michele Vitacca
Keyword(s):  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Ocular Symptoms ◽  
Obstructive Sleep ◽  
Short Period ◽  
History Of ◽  
Respiratory Polygraphy ◽  
Waking Up

<p>The obstructive sleep apnoea syndrome (OSAS) may be associated with several eyes disorders, among which the most common is the floppy eyelid syndrome (FES). We intended to highlight the association between OSAS and FES and evaluate the effect of FES treatment with Continuous Positive Airway Pressure (CPAP). A 50-year patient with a 10-year history of snoring, sleep fragmentation and daytime sleepiness associated with several comorbidities has been studied. For six months, several ocular symptoms were present, particularly on waking up in the morning. An overnight respiratory polygraphy was performed at baseline and after CPAP titration. The treatment with CPAP corrects apnea/hypopnea events and rapidly improves patient’s daytime sleepiness and eyes FES-related symptoms. This improvement is already evident after a very short period of treatment.</p><p> </p>

scholarly journals A study to estimate prevalence and risk factors of Obstructive Sleep Apnoea Syndrome in a semi-urban Indian population

2017 ◽  
Vol 87 (1) ◽  
Author(s):  
Abhijeet Singh ◽  
Rajendra Prasad ◽  
Rajiv Garg ◽  
Surya Kant ◽  
Giridhar B. Hosmane ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Indian Population ◽  
Assessment Tool ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Risk Category ◽  
Berlin Questionnaire ◽  
Predictive Values ◽  
Obstructive Sleep

<p>Obstructive Sleep Apnea Syndrome (OSAS) has been recognised as a major cause of morbidity and mortality in developing countries like India. There is still a paucity of Indian studies regarding the prevalence of OSAS. The current single centre prospective cross-sectional study was undertaken to know prevalence estimates for key symptoms and features that can indicate the presence of OSAS in an Indian population. A survey was conducted on subjects with age groups ≥ 25 years at King George's Medical University, Lucknow, Uttar Pradesh, India from August 2009 to July 2011. Data was recorded during the interview on the basis of Berlin Questionnaire (BQ). Risk factors for OSAS were also evaluated. Risk group categorization for OSAS was done with the help of a questionnaire and overnight polysomnography was performed in each group to measure apnea and hypopnea index (AHI). Out of 1816 subjects, 1512 (response rate 83.3%) finally participated in the survey with mean age 42.6±11.2 years, males 67.9% and females 32.1%. Of them 6.2% were found to be at high-risk OSAS; 12.2% were obese (Body Mass Index ≥30 kg/m<sup>2</sup>) and 33.5% of the obese population were at high-risk OSAS. Among high-risk patients with OSAS, 62.4% had hypertension. Statistically significant and independent risk factors found for OSAS were obesity, large neck size, alcoholism and use of sedatives/tranquillizers. High-risk category predicted an AHI ≥5 with a sensitivity of 86.3% (95% CI 73.1-93.8), specificity of 93.1% (95% CI 89.1-95.7), positive and negative predictive values of 70.9% (95% CI 57.9-81.4) and 97.2% (95% CI 94.1-98.8) respectively. It can be concluded that BQ questionnaire can still be used as a pre-assessment tool for predicting persons at risk for OSAS in clinical practice. Further studies on estimation of prevalence of OSAS by applying BQ are warranted in near future from other regions of India.</p>

scholarly journals Interrelationship Between Obstructive Sleep Apnea Syndrome and Severe Asthma: From Endo-Phenotype to Clinical Aspects

2021 ◽  
Vol 8 ◽  
Author(s):  
Beatrice Ragnoli ◽  
Patrizia Pochetti ◽  
Alberto Raie ◽  
Mario Malerba
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Severe Asthma ◽  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
Future Research ◽  
Clinical Aspects ◽  
Poor Sleep ◽  
Sleep Related Breathing Disorders ◽  
Obstructive Sleep

Sleep-related breathing disorders (SBDs) are characterized by abnormal respiration during sleep. Obstructive sleep apnea (OSA), a common SBD increasingly recognized by physicians, is characterized by recurrent episodes of partial or complete closure of the upper airway resulting in disturbed breathing during sleep. OSA syndrome (OSAS) is associated with decreased patients' quality of life (QoL) and the presence of significant comorbidities, such as daytime sleepiness. Similarly to what seen for OSAS, the prevalence of asthma has been steadily rising in recent years. Interestingly, severe asthma (SA) patients are also affected by poor sleep quality—often attributed to nocturnal worsening of their asthma—and increased daytime sleepiness and snoring compared to the general population. The fact that such symptoms are also found in OSAS, and that these two conditions share common risk factors, such as obesity, rhinitis, and gastroesophageal reflux, has led many to postulate an association between these two conditions. Specifically, it has been proposed a bidirectional correlation between SA and OSAS, with a mutual negative effect in term of disease severity. According to this model, OSAS not only acts as an independent risk factor of asthma exacerbations, but its co-existence can also worsen asthma symptoms, and the same is true for asthma with respect to OSAS. In this comprehensive review, we summarize past and present studies on the interrelationship between OSAS and SA, from endo-phenotype to clinical aspects, highlighting possible implications for clinical practice and future research directions.

scholarly journals Differential Profile of OSA in Obese Kashmiri Patients of Northern India

JMS SKIMS ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 65-74
Author(s):  
Javid Ahmad Malik ◽  
Sheikh Shoib ◽  
Bashir Ahmad Naikoo ◽  
Shabir Ahmad Lone ◽  
Ramees Mohi Ud Din Mir ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Daytime Sleepiness ◽  
Sleep Latency ◽  
Obese Patients ◽  
Nocturnal Sleep ◽  
Presenting Symptoms ◽  
Northern India ◽  
Obstructive Sleep ◽  
The Mean ◽  
Nonobese Patients

Obstructive sleep apnea (OSA) and obesity are two interacting global epidemics both with high prevalence and morbidity. Both epidemiologic and clinical studies suggest that majority of patients with obesity also have OSA and untreated OSA in these patients results in significant cardiovascular and metabolic complications.Objectives: To evaluate the profile of OSAin obese patients of Kashmir.Methods: We performed polysomnography studies in obese patients that were referred from various sub-specialty clinics from July 2011 to August 2013.Results: Out of 182 patients who underwent polysomnography (PSG), 11O (60.4%) were obese (BMI > 30 kg/m2). In 110 obese patients, 104 (94.5%) had OSA. Hypertension, diabetes and dyslipidemia were more prevalent among obese (p<0.05). The mean neck circumference and mean BMI of obese patients was significantly more than that of non-obese (33.9 kg/m2 vs. 26.8 kg/m2) (p <0.000). Presenting symptoms of obese were snoring (97.3%), daytime sleepiness (87.3%) with a mean ESS of 15.3, disturbed nocturnal sleep (70.0%), nocturia (62.7%) and witnessed apneas (45.5%). OSA was significantly (p=0.002) more common among obese compared to non-obese (93% vs 76%). Most were clinically suspected to have OSAby internists (29%), cardiologists (20%), endocrinologists (15%) and psychiatrists (13%). Sleep efficiency was significantly less (p< 0.03) in obese patients but sleep latency and REM sleep latency did not significantly differ between obese and non-obese. Unlike awake oxygen saturation the average nocturnal oxygen saturation of obese patients was significantly less [p=0.001] than that of nonobese patients (84.7% vs. 88.1%). The mean AHI of obese patients was significantly more than non-obese i.e 24.3 vs. 18.0 (p = 0.001) and so was the mean ODI i.e 24.6 vs. 17.2 (p = 0.001). Variables that significantly correlated with presence of OSA include age, gender, BMI, hypertension, diabetes and cardiovascular disease (p< 0.05), however on logistic regression only BMI, hypertension, and nocturia correlated with OSA. CPAPtherapy improved snoring, nocturia, nocturnal sleep and daytime sleepiness more in obese than non-obese OSApatients.Conclusions: OSA which is highly prevalent among obese Kashmiri patients, is largely unrecognized in the primary care setting. It is associated with significant comorbidities and most of these improve with CPAPtherapy. JMS 2016; 19(2):65-74.

scholarly journals Influence of Sleep Disturbances on Quality of Life of Iranian Menopausal Women

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Zohreh Yazdi ◽  
Khosro Sadeghniiat-Haghighi ◽  
Amir Ziaee ◽  
Khadijeh Elmizadeh ◽  
Masomeh Ziaeeha
Keyword(s):  
Quality Of Life ◽  
Daytime Sleepiness ◽  
Sleep Disturbances ◽  
Negative Impact ◽  
Berlin Questionnaire ◽  
Life Questionnaire ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Menopausal Women

Background. Subjective sleep disturbances increase during menopause. Some problems commonly encountered during menopause, such as hot flushes and sweating at night, can cause women to have difficulty in sleeping. These complaints can influence quality of life of menopausal women.Methods. This cross-sectional study was performed on menopausal women attending health centers in Qazvin for periodic assessments. We measured excessive daytime sleepiness by Epworth sleepiness scale (ESS), obstructive sleep apnea (OSA) by the Berlin questionnaire, and insomnia by the insomnia severity index (ISI). We evaluate quality of life by the Menopause specific quality of life questionnaire (MENQOL).Results. A total of 380 menopausal women entered the study. Mean age of participated women was 57.6 ± 6.02. Mean duration of menopause was 6.3 ± 4.6. The frequency of severe and moderate insomnia was 8.4% (32) and 11.8% (45). Severe daytime sleepiness (ESS ≥ 10) was present in 27.9% (80) of the participants. Multivariate analytic results show that insomnia and daytime sleepiness have independent negative impact on each domain and total score of MENQOL questionnaire.Conclusion. According to our findings, EDS and insomnia are frequent in menopausal women. Both EDS and insomnia have significant quality of life impairment.

scholarly journals Obstructive Sleep Apnea Syndrome in a Railroad Controller Worker

2015 ◽  
Vol 53 (1) ◽  
pp. 91-96
Author(s):  
Agripina Rascu ◽  
Laura Moise ◽  
Eugenia Naghi ◽  
Alexandra Rascu ◽  
Lavinia Lacatusu
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Work Capacity ◽  
Work Place ◽  
Berlin Questionnaire ◽  
Pressure Therapy ◽  
Positive Diagnosis ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Abstract Sleep Apnea Syndrome (SAS) constitutes a healthcare issue of major importance at international level with a prevalence of 5% in the active population. Consequentially to the induced co-morbidities, the mortality reaches as high as 39% at eight years time lapse from the initial diagnostic. Seldom undiagnosed, the severity spectrum of SAS, in the absence of therapy, only continues to amplify. Here below, we are presenting the case of a 49 years old patient, railroad controller worker, non-smoker and occasionally alcohol user, who was hospitalized in our Clinic for Occupational Medicine. During last year, the patient was accusing excessive daytime somnolence, breath arrests during sleep, intense snoring, morning headaches, morning oral dryness, pin point chest pain, nocturia (4-5 nocturnal urination), concentration difficulties and an overall reduced work capacity. The presumptive diagnostic of Obstructive Sleep Apnea is being considered based on the correlation between the clinical presentation and the Epworth, Stanford and Berlin questionnaire results. The key diagnostic element was the polygraph recording over an 8 hours sleep period. Positive Diagnosis: Obstructive Sleep Apnea severe form. Management and recommendations: (1) Behavioral therapy (weight loss) and (2) CPAP (Continuous Positive Airway Pressure) therapy which was instituted immediately after the positive diagnosis was made. As a consequence, the respiratory symptoms, the frequent episodes of daytime snoozing and the concentration difficulties at work place diminished considerably.

Surgical Correction of Anatomic Abnormalities in Obstructive Sleep Apnea Syndrome: Uvulopalatopharyngoplasty

1981 ◽  
Vol 89 (6) ◽  
pp. 923-934 ◽  
Author(s):  
Shiro Fujita ◽  
William Conway ◽  
Frank Zorick ◽  
Thomas Roth
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Surgical Approach ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
Medical Complications ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Objective Improvement

Excessive daytime sleepiness and loud snoring are the major symptoms of obstructive sleep apnea, often leading to serious medical complications if unrecognized and untreated. Tracheostomy has been the only effective treatment in most adult cases. This paper reports on a new surgical approach to treat obstructive sleep apnea by uvulopalatopharyngoplasty designed to enlarge the potential airspace in the oropharynx. Twelve patients underwent this operation. In nine there was relief of symptoms and in eight there was objective improvement in nocturnal respiration and sleep pattern, demonstrated by polysomnography.

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