scholarly journals Sleep-disordered Breathing and the Menopausal Transition Among Participants in the Sleep in Midlife Women Study

2016 ◽  
Vol 4 (2) ◽  
pp. 100-104
Author(s):  
Anna G Mirer ◽  
Terry Young ◽  
Mari Palta ◽  
Ruth M Benca ◽  
Amanda Rasmuson ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Sleep Disordered Breathing ◽  
Linear Models ◽  
Sleep Problem ◽  
Hot Flashes ◽  
Midlife Women ◽  
Daily Diaries ◽  
Body Habitus ◽  
Empirical Standard ◽  
Disordered Breathing

ABSTRACT Objective Menopause is widely believed to be an established cause of sleep disorders, but evidence for this theory is inconclusive. Attributing any sleep problem to normal processes of menopause may lead to underdiagnosis of treatable sleep disorders in midlife women. This study uses detailed longitudinal data on sleep and menopausal health from participants in the Sleep in Midlife Women Study to investigate whether risk and severity of sleep-disordered breathing increase with progression through menopause, accounting for changes in age and body habitus. Methods A total of 219 women aged 38 to 62 years were recruited from participants in the Wisconsin Sleep Cohort Study. Menopause status was determined from daily diaries in which participants reported menstrual flow, hot flashes, and use of hormonal medications. Each participant underwent in-home polysomnography studies every 6 months, to measure the apneahypopnea index (AHI) (N = 1,667 studies). Linear models with empirical standard errors were fit for logarithm of AHI on menopause status and years in menopause, adjusting for age, body mass index, waist girth, and neck girth. Results Compared with women in premenopause, AHI was 21% higher among participants in perimenopause (95% CI, −4 to 54), 31% higher among participants in postmenopause (95% CI, 2-68), and 41% higher among participants whose menopausal stage could not be distinguished between peri- and postmenopause (95% CI, 8-82). Among women who had begun perimenopause, each additional year in menopause was associated with 4% greater AHI (95% CI, 2-6). Conclusions Progression through menopause is associated with greater sleep-disordered breathing severity. This association is independent of aging and changes in body habitus.

scholarly journals Prevalence of sleep-disordered breathing related to malocclusion in children

2021 ◽  
Vol 10 (16) ◽  
pp. e598101623984
Author(s):  
Fanny Cavalcante Carrijo ◽  
Winicius Arildo Ferreira Araujo ◽  
Iorrana Morais de Oliveira ◽  
Crystina Alcântara Carvalho ◽  
Marcelo Costa Rodrigues ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Clinical Examination ◽  
Sleep Disordered Breathing ◽  
Field Research ◽  
Clinical Record ◽  
Respiratory Effort ◽  
Disordered Breathing

Sleep-disordered breathing is characterized by airway dysfunction that can occur in any age, but most prevalent in children, caused by the occurrence of respiratory effort, snoring or even by  apnea during sleep. Therefore, the aim of this study was to survey the prevalence of sleep disorders associated with malocclusion in children aged 3 to 12 years in Mineiros, State of Goiás, Brazil. Material and Methods: this is a field research with a sample of 99 children affected by some type of sleep-disordered breathing and malocclusions. Data were collected through a questionnaire about sleep-disordered breathing and a clinical record carried out through intraoral clinical examination. Results: among the 24 children with SDB, 17 had SDB and Malocclusion, which is 70.8% of the children had SDB associated with malocclusion. Of the 75 children without SDB, 11 (14.7%) had malocclusion. Conclusion: No significant differences were found between sleep-disordered breathing and sex-related malocclusions.

scholarly journals Sleep disorders in pregnancy

2009 ◽  
Vol 2 (3) ◽  
pp. 100-106 ◽  
Author(s):  
Ghada Bourjeily
Keyword(s):  
Sleep Disorders ◽  
Sleep Disordered Breathing ◽  
Maternal Obesity ◽  
Maternal Outcomes ◽  
Poor Sleep ◽  
Management Options ◽  
Sleep Complaints ◽  
Outcomes Management ◽  
In Pregnancy ◽  
Disordered Breathing

Sleep complaints are a common occurrence in pregnancy that are in part due to pregnancy-associated anatomic and physiological changes but may also be due to pathological causes. In the non-pregnant population, sleep deprivation has been associated with physical and cognitive issues; poor sleep may even be associated with adverse maternal outcomes. Maternal obesity, one of the most prevalent risk factors in obstetric practices, together with physiologic changes of pregnancy predispose to the development of sleep disordered breathing. Symptoms of sleep disordered breathing have also been associated with poor maternal outcomes. Management options of restless legs syndrome and narcolepsy pose a challenge in pregnancy; benefits of therapy need to be weighed against the potential harm to the fetus. This article briefly reviews the normal changes in pregnancy affecting sleep, gives an overview of certain sleep disorders occurring in pregnancy, and suggests management options specific for this population.

scholarly journals Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data

2021 ◽  
Vol 10 (21) ◽  
pp. 5206
Author(s):  
Yen-Chin Chen ◽  
Chang-Chun Chen ◽  
Patrick J. Strollo ◽  
Chung-Yi Li ◽  
Wen-Chien Ko ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Eye Movement ◽  
Sleep Disturbances ◽  
Sleep Disordered Breathing ◽  
Behavior Disorder ◽  
Movement Behavior ◽  
Rapid Eye Movement ◽  
Sleep Study ◽  
Psychological Disturbances ◽  
Disordered Breathing

Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in this population. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods: The study evaluated 170 men with a Pittsburgh sleep quality index scores greater than 5, including 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (±3.0 years) and BMI (±3.0 kg/m2). For all participants, an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or chi-square tests. Results: HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, p < 0.001) and suspected rapid eye movement behavior disorder (25.0% vs. 4.8%, p < 0.01) than controls. Sleep-disordered breathing was less common in HIV-infected persons than in controls (56.8% vs. 87.3%, p < 0.001). The mean percentage of rapid eye movement sleep was higher among HIV-infected patients than among controls (20.6% vs. 16.6%, p < 0.001). Nocturia was more common in HIV-infected persons than in controls (40.9% vs. 22.2%, p = 0.02). Conclusions: Psychological disturbances and sleep-disordered breathing can be possible explanations of sleep disturbances in HIV-infected persons in whom sleep-disordered breathing is notable. Further studies are warranted to examine the underlying factors of rapid eye movement behavior disorder among HIV-infected persons with sleep disturbances.

Approach to Common Sleep Disorders

2021 ◽  
Vol 41 (06) ◽  
pp. 781-794
Author(s):  
Yujie Wang ◽  
Rachel Marie E. Salas
Keyword(s):  
Sleep Disorders ◽  
Sleep Disordered Breathing ◽  
Multidisciplinary Approach ◽  
Behavioral Therapy ◽  
Medical Disorders ◽  
Abnormal Movements ◽  
Wrist Actigraphy ◽  
Multiple Sleep Latency ◽  
Disordered Breathing

AbstractSleep disorders are highly relevant in clinical practice given their prevalence as well as their impact on health outcomes and quality of life. The most common concerns are excessive daytime sleepiness, insomnia, disordered breathing, and abnormal movements or behaviors during sleep. A detailed but targeted history is vital, particularly from the sleep partner/witness. In-laboratory sleep testing (polysomnography and multiple sleep latency test) remains vital in the diagnosis of certain sleep disorders (such as sleep-disordered breathing and central hypersomnia) and in specific populations (such as in children and individuals with comorbid medical disorders). Advances in technology have allowed for a variety of methods in assessing a patient's sleep, from compact devices to evaluate for sleep apnea, wrist actigraphy, and mobile device-based applications. As the pathophysiology of various sleep disorders becomes better elucidated, disease-specific medications have been developed for these conditions. Nonetheless, a multidisciplinary approach to management is necessary, including improving sleep hygiene and cognitive behavioral therapy.

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