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Sleep disordered breathing and gender

Stephanie O Zandieh, Amarilis Cespedes, Adam Ciarleglio, Wallace Bourgeois, David M Rapoport, Jean-Marie Bruzzese
OBJECTIVE: Sleep disordered breathing (SDB) has not been well studied in urban adolescents with asthma in community settings. Nor has the association of SDB symptoms and asthma severity been studied. We characterized self-reported symptoms suggesting SDB and investigated the association of SDB symptoms, probable asthma, and asthma severity. METHODS: 9,565 adolescents from 21 inner-city high schools were screened for an asthma intervention study. Students reported on symptoms suggesting SDB using questions from the 2007 NHANES, if they were ever diagnosed with asthma, and on asthma symptoms...
October 14, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Össur Ingi Emilsson, Bryndís Benediktsdóttir, Ísleifur Ólafsson, Elizabeth Cook, Sigurður Júlíusson, Einar Stefán Björnsson, Sunna Guðlaugsdóttir, Anna Soffía Guðmundsdóttir, Ekaterina Mirgorodskaya, Evert Ljungström, Erna Sif Arnardóttir, Þórarinn Gíslason, Christer Janson, Anna-Carin Olin
BACKGROUND: Nocturnal gastroesophageal reflux (nGER) is associated with respiratory symptoms and sleep-disordered breathing (SDB), but the pathogenesis is unclear. We aimed to investigate the association between nGER and respiratory symptoms, exacerbations of respiratory symptoms, SDB and airway inflammation. METHODS: Participants in the European Community Respiratory Health Survey III in Iceland with nGER symptoms (n = 48) and age and gender matched controls (n = 42) were studied by questionnaires, exhaled breath condensate (EBC), particles in exhaled air (PEx) measurements, and a home polygraphic study...
2016: Respiratory Research
Dennis Liu, Hannah Myles, Debra L Foley, Gerald F Watts, Vera A Morgan, David Castle, Anna Waterreus, Andrew Mackinnon, Cherrie Ann Galletly
BACKGROUND: Obstructive sleep apnea (OSA) in the general community is associated with obesity, smoking, alcohol, and sedative medication use and contributes to depressed mood, daytime sedation, and sudden cardiovascular deaths. Poor cardiovascular health, impaired social functioning, and negative and cognitive symptoms are also among the common clinical features of psychotic disorders. People with psychosis have higher rates of sleep disturbance; however, OSA has not been extensively investigated in this population...
2016: Frontiers in Psychiatry
Sameer Hassamal, Karen Miotto, Tisha Wang, Andrew J Saxon
BACKGROUND AND OBJECTIVES: Opioids increase the risk for sleep disordered breathing (SDB), but there are few studies examining the prevalence and risk factors for SDB, specifically central sleep apnea (CSA), and obstructive sleep apnea (OSA) in chronic pain patients on opioids as well as methadone maintained patients (MMPs). METHODS: A literature review was conducted in which SDB was confirmed by polysomnography (PSG) in chronic pain patients on opioids as well as patients with a diagnosis of an opioid use disorder or opioid dependence on methadone maintenance treatment (MMT)...
September 2016: American Journal on Addictions
F Mallamaci, R Tripepi, M C Versace, F Provenzano, A Mafrica, C Torino, G D'Arrigo, D Leonardis, G Tripepi, C Zoccali
OBJECTIVE: In renal transplant patients, the prevalence of nocturnal hypertension by far exceeds that of hypertension as assessed by clinic, daytime, and average 24-hour ABPM and night-time systolic BP (SBP) and the night-day ratio but no other BP metrics are independently associated with IMT in this population (Transplantation 2015 Dec 17). BP during nighttime may provide information for the assessment of CV risk attributable to BP burden in renal transplant patients but the determinants of this phenomenon are still undefined in these patients...
September 2016: Journal of Hypertension
Shaloo Gupta, Zhixiao Wang
AIMS: This study examined the prevalence of sleep disorders (SD) and self-reported sleep symptoms and risk factors among adult patients diagnosed with T2DM. METHODS: Data were obtained from the 2012 US National Health and Wellness Survey, an annual Internet-based survey. A total of 7239 participants reported a diagnosis of T2DM. Patients also provided information on diagnosis of SD (e.g., insomnia, sleep breathing disorder, other sleep conditions, etc.) and regularly experienced sleep symptoms (e...
June 8, 2016: Diabetes & Metabolic Syndrome
Albert Lecube, Enric Sánchez, Fernando Gómez-Peralta, Cristina Abreu, Joan Valls, Olga Mestre, Odile Romero, María Dolores Martínez, Gabriel Sampol, Andreea Ciudin, Cristina Hernández, Rafael Simó
ABSTRACT: Type 2 diabetes (T2D) is an independent risk factor for sleep breathing disorders. However, it is unknown whether T2D affects daily somnolence and quality of sleep independently of the impairment of polysomnographic parameters. MATERIAL AND METHODS: A case-control study including 413 patients with T2D and 413 non-diabetic subjects, matched by age, gender, BMI, and waist and neck circumferences. A polysomnography was performed and daytime sleepiness was evaluated using the Epworth Sleepiness Scale (ESS)...
2016: PloS One
Nira A Goldstein, Michael Gorynski, Candice Yip, Jonathan Harounian, Harris Huberman, Jeremy Weedon
OBJECTIVE: Our objective was to determine the developmental status of young children with sleep-disordered breathing (SDB) as measured by the Ages and Stages Questionnaire (ASQ-3) and to evaluate improvement after treatment. METHODS: The ASQ-3 was completed at entry, 3 months and 6 months after adenotonsillectomy or adenoidectomy. The questionnaire consists of 30 items that assess five domains: communication, gross motor, fine motor, problem solving and personal-social...
June 2016: International Journal of Pediatric Otorhinolaryngology
Ravi Gupta, Deepak Goel, S D Kandpal, Nidhi Mittal, Mohan Dhyani, Manish Mittal
OBJECTIVE: To screen symptoms of sleep disorders among primary school children. METHODS: Four schools from urban area and four rural schools were included in this study. Symptoms of sleep disorders were assessed using the validated Hindi version of Childhood Sleep Habit Questionnaire in 8-13 y old children. Comparison was made between urban and rural group and between boys and girls. Descriptive statistics was calculated. RESULTS: Mean age of the subjects included in this study was 8...
May 11, 2016: Indian Journal of Pediatrics
Angeliki Tsapanou, Yian Gu, Deirdre O'Shea, Jennifer Manly, Nicole Schupf, Nikolaos Scarmeas, Yaakov Stern
BACKGROUND: This study aimed to examine the association between self-reported sleep disordered breathing (SDB) ("awaken short of breath or with a headache") and mortality in a large and ethnically diverse group of community-dwelling elderly people. METHODS: A total of 1288 participants, 65 years and older, were examined longitudinally. Sleep problems were estimated using the Medical Outcomes Study Sleep Scale examining sleep disturbance, snoring, awaken short of breath or with a headache, sleep adequacy, and sleep somnolence...
June 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Pablo E Brockmann, Felipe Damiani, Felipe Nuñez, Ana Moya, Eduardo Pincheira, Maria A Paul, Macarena Lizama
OBJECTIVE: To investigate the technical feasibility of unattended home polysomnography (HPSG) in children with Down syndrome. METHODS: Data from children with Down syndrome under 10 years of age referred to a diagnostic sleep study was analyzed. A full sleep-lab based polysomnography (PSG) or a HPSG with a portable device was performed. Uninterpretable HPSGs were defined as: recordings with (i) loss of ≥2 of the following channels: nasal flow, or thoracoabdominal sensors, or (ii) HPSG with less than 4h of artifact-free recording time or (iii) less than 4h SpO2 (peripheral capillary oxygen saturation) signal...
April 2016: International Journal of Pediatric Otorhinolaryngology
Bernardo J Selim, Brian B Koo, Li Qin, Sangchoon Jeon, Christine Won, Nancy S Redeker, Rachel J Lampert, John P Concato, Dawn M Bravata, Jared Ferguson, Kingman Strohl, Adam Bennett, Andrey Zinchuk, Henry K Yaggi
STUDY OBJECTIVES: To determine whether sleep-disordered breathing (SDB) is associated with cardiac arrhythmia in a clinic-based population with multiple cardiovascular comorbidities and severe SDB. METHODS: This was a cross-sectional analysis of 697 veterans who underwent polysomnography for suspected SDB. SDB was categorized according to the apnea-hypopnea index (AHI): none (AHI < 5), mild (5 ≥ AHI < 15), and moderate-severe (AHI ≥ 15). Nocturnal cardiac arrhythmias consisted of: (1) complex ventricular ectopy, (CVE: non-sustained ventricular tachycardia, bigeminy, trigeminy, or quadrigeminy), (2) combined supraventricular tachycardia, (CST: atrial fibrillation or supraventricular tachycardia), (3) intraventricular conduction delay (ICD), (4) tachyarrhythmias (ventricular and supraventricular), and (5) any cardiac arrhythmia...
2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Isabelle Graf, Uwe Schumann, Julia Neuschulz, Karolin Höfer, Lutz Ritter, Bert Braumann
OBJECTIVES: The purpose of this work was to evaluate the prevalence of snoring and its correlation with cranial and upper airway morphology in young individuals with orthodontic treatment need. PATIENTS AND METHODS: Parents of 379 children were consecutively interviewed, using eight questions from a more comprehensive questionnaire about sleep behavior. A total of 100 patients (54 girls, 46 boys, average age 11.3 years) met the inclusion criteria. Based on the parents' interviews, the sample was divided into snorers (n = 53) and nonsnorers (n = 47)...
March 2016: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
Maria-Eleni Roumelioti, Christos Argyropoulos, Vernon Shane Pankratz, Manisha Jhamb, Filitsa H Bender, Daniel J Buysse, Patrick Strollo, Mark L Unruh
BACKGROUND: Automated peritoneal dialysis (APD) is one of the fastest growing dialysis modalities. It is unknown whether sleep and mood are disturbed while performing repeated overnight exchanges. OBJECTIVES: In this report, we aim to describe and compare the prevalence of sleep-disordered breathing (SDB), periodic limb movements (PLMS), poor sleep quality (SQ), and depression among APD patients compared with stages 3b-5 (estimated glomerular filtration rate ≤44 ml/min/1...
2016: Canadian Journal of Kidney Health and Disease
Mieke Maris, Stijn Verhulst, Marek Wojciechowski, Paul Van de Heyning, An Boudewyns
INTRODUCTION: Children with Down syndrome (DS) have a high prevalence of sleep problems, including behavioural sleep disturbances and obstructive sleep apnea. Sleep problems are associated with a wide range of adverse health effects. Since children with DS are already known to have many comorbidities, they are particularly susceptible for the negative impact of sleep problems. Aim of this study is (1) to evaluate the prevalence of sleep problems in children with DS, (2) compare the prevalence of sleep problems in children with DS with a community sample of typical developing school-aged children, and (3) to correlate the existence of sleep problems in children with DS and OSA...
March 2016: International Journal of Pediatric Otorhinolaryngology
Dan Teculescu
Application of a negative pressure has been utilized in experimental settings to demonstrate abnormal upper airways compliance. We hypothesized that a simple forced inspiratory maneuver could be used as a screening test for this abnormality in an epidemiological setting. 277 men and women, aged 30 years or more, who attended a Preventive Medicine Centre, volunteered for completing a sleep questionnaire, having standard anthropometric measurements, a non-invasive upper airways examination, and for performing an oronasal peak inspiratory maneuver...
July 2015: Pneumologia: Revista Societății Române de Pneumologie
Lauren Samy, Paul M Macey, Majid Sarrafzadeh
Sleep is an activity that is necessary for our survival. While the body may be still during sleep, the brain is actively progressing through repeating cycles of light and deep sleep whose purpose is physical and mental recovery and regeneration. Obstructive sleep apnea (OSA) is a sleep disorder in which breathing is frequently and repeatedly stopped during sleep. OSA severely interrupts the normal sleep cycle and the regeneration work associated with it and can thus result in detrimental health consequences...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Maria A Woodward, Taylor S Blachley, Joshua D Stein
PURPOSE: The purpose of this study was to determine whether an association exists between common systemic diseases, sociodemographic factors, and keratoconus (KCN) among a large, diverse group of insured individuals in the United States. DESIGN: Retrospective longitudinal cohort study. PARTICIPANTS: Sixteen thousand fifty-three patients with KCN were matched 1:1 with persons without KCN. METHODS: Persons with KCN were identified using billing codes and matched by age, gender, and overall health with a control group with no record of KCN...
March 2016: Ophthalmology
Emilia Sforza, Sébastien Celle, Magali Saint-Martin, Jean C Barthélémy, Frédéric Roche
UNLABELLED: Sleep-disordered breathing (SDB) is associated with excessive daytime sleepiness (EDS) and explained by sleep fragmentation and hypoxaemia, both contributing to brain morphology abnormalities. Recent data on middle-aged SDB patients suggest a link between hippocampus volume (HV) and EDS. We tested this hypothesis in a group of SDB older subjects. A total of 232 healthy participants aged 75 ± 0.9 years were examined. Subjective EDS was assessed by the Epworth Sleep Questionnaire (ESS), with a mean score of 5...
April 2016: Journal of Sleep Research
Abdulrazak Alchakaki, Anas Riehani, Mulham Shikh-Hamdon, Nader Mina, M Safwan Badr, Abdulghani Sankari
RATIONALE: Sleep-disordered breathing and chronic obstructive pulmonary disease are two common conditions that may present concomitantly. The effects of chronic obstructive pulmonary disease on the polysomnographic manifestation of sleep-disordered breathing have not been studied. OBJECTIVES: We hypothesized that the presence of airflow obstruction could be predicted by the presence of expiratory upper airway narrowing during sleep in patients with sleep-disordered breathing...
January 2016: Annals of the American Thoracic Society
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