lahya afsharisaleh; Pegah Kheradmand; shabnam Niroumand; Hossein Zakeri
Abstract
Background and Objectives: Obstructive sleep apnea causes various psychological and physical complications, reduces productivity, and increases vehicle accidents. This study investigated the association of obstructive sleep apnea with the level of physical activity.Material and Methods: In this cross-sectional ...
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Background and Objectives: Obstructive sleep apnea causes various psychological and physical complications, reduces productivity, and increases vehicle accidents. This study investigated the association of obstructive sleep apnea with the level of physical activity.Material and Methods: In this cross-sectional study, people who referred to a specialized occupational medicine clinic were enrolled by simple random method. After applying the entry criteria, participants completed package including demographic and occupational data, the IPAQ International Activity Questionnaire, the ESS daily sleepiness assessment and the STOP-BANG (SB) questionnaire. Fasting blood glucose and lipid profiles were measured and divided into two groups according to the score of SB questionnaire. Results: Totally 126 participants were enrolled and the mean age was 36.85 ± 9.88 years. There were 65 subjects(52%) high risk to obstructive sleep apnea and 61 non- cases (48%). The group with SB score less than 3 was significantly more frequent. Glucose, triglyceride and LDL levels were significantly higher in obstructive sleep group (p<0.05). Participants with low physical activity had significantly higher chance of obstructive apnea (OR = 9.6, 95% CI 1.1–78.8berr In addition, rotational shift decreased the odds of obstructive sleep apnea to 0.17 and Individuals with ESS more than 10 carried higher odds of obstructive sleep apnea.Conclusion: There was a significant relationship between the severity of obstructive sleep apnea and physical activity. Exercise and daily activities in people who are prone to disease as well as patients with a disease can help to prevent and improve apnea and its subsequent complications.
Hosna Ghandeharioun; Fariborz Rezaeitalab; Reza Lotfi
Abstract
Overnight polysomnography is the gold standard for the detection of obstructive sleep apnea-hypopnea syndrome (OSAS). However, it is expensive and needs attending personnel. The study of simplified sleep apnea monitoring is one of the recent trends for sleep medicine research. The proposed clinical prediction ...
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Overnight polysomnography is the gold standard for the detection of obstructive sleep apnea-hypopnea syndrome (OSAS). However, it is expensive and needs attending personnel. The study of simplified sleep apnea monitoring is one of the recent trends for sleep medicine research. The proposed clinical prediction rules employ the vital and social statistics, symptoms, craniofacial traits, and obesity-related measures for initial screening of OSAS in an ambulatory setting. However, most of them are partially or completely clinical and not home-based. One disadvantage of this sort of screening methods is their inability to asses OSAS severity. Another approach of initial OSAS screening is a usage of just one or two physiological signals such as electrocardiography (ECG), pulse oximetry, snoring, nasal airflow, or even speech sound. In this study, we aimed to review the different strategies and to compare their performances, reported by means of their sensitivity–specificity and accuracy for OSAS incidence and severity. OSAS severity is determined by apnea-hypopnea index (AHI) value. Based on the data obtained from the related articles, the most accurate methods of AHI estimation exploit ECG and pulse oximetry signals.
Navid Nourizadeh; Mohammad Reza Majidi; Amir Rezaei Ardani; Bashir Rasoulian; Fariborz Rezaeitalab; Hadi Asadpour; Kamran Khazaeni
Abstract
One of the factors, which is involved in obstructive sleep apnea, is anatomic or inflammatory pathologies of nasal airway obstruction. Thus, it is logical to observe improvement of polysomnographic parameters of sleep-disordered breathing after nasal surgery. The authors performed a review of the literature, ...
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One of the factors, which is involved in obstructive sleep apnea, is anatomic or inflammatory pathologies of nasal airway obstruction. Thus, it is logical to observe improvement of polysomnographic parameters of sleep-disordered breathing after nasal surgery. The authors performed a review of the literature, up to 2013, to determine the impact of nasal surgery on obstructive sleep apnea. Most current idea in this field is based on case series studies while randomized controlled trials evaluating the effect of surgery for nasal obstruction on sleep apnea are few and far between. According to these studies, surgery for nasal obstruction does not improve objective parameters of sleep apnea. Although nasal obstruction is one of the factors involved in obstructive apnea, one has to keep in mind that surgery will not result in major reduction of obstructive sleep apnea severity to relieve nasal obstruction. Detailed upper airway analysis has to be considered when surgery is an option for obstructive sleep apnea. Thus, nasal surgeries are beneficial when they are part of a multilevel approach in obstructive sleep apnea treatment.