scholarly journals Normal-Pressure Hydrocephalus, Sleep Apnea Syndrome, and Quality of Life in an Octagenarian

2016 ◽  
Vol 64 (9) ◽  
pp. 1922-1923 ◽  
Author(s):  
Jadwiga Attier-Zmudka ◽  
Jean-Marie Sérot ◽  
Youcef Douadi ◽  
Cyrille Capel ◽  
Roger Bouzerar ◽  
...  
2020 ◽  

Background and Aim: Obstructive sleep apnea syndrome (OSAS) negatively affects quality of life and causes erectile dysfunction in men. However, there are few studies examining the effects of OSAS on women’s sexual health. This study used validated measurement tools to evaluate whether the presence and severity of OSAS had an impact on female sexual function and if there was a change after 6 months of CPAP treatment. Scores were compared before and after CPAP in the same and between groups. Material and Method: The patients were divided into moderate and severe groups based on the Apnea-Hypopnea Index (AHI). The female patients included in the study were administered the Female Sexual Function Index (FSFI), and the Calgary sleep apnea quality of life index (SAQLI) questionnaires to evaluate their sexual function. After CPAP treatment for 6 months, FSFI, and SAQLI questionnaires were compared with the results before treatment. Results: Among study participants, 72 had severe and 76 had moderate OSAS. The mean age (standard deviation or SD) in the severe OSAS group was 40.97±5.65 years and in the moderate OSAS group was 35.46 ± 5.43 years (p < 0.001). Body mass indexes of the severe and moderate OSAS groups were 33.10 ± 3.33 kg/m2and 31.04 ± 3.42 kg/m2, respectively (p < 0.001). The mean Epworth scores (SD) of the severe and moderate OSAS groups were 11.45 ± 3.27 and 9.52 ± 3.31, respectively (p = 0.001). Based on FSFI scores, in the pre-treatment period, desire, lubrication, and satisfaction were significantly better in the moderate OSAS group. After treatment, only desire and satisfaction were significantly better in the moderate OSAS group. In both groups, after treatment, all parameters of the FSFI score were significantly better compared with the pretreatment values (p = 0.001). When SAQLI scores were compared, in the pre-treatment period, all parameters were significantly better in the moderate OSAS group. In both groups, after treatment, all parameters of the SAQLI score were significantly better compared with the pre-treatment values (p = 0.001). Conclusion: In women with severe and moderate OSAS, sexual functions and satisfaction levels were negatively associated with OSAS severity. Sexual functions and quality of life were significantly improved with effective treatment of OSAS.


2004 ◽  
Vol 62 (2a) ◽  
pp. 222-225 ◽  
Author(s):  
Marco Antonio Cardoso Machado ◽  
Lucila Bizari Fernandes do Prado ◽  
Luciane Bizari Coin de Carvalho ◽  
Silvio Francisco ◽  
Ademir Baptista da Silva ◽  
...  

BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR), but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. OBJECTIVE: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. METHOD: Eleven male patients aged 34 to 63 years (mean=49) with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. RESULTS: Excellent improvement in the quality of life was observed in five patients (45.5%) and excellent improvement in symptoms in 10 (90.9%). CONCLUSION: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.


CHEST Journal ◽  
2002 ◽  
Vol 122 (3) ◽  
pp. 861-865 ◽  
Author(s):  
Tsuneto Akashiba ◽  
Seiji Kawahara ◽  
Toshiki Akahoshi ◽  
Chiharu Omori ◽  
Osamu Saito ◽  
...  

2017 ◽  
Vol 41 (S1) ◽  
pp. S492-S492
Author(s):  
I. Gassara ◽  
J. Ben Thabet ◽  
S. Msaad ◽  
S. Yaich ◽  
K. Medhaffar ◽  
...  

IntroductionObstructive sleep apnea syndrome (OSAS) is a highly widespread sleep-related breathing disorder that leads to serious impairment in quality of life (QOL).ObjectivesWe aimed to assess QOL in patients with OSAS and to investigate its relationship with illness representations.MethodsWe performed an analytical cross-sectional study of 87 recently diagnosed OSAS patients. Apnea hypopnea index (AHI) was determined by an overnight polysomnography. Excessive daytime sleepiness (EDS) was assessed by the Epworth Sleepiness Scale (ESS). QOL was assessed by the 36-item short form health survey (SF-36). Illness representations were measured by the Brief Illness Perceptions Questionnaire (B-IPQ); High scores reveal a more threatening perception of the illness.ResultsMean age of the participants was 55.7 years (SD = 11.6). According to the AHI, 70,1% of the patients had severe OSAS, and 16.1% had moderate OSAS. The mean score of the SF-36 was 40.2 (SD = 18.7). Overall QOL was impaired in 87.7% of the patients. There was a considerable decrease in both mental and physical QOL. EDS was associated with impairment in mental QOL. Illness representations were negatively correlated with overall QOL (r = - 0.45; P < 0.01). No relationship was found between QOL and illness severity.ConclusionThe present study provides evidence that OSAS has serious influence on QOL of patients, which could be mediated by negative illness perception. So it is extremely important to know how OSAS sufferers perceive their illness to better understand their coping behavior and to improve their adherence to treatment and their QOL.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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