Which Factors Are the Most Important for Predicting Sleep Quality in Obstructive Sleep Apnea Patients with Obesity?

2019 ◽  
Vol 81 (3-4) ◽  
pp. 190-196
Author(s):  
Byung Joon Kim ◽  
Kang Min Park
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Control Group ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep ◽  
N Stage ◽  
Improve Sleep Quality

Background: Both obstructive sleep apnea (OSA) and obesity are associated with poor sleep quality. However, there have been no studies investigating sleep quality in OSA patients with obesity. The aims of this study were to (1) evaluate the sleep quality in OSA patients with obesity and (2) identify the parameters most related to sleep quality in OSA patients with obesity. Methods: Of the patients with polysomnography (PSG), OSA patients with obesity (body mass index [BMI] ≥25) were enrolled and then divided into 2 groups based on the Pittsburg Sleep Questionnaire Index (PSQI): patients with good sleep quality (PSQI ≤5, good sleepers) and those with poor sleep quality (PSQI >5, poor sleepers). In addition, we enrolled OSA patients without obesity as a disease control group. Results: Eighty-two OSA patients with obesity met the inclusion criteria (28 were good sleepers, whereas 54 were poor sleepers). We found that the BMI of the poor sleepers was significantly higher than that of the good sleepers, whereas the N-stage sleep ratio of good sleepers was higher than that of poor sleepers. Logistic ­regression analysis also showed that a high BMI and low ­N-stage sleep ratio were independently associated with poor sleep quality. In addition, BMI and N-stage sleep ratio were significantly correlated with PSQI. However, in 56 OSA patients (n = 56) without obesity, there were no differences of demographic/clinical characteristics and PSG parameters between the good (n = 18) and poor sleepers (n = 38). Discussions: About two-thirds of OSA patients with obesity show poor sleep quality. The sleep quality of these patients was more affected by the severity of obesity, but not the severity of OSA. Thus, we recommend weight loss in OSA patients with obesity to improve sleep quality as well as the severity of OSA.

scholarly journals Underlying Mechanisms for Coexisting Central and Obstructive Sleep Apnea: Nocturnal PaCO2 and Poor Sleep Quality Are Key Issues

Respiration ◽  
2015 ◽  
Vol 89 (5) ◽  
pp. 416-419 ◽  
Author(s):  
Olivier Contal ◽  
Jean Louis P�pin ◽  
Jean Christian Borel ◽  
Fabrice Espa ◽  
Stephen Perrig ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep ◽  
Key Issues ◽  
Underlying Mechanisms

scholarly journals New Insight into the Role of Obstructive Sleep Apnea in Cardiometabolic Diseases

2017 ◽  
Vol 24 (4) ◽  
pp. 385-392
Author(s):  
Diana Cristina Protasiewicz ◽  
Adina Popa ◽  
Maria-Magdalena Roşu ◽  
Adela-Gabriela Firănescu ◽  
Simona Georgiana Popa ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Accurate Method ◽  
Epidemiological Studies ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep ◽  
Insight Into

AbstractHumans spend almost one third of their life sleeping, thus sleep deprivation or poor sleep quality will have consequences upon the quality of life. Obstructive sleep apnea (OSA) is the most common sleep disorder that represents a respiratory cessation for at least ten seconds, which appears repeatable during sleep and it is accompanied by decreased oxygen saturation. The diagnosis of OSA is possible by filling in the STOP, STOP BANG, BERLIN questionnaires and performing the polysomnography, an accessible and more accurate method but yet very expensive. The prevalence of OSA is continuously increasing, but because of the nonspecific symptoms, the percentage of un-diagnosed cases is further increased. Data from 11 epidemiological studies published between 1993 and 2014 indicated an OSA prevalence of 22% in men and 17% in women. It has been suggested that there is a bidirectional causal relationship between OSA and obesity, and numerous studies have shown association of OSA with insulin resistance, diabetes mellitus, diabetic micro- and macrovascular complications and atrial fibrillation.

scholarly journals Association of Musculoskeletal Joint Pain With Obstructive Sleep Apnea, Daytime Sleepiness, and Poor Sleep Quality in Men

2017 ◽  
Vol 69 (5) ◽  
pp. 742-747 ◽  
Author(s):  
Joule J. Li ◽  
Sarah L. Appleton ◽  
Tiffany K. Gill ◽  
Andrew Vakulin ◽  
Gary A. Wittert ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Joint Pain ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep

scholarly journals Poor sleep quality and obstructive sleep apnea in patients with GERD and Barrett's esophagus

2013 ◽  
Vol 26 (3) ◽  
pp. 346-352 ◽  
Author(s):  
M. F. Vela ◽  
J. R. Kramer ◽  
P. A. Richardson ◽  
R. Dodge ◽  
H. B. El-Serag
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep

The Role of Cortical Arousals as an Indicator of Poor Sleep Quality in the Reduction of Blood Pressure Under Long-term CPAP Therapy for Obstructive Sleep Apnea and Resistant Hypertension

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 1057A
Author(s):  
Oana-Claudia Deleanu ◽  
Andra Malaut ◽  
Ana Maria Nebunoiu ◽  
Alexandra Roberta Sandu ◽  
Valentin Caius Cosei ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Poor Sleep ◽  
Cpap Therapy ◽  
Poor Sleep Quality ◽  
Obstructive Sleep

scholarly journals GAMBARAN KUALITAS TIDUR PADA PENDERITA HIPERTENSI QUALITY OF SLEEP AMONG HYPERTENSION PATIENTS

2018 ◽  
Vol 13 (2) ◽  
pp. 46
Author(s):  
Putwi Rizki Sakinah ◽  
Cecep Eli Kosasih ◽  
Eka Afrima Sari
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Poor Sleep Quality ◽  
Obstructive Sleep ◽  
Waking Up

AbstractPeople with hypertension experience symptoms of dizziness, headache, obstructive sleep apnea, shortness of breath, nocturia, and restless legs syndrome which disturb sleep and reduce its quality. This research’s objective was to describe the sleep quality overview of Puskesmas Rancaekek’s hypertension patients. Using descriptive quantitative method with purposive sampling technique, this research aimed at 79 Puskesmas Rancaekek’s patients who had been diagnosed with hypertension for at least one month long. The data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and analysed using the total score resulted; ≤5 was good while >5 was poor. Results showed 94.6% of respondents had poor sleep quality. The dimensions that contribute to the poor sleep quality included >30 minutes sleep latency, <5 hours sleep duration, <65% of sleep efficiency, sleep disturbance due to waking up at midnight or early morning and waking up to toilet, and activity disturbance at daylight. The conclusion was that Puskesmas need to develop preventive and promotive efforts to minimize the complication of hypertension patients and optimize their quality of life by helping them improve their quality of sleep. Meanwhile, the self-management that should be done by the patients were avoiding the consumption of coffee and cigarettes, limiting physical activities, and doing physical exercise and relaxation therapies. Key Words: Hypertension, Sleep Quality, PSQI  AbstrakPenderita hipertensi mengalami gejala pusing, nyeri kepala, obstructive sleep apnea, sesak napas, nokturia, restless legs syndrome yang mengganggu tidur dan berdampak pada kualitas tidur serta mempengaruhi kualitas hidup dan tekanan darah. Penelitian bertujuan untuk melihat gambaran kualitas tidur pada penderita hipertensi di Puskesmas Rancaekek. Metode penelitian menggunakan deskriptif kuantitatif dengan teknik purposive sampling sebanyak 79 penderita hipertensi di Puskesmas Rancaekek yang telah didiagnosis dokter minimal 1 bulan. Pengambilan data menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) dan dianalisis menggunakan total skor, jika skor ≤ 5 baik dan skor > 5 buruk. Hasil menunjukan 94,6% responden memiliki kualitas tidur buruk. Dimensi yang berkontribusi terhadap kualitas tidur buruk yaitu latensi tidur tidak dapat tertidur dalam waktu 30 menit, durasi tidur <5 jam, efisiensi kebiasaan tidur <65%, gangguan tidur karena terbangun tengah malam atau pagi sekali dan terbangun karena ingin ke toilet, serta gangguan aktivitas pada siang hari. Puskesmas perlu mengembangkan upaya preventif dan promotif untuk meminimalisir komplikasi penderita hipertensi dan pencapaian kualitas hidup optimal salah satunya dengan membantu meningkatkan kualitas tidur. Dengan mengedukasi penderita untuk menghindari konsumsi kopi dan rokok, membatasi aktivitas fisik, melakukan latihan fisik, dan terapi relaksasi. Kata Kunci: Hipertensi, Kualitas Tidur, PSQI

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