Oropharyngeal Examination to Predict Sleep Apnea Severity

Barceló, Xavier; Mirapeix, Rosa M.; Bugés, Jordi; Cobos, Albert; Domingo, Christian

doi:10.1001/archoto.2011.176

Cited by 24 publications

(32 citation statements)

References 40 publications

(58 reference statements)

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“…Elevated BMI and AC values associated with poor quality of sleep have been found elsewhere (8)(9) . Although less significant, associations have also been found between elevated NC and the presence of disorders related to sleep, which can contribute to poor quality (11,17) .…”

Section: Referencesmentioning

confidence: 76%

“…Researchers have already observed correlations between sleep disorders and anthropometric indicators, such as body mass index and abdominal and cervical diameter (8)(9)(10)(11) . It is known that these indicators, when outside a healthy range, are also considered risk factors for non-transmissible chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

“…However, the specific mechanisms involved in the association between sleep duration and mortality are unclear (7) . Thus, studies on the causal relationships between sleep, living conditions, and non-transmissible chronic diseases, especially among young adults, have been encouraged.Researchers have already observed correlations between sleep disorders and anthropometric indicators, such as body mass index and abdominal and cervical diameter (8)(9)(10)(11) . It is known that these indicators, when outside a healthy range, are also considered risk factors for non-transmissible chronic diseases.…”

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confidence: 99%

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Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

Vasconcelos¹,

Fragoso

Marinho³

et al. 2013

Rev. esc. enferm. USP

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RESUMOObjetivou-se investigar a correlação existente entre indicadores antropométricos e a qualidade do sono de universitários brasileiros por meio do Índice de Qualidade do Sono de Pittsburgh. Estudo transversal, realizado com 702 universitários entre março de 2010 e junho de 2011. A correlação indicou que os casos de obesidade foram maiores entre os estudantes bons dormidores. Por outro lado, o sobrepeso e os valores elevados das circunferências cervical e abdominal predominaram entre os maus dormidores. Assim, além dos prejuízos ocasionados pelos distúrbios do sono isoladamente, ressaltam-se riscos adicionais devido à associação da má qualidade de sono com o sobrepeso, a obesidade central e a elevação do perímetro cervical. DESCRITORESTranstornos do sono Estudantes Obesidade Saúde do adulto ABSTRACTThe current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted. DESCRIPTORS Sleep disorders Students Obesity Adult health RESUMENEl objetivo de este estudio fue investigar la correlación que existe entre los índices antropométricos y la calidad del sueño en universitarios brasileños, a través del Índice de Calidad del Sueño de Pittsburgh. Estudio transversal, realizado en 702 estudiantes universitarios entre marzo de 2010 y junio de 2011. La correlación indicó que los casos de obesidad fueron mayores entre los estudiantes que dormían bien. Por otra parte, el sobrepeso y elevados valores de circunferencia cervical y abdominal fueron predominantes entre los que dormían poco. Así, además de los daños causados por los trastornos del sueño, aisladamente, se resaltan los riesgos adicionales debido a la asociación de la mala calidad del sueño con el sobrepeso, la obesidad central y el aumento del perímetro cervical. DESCRIPTORES INTRODUCTIONIn recent decades, the introduction of new technologies has transformed cultural habits and lifestyles among university students around the world. However, this has contributed to the development of sleep disorders among these young adults (1) . Although poor sleep quality is common among the elderly (2) and nightshift workers (3) , recent research has shown that university students have also been affected, both nationally (4) and internationally (5) .In general, sleep disorders carry various implications including, but not limited to, a loss in quality of life, autonomic dysfunction, decreased academic and professional performance, and increased inc...

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Section: Referencesmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

Vasconcelos¹,

Fragoso

Marinho³

et al. 2013

Rev. esc. enferm. USP

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“…[8,12,13] Therefore, upper airway surgery such as nasal septal reconstruction and cauterization may not correct OSAHS. [11] However, the presence of a blocked nose may interfere with acceptance of and compliance with positive airway pressure therapy, and the need for higher pressure may be uncomfortable for patients.…”

Section: Discussionmentioning

confidence: 99%

“…[10,11] Previous studies have evaluated the relation between upper airway examination and severity of OSAHS. [8,12,13] Although previous studies have compared the predictive value of physical findings with polysomnography, limited information is available about the effect of obesity on the upper airway physical findings.…”

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confidence: 99%

Effect of obesity on upper airway physical examination in obstructive sleep apnea-hypopnea syndrome

Avci¹,

Lakadamyalı²,

Büyüklü³

et al. 2017

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to evaluate anatomic abnormalities that may be associated with obesity and may cause sleep apnea in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) by physical examination and Müller maneuver. Patients and Methods:This single center, prospective, cross-sectional study included 330 OSAHS patients (274 males, 56 females; mean age 47±11 years; range 17 to 79 years) who were performed polysomnography. Patients' clinical history as well as otolaryngology examination findings including pharyngeal soft tissues, anterior rhinoscopy and Müller maneuver were recorded. Results:Mean body mass index (BMI) was 32±5 kg/m 2 (range 21.9 to 48.4 kg/m 2 ) and apnea-hypopnea index (AHI) was 27±24 episodes per hour (range 0 to 106 episodes/hour). The AHI and BMI were statistically significantly correlated with minimum oxygen saturation, neck circumference, waist circumference, Epworth Sleepiness Scale score, retropalatal and retroglossal grades, tonsil size, and modified Mallampati score. Patients with higher AHI or BMI had statistically significantly higher retropalatal, retroglossal, and combined retropalatal and retroglossal grades (p≤0.001). Conclusion:Obesity affects the retropalatal and retroglossal grades and modified Mallampati scores of patients with OSAHS. High scores of those variables with low BMI may be attributed to upper airway soft tissue or craniofacial bony abnormalities. The retropalatal airway may narrow earlier than the retroglossal airway when fat accumulation starts in the lateral pharyngeal walls and tongue.Keywords: Müller maneuver; obesity; obstructive sleep apnea. ) ve apne-hipopne indeksi saatte 27±24 epizod (dağılım 0-106 epizod/saat) idi. Apne-hipopne indeksi ve VKİ; minimum oksijen satürasyonu, boyun çevresi, karın çevresi, Epworth Uykululuk Skalası skoru, retropalatal ve retroglossal evre, tonsil büyüklüğü ve modifiye Mallampati skoru ile istatistiksel olarak anlamlı şekilde ilişkiliydi. Apne-hipopne indeksi veya VKİ'si daha yüksek olan hastalar istatistiksel olarak daha yüksek retropalatal, retroglossal ve kombine retropalatal ve retroglossal evreye sahipti (p≤0.001).Sonuç: Obezite, OUAHS'li hastaların retropalatal ve retroglossal evrelerini ve modifiye Malampati skorlarını etkiler. Bu değişkenlere ait skorların yüksek, VKİ'nin düşük olması, üst solunum yolu yumuşak doku veya kraniyofasiyal kemik anormalliklerine bağlanabilir. Lateral farengeal duvarlarda ve dilde yağ birikimi başladığında retropalatal hava yolu, retroglossal hava yolundan önce daralabilir.Anahtar Sözcükler: Müller manevrası; obezite; obstrüktif uyku apnesi.

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A pilot staging system to predict persistent obstructive sleep apnea in children following adenotonsillectomy

Benke

Yaster

et al. 2013

The Laryngoscope

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Oropharyngeal Examination to Predict Sleep Apnea Severity

Abstract: First, since the FTP score is almost the only parameter related to OSAS severity, a simple oropharyngeal examination can provide key information on this issue. Second, tonsillectomy does not seem to protect against development of OSAS.

Cited by 24 publications

References 40 publications

Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

Effect of obesity on upper airway physical examination in obstructive sleep apnea-hypopnea syndrome

A pilot staging system to predict persistent obstructive sleep apnea in children following adenotonsillectomy

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