Quality of life in patients with obstructive sleep apnea: Results from the study of health in Pomerania

Vogler, Katharina; Daboul, Amro; Obst, Anne; Fietze, Ingo; Ewert, Ralf; Biffar, Reiner; Krüger, Markus

doi:10.1111/jsr.13702

Cited by 8 publications

(8 citation statements)

References 39 publications

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“…The results of the current study showed an association between obstructive sleep apnea and HRQoL and almost all components of HRQoL, which are consistent with a previous study [ 34 – 37 ]. In US randomized controlled trial, continuous positive airway pressure, which was the treatment, for 483 patients with severe OSA and used ≥ 4 h per night, quality of life improved as measured by the Calgary Sleep Apnea Quality of Life Index [ 34 ].…”

Section: Discussionsupporting

confidence: 93%

Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea

Lee

Jung

2023

PLoS ONE

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Objectives This study assessed the effects of obstructive sleep apnea (OSA) on mental health, health-related quality of life (HRQoL), and multimorbidity in Korean adults. Methods The study included 8030 participants from the Korea National Health and Nutrition Examination Survey Ⅷ (2019–2020). The risk of OSA was assessed using STOP-BANG questionnaire. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), and stress was measured using a questionnaire. HRQoL was determined by EuroQol 5-dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8) scores. Multimorbidity was defined as the presence of 2 or more chronic diseases. A complex sample multivariate logistic regression analysis was conducted. Results Participants with a high OSA risk were more likely to a have high PHQ-9 score (OR 4.31, 95% confidence interval [CI] 2.80–6.65), total depression (OR 4.07, 95% CI 2.67–6.19) stress (OR 2.33, 95% CI 1.85–2.95), lower EQ-5D (OR 2.88, 95% CI 2.00–4.15) and HINT-8 scores (OR 2.87, 95% CI 1.65–4.98), and multimorbidity (OR 2.62, 95% CI 2.01–3.41) than participants with low OSA risk. High OSA risk was significantly associated with all EQ-5D and HINT-8 items. Conclusions This study adds to the few population-based studies showing associations between mental health, HRQoL, and multimorbidity using nationwide data. OSA prevention might be helpful for good mental health, improving HRQoL, and comorbidity burdens. The results provide novel insights regarding the association between sleep apnea and multimorbidity.

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Section: Discussionsupporting

confidence: 93%

Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea

Lee

Jung

2023

PLoS ONE

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“…Interactions with OSA might occur [ 38 ]. Often, poor sleep in post-menopausal women is associated with depression [ 33 , 39 ]. In a subsample of the Wisconsin Sleep Cohort Study, Young et al [ 40 ] found that sleep quality problems reported by post-menopausal women are not easily verifiable with a PSG.…”

Section: Discussionmentioning

confidence: 99%

“…Only females were included in the ordinal regression analysis. Descriptive data of the whole PSG sample and possible biases are readily available elsewhere [ 21 , 24 , 32 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

Menopause Is Associated with Obstructive Sleep Apnea in a Population-Based Sample from Mecklenburg–Western Pomerania, Germany

Krüger

Obst

Ittermann

et al. 2023

JCM

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Objective: Menopause is associated with multiple health risks. In several studies, a higher incidence or a higher risk for obstructive sleep apnea (OSA) in post-menopausal than pre-menopausal women is reported. This study was designed to verify such a connection between menopause and OSA in a population-based sample. Methods: For a subsample (N = 1209) of the Study of Health in Pomerania (N = 4420), complete polysomnography data was available. Of these, 559 females completed a structured interview about their menstrual cycle. Splines and ordinal regression analysis were used to analyze the resulting data. Results: In the ordinal regression analysis, a significant association between the apnea–hypopnea index (AHI) and menopause indicated that post-menopausal women had a substantially higher risk of OSA. In accordance with previous studies, risk indicators such as body mass index (BMI), age, and the influence of hysterectomies or total oophorectomies were included in the model. Conclusions: Our results clearly confirmed the assumed connection between menopause and OSA. This is important because OSA is most often associated with male patients, and it warrants further research into the underlying mechanisms.

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“…Recurrent episodes of OSA may consequently lead to daytime sleepiness, fatigue, growth retardation, mood and behavioral disturbances, hyperactivity, learning and memory deficits, increased risk taking and injury risk, and poor neurocognitive performance. The impact of OSA on quality of life may have further long-term implications such as endocrine and cardiovascular disorders [ 52 , 53 , 54 , 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Cone-Beam Computed Tomography Evaluation of Changes in Naso-Maxillary Complex Associated with Rapid Palatal Expansion

Georgiadis¹,

Angelopoulos

Papadopoulos

et al. 2023

Diagnostics

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The introduction of Cone-Beam Computed Tomography (CBCT) in orthodontics has added a new tool to diagnosis and treatment planning. The aim of this prospective clinical trial was to investigate the changes in the dimensions of the naso-maxillary complex in growing patients after RPE using CBCT. A total of 16 growing children (8 females, 6 males) with a mean age of 11, 12 ± 1 and 86 years underwent RPE as part of their comprehensive orthodontic treatment. CBCT scans were obtained before RPE (T1), immediately after RPE (T2) and 6 months after RPE (T3). The dimensions of the nasal width, nasal floor and the aperture of the midpalatal suture were calculated in different coronal slices of CBCT. Evaluation of the mean value variance per measurement at the three time intervals were performed using the paired Wilcoxon signed-rank test. Differences between the three time intervals were assessed by performing Multiple Pairwise Comparisons. A statistically significant increase in all measurements was seen immediately after RPE expansion (T2–T1) and six months after expansion (T3–T1). Between the end of expansion and 6 months in retention (T3–T2), a decrease was observed for all measurements. RPE can cause expansion of the nasal cavity in growing patients. The expansion of the midpalatal suture follows a triangular pattern of opening.

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Quality of life in patients with obstructive sleep apnea: Results from the study of health in Pomerania

Cited by 8 publications

References 39 publications

Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea

Obstructive sleep apnea related to mental health, health-related quality of life and multimorbidity: A nationwide survey of a representative sample in Republic of Korea

Menopause Is Associated with Obstructive Sleep Apnea in a Population-Based Sample from Mecklenburg–Western Pomerania, Germany

Three-Dimensional Cone-Beam Computed Tomography Evaluation of Changes in Naso-Maxillary Complex Associated with Rapid Palatal Expansion

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