Cargando…

Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea

PURPOSE: To compare sleep quality and sustained attention of patients with Upper Airway Resistance Syndrome (UARS), mild Obstructive Sleep Apnea (OSA) and normal individuals. METHODS: UARS criteria were presence of excessive daytime sleepiness (Epworth Sleepiness Scale—ESS—≥ 10) and/or fatigue (Modi...

Descripción completa

Detalles Bibliográficos
Autores principales: de Godoy, Luciana Balester Mello, Luz, Gabriela Pontes, Palombini, Luciana Oliveira, e Silva, Luciana Oliveira, Hoshino, Wilson, Guimarães, Thaís Moura, Tufik, Sergio, Bittencourt, Lia, Togeiro, Sonia Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881892/
https://www.ncbi.nlm.nih.gov/pubmed/27228081
http://dx.doi.org/10.1371/journal.pone.0156244
_version_ 1782434034041749504
author de Godoy, Luciana Balester Mello
Luz, Gabriela Pontes
Palombini, Luciana Oliveira
e Silva, Luciana Oliveira
Hoshino, Wilson
Guimarães, Thaís Moura
Tufik, Sergio
Bittencourt, Lia
Togeiro, Sonia Maria
author_facet de Godoy, Luciana Balester Mello
Luz, Gabriela Pontes
Palombini, Luciana Oliveira
e Silva, Luciana Oliveira
Hoshino, Wilson
Guimarães, Thaís Moura
Tufik, Sergio
Bittencourt, Lia
Togeiro, Sonia Maria
author_sort de Godoy, Luciana Balester Mello
collection PubMed
description PURPOSE: To compare sleep quality and sustained attention of patients with Upper Airway Resistance Syndrome (UARS), mild Obstructive Sleep Apnea (OSA) and normal individuals. METHODS: UARS criteria were presence of excessive daytime sleepiness (Epworth Sleepiness Scale—ESS—≥ 10) and/or fatigue (Modified Fatigue Impact Scale—MFIS—≥ 38) associated to Apnea/hypopnea index (AHI) ≤ 5 and Respiratory Disturbance Index (RDI) > 5 events/hour of sleep or more than 30% of total sleep time with flow limitation. Mild OSA was considered if the presence of excessive daytime sleepiness (ESS ≥ 10) and/or fatigue (MFIS ≥ 38) associated to AHI ≥ 5 and ≤ 15 events/hour. “Control group” criteria were AHI < 5 events/hour and RDI ≤ 5 events/hour and ESS ≤ 9, without any sleep, clinical, neurological or psychiatric disorder. 115 individuals (34 UARS and 47 mild OSA patients and 34 individuals in “control group”), adjusted for age, gender, body mass index (BMI) and schooling years, performed sleep questionnaires and sustained attention evaluation. Psychomotor Vigilance Task (PVT) was performed five times (each two hours) from 8 a.m. to 4 p.m. RESULTS: UARS patients had worse sleep quality (Functional Outcomes of Sleep Questionnaire—FOSQ—and Pittsburgh Sleep Quality Index—PSQI: p < 0.05) and more fatigue than mild OSA patients (p = 0.003) and scored significantly higher in both Beck inventories than “control group” (p < 0.02). UARS patients had more lapses early in the morning (in time 1) compared to the results in the afternoon (time 5) than mild OSA (p = 0.02). Mild OSA patients had more lapses in times 2 than in time 5 compared to “control group” (p = 0.04). CONCLUSIONS: UARS patients have a worse sleep quality, more fatigue and a worse early morning sustained attention compared to mild OSA. These last had a worse sustained attention than controls.
format Online
Article
Text
id pubmed-4881892
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-48818922016-06-10 Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea de Godoy, Luciana Balester Mello Luz, Gabriela Pontes Palombini, Luciana Oliveira e Silva, Luciana Oliveira Hoshino, Wilson Guimarães, Thaís Moura Tufik, Sergio Bittencourt, Lia Togeiro, Sonia Maria PLoS One Research Article PURPOSE: To compare sleep quality and sustained attention of patients with Upper Airway Resistance Syndrome (UARS), mild Obstructive Sleep Apnea (OSA) and normal individuals. METHODS: UARS criteria were presence of excessive daytime sleepiness (Epworth Sleepiness Scale—ESS—≥ 10) and/or fatigue (Modified Fatigue Impact Scale—MFIS—≥ 38) associated to Apnea/hypopnea index (AHI) ≤ 5 and Respiratory Disturbance Index (RDI) > 5 events/hour of sleep or more than 30% of total sleep time with flow limitation. Mild OSA was considered if the presence of excessive daytime sleepiness (ESS ≥ 10) and/or fatigue (MFIS ≥ 38) associated to AHI ≥ 5 and ≤ 15 events/hour. “Control group” criteria were AHI < 5 events/hour and RDI ≤ 5 events/hour and ESS ≤ 9, without any sleep, clinical, neurological or psychiatric disorder. 115 individuals (34 UARS and 47 mild OSA patients and 34 individuals in “control group”), adjusted for age, gender, body mass index (BMI) and schooling years, performed sleep questionnaires and sustained attention evaluation. Psychomotor Vigilance Task (PVT) was performed five times (each two hours) from 8 a.m. to 4 p.m. RESULTS: UARS patients had worse sleep quality (Functional Outcomes of Sleep Questionnaire—FOSQ—and Pittsburgh Sleep Quality Index—PSQI: p < 0.05) and more fatigue than mild OSA patients (p = 0.003) and scored significantly higher in both Beck inventories than “control group” (p < 0.02). UARS patients had more lapses early in the morning (in time 1) compared to the results in the afternoon (time 5) than mild OSA (p = 0.02). Mild OSA patients had more lapses in times 2 than in time 5 compared to “control group” (p = 0.04). CONCLUSIONS: UARS patients have a worse sleep quality, more fatigue and a worse early morning sustained attention compared to mild OSA. These last had a worse sustained attention than controls. Public Library of Science 2016-05-26 /pmc/articles/PMC4881892/ /pubmed/27228081 http://dx.doi.org/10.1371/journal.pone.0156244 Text en © 2016 de Godoy et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
de Godoy, Luciana Balester Mello
Luz, Gabriela Pontes
Palombini, Luciana Oliveira
e Silva, Luciana Oliveira
Hoshino, Wilson
Guimarães, Thaís Moura
Tufik, Sergio
Bittencourt, Lia
Togeiro, Sonia Maria
Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title_full Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title_fullStr Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title_full_unstemmed Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title_short Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea
title_sort upper airway resistance syndrome patients have worse sleep quality compared to mild obstructive sleep apnea
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881892/
https://www.ncbi.nlm.nih.gov/pubmed/27228081
http://dx.doi.org/10.1371/journal.pone.0156244
work_keys_str_mv AT degodoylucianabalestermello upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT luzgabrielapontes upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT palombinilucianaoliveira upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT esilvalucianaoliveira upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT hoshinowilson upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT guimaraesthaismoura upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT tufiksergio upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT bittencourtlia upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea
AT togeirosoniamaria upperairwayresistancesyndromepatientshaveworsesleepqualitycomparedtomildobstructivesleepapnea