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Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
PURPOSE: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impair...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069561/ https://www.ncbi.nlm.nih.gov/pubmed/32210650 http://dx.doi.org/10.2147/NSS.S234310 |
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author | Lusic Kalcina, Linda Pavlinac Dodig, Ivana Pecotic, Renata Valic, Maja Dogas, Zoran |
author_facet | Lusic Kalcina, Linda Pavlinac Dodig, Ivana Pecotic, Renata Valic, Maja Dogas, Zoran |
author_sort | Lusic Kalcina, Linda |
collection | PubMed |
description | PURPOSE: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impairment seen in OSA patients. Additionally, this study aimed to assess the contribution of BMI, age, EDS assessed with Epworth sleepiness scale (ESS), and severity of OSA assessed with apnea-hypopnea index (AHI) to the reaction time on chronometric tests in OSA patients and controls. It is hypothesized that moderate and severe OSA have adverse effects on reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination assessed by chronometric psychodiagnostic test battery. PATIENTS AND METHODS: This study was conducted on 206 male participants; 103 of them had moderate or severe OSA diagnosed by whole-night polysomnography/polygraphy. Control participants (N=103), matched to patients with OSA by age and BMI, had no reported OSA in their medical history, no increased risk for OSA, nor EDS. All participants were assessed with three chronometric psychodiagnostic tests, measuring the reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination. RESULTS: Participants from the OSA group achieved impaired results compared to control participants in minimum single task solving time in speed of solving simple arithmetic operations (3±0.9 and 2.6±0.6, P<0.001), and in minimum solving time of a single task in complex psychomotor limbs coordination (0.69±0.2 and 0.61±0.1, P=0.007). Regression analysis revealed no significant contribution of daytime sleepiness to the results achieved in each of the tests. CONCLUSION: It is concluded that severe OSA impaired speed of perception, convergent, and operative thinking. Moreover, it is suggested that EDS did not contribute to poor psychomotor outcome in patients with OSA in this study, when age was controlled for. |
format | Online Article Text |
id | pubmed-7069561 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-70695612020-03-24 Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome Lusic Kalcina, Linda Pavlinac Dodig, Ivana Pecotic, Renata Valic, Maja Dogas, Zoran Nat Sci Sleep Original Research PURPOSE: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impairment seen in OSA patients. Additionally, this study aimed to assess the contribution of BMI, age, EDS assessed with Epworth sleepiness scale (ESS), and severity of OSA assessed with apnea-hypopnea index (AHI) to the reaction time on chronometric tests in OSA patients and controls. It is hypothesized that moderate and severe OSA have adverse effects on reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination assessed by chronometric psychodiagnostic test battery. PATIENTS AND METHODS: This study was conducted on 206 male participants; 103 of them had moderate or severe OSA diagnosed by whole-night polysomnography/polygraphy. Control participants (N=103), matched to patients with OSA by age and BMI, had no reported OSA in their medical history, no increased risk for OSA, nor EDS. All participants were assessed with three chronometric psychodiagnostic tests, measuring the reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination. RESULTS: Participants from the OSA group achieved impaired results compared to control participants in minimum single task solving time in speed of solving simple arithmetic operations (3±0.9 and 2.6±0.6, P<0.001), and in minimum solving time of a single task in complex psychomotor limbs coordination (0.69±0.2 and 0.61±0.1, P=0.007). Regression analysis revealed no significant contribution of daytime sleepiness to the results achieved in each of the tests. CONCLUSION: It is concluded that severe OSA impaired speed of perception, convergent, and operative thinking. Moreover, it is suggested that EDS did not contribute to poor psychomotor outcome in patients with OSA in this study, when age was controlled for. Dove 2020-03-09 /pmc/articles/PMC7069561/ /pubmed/32210650 http://dx.doi.org/10.2147/NSS.S234310 Text en © 2020 Lusic Kalcina et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Lusic Kalcina, Linda Pavlinac Dodig, Ivana Pecotic, Renata Valic, Maja Dogas, Zoran Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title | Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title_full | Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title_fullStr | Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title_full_unstemmed | Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title_short | Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome |
title_sort | psychomotor performance in patients with obstructive sleep apnea syndrome |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069561/ https://www.ncbi.nlm.nih.gov/pubmed/32210650 http://dx.doi.org/10.2147/NSS.S234310 |
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