Effects of gender on upper airway collapsibility and severity of obstructive sleep apnea

Sleep Medicine

Volumn 4, Issue 6, 2003, Pages 523-529

  Mohsenin, Vahid ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Acoustic reflectance; Gender; Sleep apnea; Upper airways

Indexed keywords

ADULT; ARTICLE; BODY POSITION; BODY POSTURE; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; HUMAN; JAW MOVEMENT; LUNG COLLAPSE; LUNG STRUCTURE; MAJOR CLINICAL STUDY; MALE; MANDIBLE; PHARYNX; PRIORITY JOURNAL; REFLECTOMETRY; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; SLEEP APNEA SYNDROME; SUPINE POSITION; UPPER RESPIRATORY TRACT; WAKEFULNESS;

ADULT; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; MALE; MANDIBLE; PHARYNX; POLYSOMNOGRAPHY; PREVALENCE; SEVERITY OF ILLNESS INDEX; SEX DISTRIBUTION; SLEEP APNEA, OBSTRUCTIVE; SUPINE POSITION;

EID: 0742271701     PISSN: 13899457     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1389-9457(03)00168-0     Document Type: Article

References (36)

1. Young T. Palta M. Dempsey J. et al. The occurrence of sleep disordered breathing among middle-aged adults N Engl J Med 328 1993 1230-1235
2. Young T. Evans L. Finn L. et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women Sleep 20 1997 705-706
3. Bradley T. Brown I. Grossman R. et al. Pharyngeal size in snorers, non-snorers, and patients with obstructive sleep apnea N Engl J Med 315 1986 1327-1331
4. Isono S. Remmers J.E. Tanaka A. et al. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects J Appl Physiol 82 1997 1319-1326
5. Brown I. Zamel N. Hoffstein V. Pharyngeal cross-sectional area in normal men and women J Appl Physiol 61 1986 890-895
6. Martin S. Mathur R. Marshall I. et al. The effect of age, sex, obesity and posture on upper airway size Eur Respir J 10 1997 2087-2090
7. Huang J. Shen H. Takahashi M. et al. Pharyngeal cross-sectional area and pharyngeal compliance in normal males and females Respiration 65 1998 458-468
8. Pillar G. Malhorta A. Fogel R. et al. Airway mechanics and ventilation in response to resistive loading during sleep Am J Respir Crit Care Med 162 2000 1627-1632
9. Cartwright R.D. Effect of sleep position on sleep apnea severity Sleep 7 1984 110-114
10. Yildirim N. Fitzpatrick M.F. Whyte K.F. et al. The effect of posture on upper airway dimensions in normal subjects and in patients with the sleep/hypopnea syndrome Am Rev Respir Dis 144 1991 845-847
11. Watanabe T. Isono S. Tanaka A. et al. Contribution of body habitus and craniofacial characteristics to segmental closing pressures of passive pharynx in patients with sleep disordered breathing Am J Respir Crit Care Med 165 2002 260-265
12. Miyamoto K. Ozbek M.M. Lowe A. et al. Mandibular posture during sleep in patients with obstructive sleep apnoea Arch Oral Biol 44 1999 657-664
13. Kuna S.T. Remmers J.E. Neural and anatomic factors related to upper airway occlusion during sleep Med Clin North Am 69 1985 1221-1242
14. Meurice J.C. Marc I. Carrier G. et al. Effects of mouth opening on upper airway collapsibility in normal sleeping subjects Am J Respir Crit Care Med 153 1996 255-259
15. Mohsenin V. Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions Chest 120 2001 1442-1447
16. D'Ambrosio C. Bowman T. Mohsenin V. Quality of life in patients with obstructive sleep apnea: effect of nasal continuous positive airway pressure - a prospective study Chest 115 1999 123-129
17. Rechtschaffen A. Kales A. A manual of standardized techniques and scoring system for sleep stages of human sleep 1968 Brain Information Service/Brain Research Institute University of California, Los Angeles
18. Brooks L. Byard P. Fouke J. et al. Reproducibility of measurements of upper airway area by acoustic reflection J Appl Physiol 66 1989 2901-2905
19. D'Urzo A.D. Lawson V.G. Vassal K.P. et al. Airway area by acoustic response measurements and computerized tomography Am Rev Respir Dis 135 1987 392-395
20. Faber C.E. Hilberg O. Jensen F.T. et al. Flextube reflectometry for determination of sites of upper airway narrowing in sleeping obstructive sleep apnoea patients Respir Med 95 2001 639-648
21. Marshall I. Marin N.J. Martin S. et al. Acoustic reflectometry for airway measurements in man: implementation and validation Physiol Meas 14 1993 157-169
22. Sokal R.R. Rohlf F.J. Biometry 1981 W.F. Freeman San Francisco
23. Horner R.L. Motor control of the pharyngeal musculature and implications for the pathogenesis of obstructive sleep apnea Sleep 19 1996 827-853
24. Whittle A. Marshall I. Mortimore I. et al. Neck soft tissue and fat distribution: comparison between normal men and women by magnetic resonance imaging Thorax 54 1999 323-328
25. Trinder J. Kay A. Kleiman J. Dunai J. Gender differences in airway resistance during sleep J Appl Physiol 83 1997 1986-1997
26. Ryan C.F. Love L.L. Mechanical properties of the velopharynx in obese patients with obstructive sleep apnea Am J Respir Crit Care Med 154 1996 806-812
27. Roberts J.L. Reed W.R. Mathew O.P. et al. Assessment of pharyngeal airway stability in normal and micrognathic infants J Appl Physiol 58 1985 290-299
28. Morrison D.L. Launois S.H. Isono S. et al. Pharyngeal narrowing and closing pressure in patients with obstructive sleep apnea Am Rev Respir Dis 148 1993 606-611
29. Schwartz A.R.N. Schubert N. Rothman W. Effect of uvulopalatopharyngoplasty on upper airway collapsibility in obstructive sleep apnea syndrome Am Rev Respir Dis 145 1992 527-532
30. Fransson A.M.C. Svenson B.A.H. Isacsson G. The effect of posture and a mandibular protruding device on pharyngeal dimensions: a cephalometric study Sleep Breathing 6 2002 55-68
31. Ferguson K.A. Love L.L. Ryan C.F. Effect of mandibular and tongue protrusion on upper airway size during wakefulness Am J Respir Crit Care Med 155 1997 1748-1754
32. Fouke J.M. Strohl K.P. Effect of position and lung volume on upper airway geometry J Appl Physiol 63 1987 375-389
33. Rubinstein I. Hoffstein V. Bradley T.D. Lung volume-related changes in the pharyngeal area of obese females with and without obstructive sleep apnoea Eur Respir J 2 1989 344-351
34. Ryan C.F. Love L.L. Peat D. et al. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect of awake calibre of the velopharynx Thorax 54 1999 972-977
35. Isono S. Tanaka A. Tagaito Y. et al. Pharyngeal patency in response to advancement of the mandible in obese anesthetized persons Ansethesiology 87 1997 1055-1062
36. Marklund M. Persson M. Franklin K.A. Treatment success with a mandibular advancement device is related to supine-dependent sleep apnea Chest 114 1998 1630-1635