The impact of body posture and sleep stages on sleep apnea severity in adults

Journal of Clinical Sleep Medicine

Volumn 8, Issue 6, 2012, Pages 655-666

  Eiseman, Nathaniel A ^a   Westover, M Brandon ^a   Ellenbogen, Jeffrey M ^a,b   Bianchi, Matt T ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

False negative; Phenotype; REM dominant; Supine dominant

Indexed keywords

ADULT; AGED; ARTICLE; BODY POSTURE; DISEASE SEVERITY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; POLYSOMNOGRAPHY; REM SLEEP; SIMULATION; SLEEP DISORDERED BREATHING; SLEEP STAGE; SUPINE POSITION;

ADULT; FALSE NEGATIVE REACTIONS; FEMALE; HUMANS; MALE; MIDDLE AGED; PHENOTYPE; POLYSOMNOGRAPHY; POSTURE; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; SLEEP STAGES; SLEEP, REM; SUPINE POSITION;

EID: 84871375718     PISSN: 15509389     EISSN: 15509397     Source Type: Journal    
DOI: 10.5664/jcsm.2258     Document Type: Article

References (60)

1. Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med 2005;353:2034-41. (Pubitemid 41609096)
2. Eastwood PR, Malhotra A, Palmer LJ, et al. Obstructive sleep apnoea: from pathogenesis to treatment: Current controversies and future directions. Respirology 2010;15:587-95.
3. Budhiraja R, Budhiraja P, Quan SF. Sleep-disordered breathing and cardiovascular disorders. Respir Care 2010;55:1322-32; discussion 30-2.
4. Epstein LJ, Kristo D, Strollo PJ Jr., et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 2009;5:263-76.
5. American Academy of Sleep Medicine. International Classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester, IL: American Academy of Sleep Medicine, 2005.
6. Meyer TJ, Eveloff SE, Kline LR, Millman RP. One negative polysomnogram does not exclude obstructive sleep apnea. Chest 1993;103:756-60. (Pubitemid 23086169)
7. Le Bon O, Hoffmann G, Tecco J, et al. Mild to moderate sleep respiratory events: one negative night may not be enough. Chest 2000;118:353-9. (Pubitemid 30637799)
8. Bianchi MT. Screening for obstructive sleep apnea: Bayes weighs in. The Open Sleep Journal 2009;2:56-9.
9. Toussaint M, Luthringer R, Schaltenbrand N, et al. Changes in EEG power density during sleep laboratory adaptation. Sleep 1997;20:1201-7. (Pubitemid 28082316)
10. Silber MH, Ancoli-Israel S, Bonnet MH, et al. The visual scoring of sleep in adults. J Clin Sleep Med 2007;3:121-31. (Pubitemid 46649103)
11. Oksenberg A, Arons E, Snir D, Radwan H, Soroker N. Cheyne-Stokes respiration during sleep: a possible effect of body position. Med Sci Monit 2002;8:CS61-5. (Pubitemid 34826779)
12. Eiseman NA, Westover MB, Mietus JE, Thomas RJ, Bianchi MT. Classification algorithms for predicting sleepiness and sleep apnea severity. J Sleep Res 2012;21:101-12.
13. Haba-Rubio J, Janssens JP, Rochat T, Sforza E. Rapid eye movement-related disordered breathing: clinical and polysomnographic features. Chest 2005;128:3350-7. (Pubitemid 41698662)
14. Liu Y, Su C, Liu R, et al. NREM-AHI greater than REM-AHI versus REM-AHI greater than NREM-AHI in patients with obstructive sleep apnea: clinical and polysomnographic features. Sleep Breath 2011;15:463-70.
15. Oksenberg A, Silverberg DS. The effect of body posture on sleep-related breathing disorders: facts and therapeutic implications. Sleep Med Rev 1998;2:139-62. (Pubitemid 128646529)
16. Cartwright RD. Effect of sleep position on sleep apnea severity. Sleep 1984;7:110-4. (Pubitemid 14081934)
17. Siddiqui F, Walters AS, Goldstein D, Lahey M, Desai H. Half of patients with obstructive sleep apnea have a higher NREM AHI than REM AHI. Sleep Med 2006;7:281-5.
18. Loadsman JA, Wilcox I. Is obstructive sleep apnoea a rapid eye movement-predominant phenomenon? Br J Anaesth 2000;85:354-8.
19. Oksenberg A, Arons E, Nasser K, Vander T, Radwan H. REM-related obstructive sleep apnea: the effect of body position. J Clin Sleep Med 2010;6:343-8.
20. Malhotra A, White DP. Obstructive sleep apnoea. Lancet 2002;360:237-45. (Pubitemid 34804656)
21. Muraki M, Kitaguchi S, Ichihashi H, et al. Apnoea-hypopnoea index during rapid eye movement and non-rapid eye movement sleep in obstructive sleep apnoea. J Int Med Res 2008;36:906-13.
22. Oksenberg A, Khamaysi I, Silverberg DS. Apnoea characteristics across the night in severe obstructive sleep apnoea: influence of body posture. Eur Respir J 2001;18:340-6. (Pubitemid 32776411)
23. Oksenberg A, Khamaysi I, Silverberg DS, Tarasiuk A. Association of body position with severity of apneic events in patients with severe nonpositional obstructive sleep apnea. Chest 2000;118:1018-24.
24. Bittencourt LR, Suchecki D, Tufik S, et al. The variability of the apnoea-hypopnoea index. J Sleep Res 2001;10:245-51. (Pubitemid 32823908)
25. Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Variability in the apnea-hypopnea index and its consequences for diagnosis and therapy evaluation. Respiration 2009;77:32-7.
26. Levendowski D, Steward D, Woodson BT, Olmstead R, Popovic D, Westbrook P. The impact of obstructive sleep apnea variability measured in-lab versus inhome on sample size calculations. Int Arch Med 2009;2:2.
27. van Mannen JP, Richard W, van Kesteren ER, et al. Evaluation of a new simple treatment for positional sleep apnoea patients. J Sleep Res 2012;21:322-9.
28. Randerath WJ, Verbraecken J, Andreas S, et al. Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J 2011;37:1000-28.
29. Oksenberg A, Silverberg D, Offenbach D, Arons E. Positional therapy for obstructive sleep apnea patients: A 6-month follow-up study. Laryngoscope 2006;116:1995-2000. (Pubitemid 44704381)
30. Bignold JJ, Deans-Costi G, Goldsworthy MR, et al. Poor long-term patient compliance with the tennis ball technique for treating positional obstructive sleep apnea. J Clin Sleep Med 2009;5:428-30.
31. Heinzer RC, Pellaton C, Rey V, et al. Positional therapy for obstructive sleep apnea: An objective measurement of patients' usage and efficacy at home. Sleep Med 2012;13:425-8.
32. Collop NA, Tracy SL, Kapur V, et al. Obstructive sleep apnea devices for out-of-center (OOC) testing: technology evaluation. J Clin Sleep Med 2011;7:531-48.
33. Khawaja IS, Olson EJ, van der Walt C, et al. Diagnostic accuracy of split-night polysomnograms. J Clin Sleep Med 2010;6:357-62.
34. Chervin RD, Aldrich MS. Characteristics of apneas and hypopneas during sleep and relation to excessive daytime sleepiness. Sleep 1998;21:799-806. (Pubitemid 29006520)
35. Mo JH, Lee CH, Rhee CS, Yoon IY, Kim JW. Positional dependency in Asian patients with obstructive sleep apnea and its implication for hypertension. Arch Otolaryngol Head Neck Surg 2011;137:786-90.
36. Oksenberg A, Silverberg DS, Arons E, Radwan H. Positional vs nonpositional obstructive sleep apnea patients: anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest 1997;112:629-39. (Pubitemid 27410697)
37. Aurora RN, Casey KR, Kristo D, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep 2010;33:1408-13.
38. Caples SM, Rowley JA, Prinsell JR, et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep 2010;33:1396-407.
39. Ruehland WR, Rochford PD, O'Donoghue FJ, Pierce RJ, Singh P, Thornton AT. The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep 2009;32:150-7.
40. Quan SF, Howard BV, Iber C, et al. The Sleep Heart Health Study: design, rationale, and methods. Sleep 1997;20:1077-85. (Pubitemid 28082298)
41. Quan SF, Griswold ME, Iber C, et al. Short-term variability of respiration and sleep during unattended nonlaboratory polysomnography - the Sleep Heart Health Study. Sleep 2002;25:843-9. (Pubitemid 35424526)
42. Riha RL, Gislasson T, Diefenbach K. The phenotype and genotype of adult obstructive sleep apnoea/hypopnoea syndrome. Eur Respir J 2009;33:646-55.
43. Varvarigou V, Dahabreh IJ, Malhotra A, Kales SN. A review of genetic association studies of obstructive sleep apnea: field synopsis and meta-analysis. Sleep 2011;34:1461-8.
44. Gottlieb DJ, Whitney CW, Bonekat WH, et al. Relation of sleepiness to respiratory disturbance index: the Sleep Heart Health Study. Am J Respir Crit Care Med 1999;159:502-7. (Pubitemid 29084872)
45. Pendlebury ST, Pepin JL, Veale D, Levy P. Natural evolution of moderate sleep apnoea syndrome: significant progression over a mean of 17 months. Thorax 1997;52:872-8. (Pubitemid 27473929)
46. Berger G, Berger R, Oksenberg A. Progression of snoring and obstructive sleep apnoea: the role of increasing weight and time. Eur Respir J 2009;33:338-45.
47. Oksenberg A, Dynia A, Nasser K, Gadoth N. Obstructive sleep apnoea in adults: body postures and weight changes interactions. J Sleep Res 2011 [Epub ahead of print]
48. Dean RJ, Chaudhary BA. Negative polysomnogram in patients with obstructive sleep apnea syndrome. Chest 1992;101:105-8.
49. Redline S, Tosteson T, Boucher MA, Millman RP. Measurement of sleep-related breathing disturbances in epidemiologic studies. Assessment of the validity and reproducibility of a portable monitoring device. Chest 1991;100:1281-6.
50. Stepnowsky CJ Jr., Orr WC, Davidson TM. Nightly variability of sleep-disordered breathing measured over 3 nights. Otolaryngol Head Neck Surg 2004;131:837-43. (Pubitemid 39575937)
51. Levendowski DJ, Zack N, Rao S, et al. Assessment of the test-retest reliability of laboratory polysomnography. Sleep Breath 2009;13:163-7.
52. Bliwise DL, Benkert RE, Ingham RH. Factors associated with nightly variability in sleep-disordered breathing in the elderly. Chest 1991;100:973-6.
53. Lord S, Sawyer B, O'Connell D, et al. Night-to-night variability of disturbed breathing during sleep in an elderly community sample. Sleep 1991;14:252-8.
54. Ahmadi N, Shapiro GK, Chung SA, Shapiro CM. Clinical diagnosis of sleep apnea based on single night of polysomnography vs. two nights of polysomnography. Sleep Breath 2009;13:221-6.
55. Chediak AD, Acevedo-Crespo JC, Seiden DJ, Kim HH, Kiel MH. Nightly variability in the indices of sleep-disordered breathing in men being evaluated for impotence with consecutive night polysomnograms. Sleep 1996;19:589-92. (Pubitemid 26339705)
56. Mosko SS, Dickel MJ, Ashurst J. Night-to-night variability in sleep apnea and sleep-related periodic leg movements in the elderly. Sleep 1988;11:340-8.
57. Gouveris H, Selivanova O, Bausmer U, Goepel B, Mann W. First-night-effect on polysomnographic respiratory sleep parameters in patients with sleep-disordered breathing and upper airway pathology. Eur Arch Otorhinolaryngol 2010;267:1449-53.
58. Aber WR, Block AJ, Hellard DW, Webb WB. Consistency of respiratory measurements from night to night during the sleep of elderly men. Chest 1989;96:747-51. (Pubitemid 19256171)
59. Fietze I, Dingli K, Diefenbach K, et al. Night-to-night variation of the oxygen desaturation index in sleep apnoea syndrome. Eur Respir J 2004;24:987-93. (Pubitemid 39642290)
60. Davidson TM, Gehrman P, Ferreyra H. Lack of night-to-night variability of sleep-disordered breathing measured during home monitoring. Ear Nose Throat J 2003;82:135-8. (Pubitemid 36427124)