Evaluation of position dependency in non-apneic snorers
| Autor: | Sharon Morong, Antonius A.J. Hilgevoord, Linda B. L. Benoist, N. de Vries, J. P. van Maanen |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Supine position Polysomnography Population Sleep medicine Body Mass Index Young Adult Prone Position Supine Position medicine Humans education Aged Retrospective Studies Aged 80 and over education.field_of_study medicine.diagnostic_test business.industry Snoring Retrospective cohort study General Medicine Middle Aged Stepwise regression nervous system diseases respiratory tract diseases Otorhinolaryngology Cohort Physical therapy Female Sleep business Body mass index psychological phenomena and processes |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 271:189-194 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | The aims of this study are to determine the prevalence of position dependency in non-apneic snorers, as defined by the American Academy of Sleep Medicine (AASM) guidelines, and to investigate the influence of various factors such as BMI, neck circumference, age, gender, and sleep efficiency on sleeping position. A cohort of consecutive patients was screened for complaints of excessive snoring or symptoms suspicious for sleep disordered breathing. Overnight polysomnographic data were collected and non-apneic snorers who met all the inclusion criteria were selected for statistical analysis. To assess position-dependent snoring, the snore index (total snores/h) was used. Supine-dependent patients were defined as having a supine snore index higher than their total non-supine snore index. 76 patients were eligible for statistical analysis. Prevalence of position dependency in non-apneic snorers was 65.8% (p < 0.008). A stepwise regression showed that only BMI had a significant effect (p < 0.003) on the supine snore index. This is the first study that uses the AASM guidelines to accurately define non-apneic snorers (AHI < 5) and provides scientific evidence that the majority of non-apneic snorers are supine dependent. Furthermore, these results show that non-apneic snorers with a higher BMI snore more frequently in supine position. The use of sleep position therapy therefore, has the potential to play a significant role in improving snoring and its associated physical and psychosocial health outcomes in this population. |
| Databáze: | OpenAIRE |
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