دورية أكاديمية
A comparison of two obesity-related hypoventilation disorders: Impact on sleep, quality of life and neurocognitive outcomes and the effects of positive airway pressure therapy.
| العنوان: | A comparison of two obesity-related hypoventilation disorders: Impact on sleep, quality of life and neurocognitive outcomes and the effects of positive airway pressure therapy. |
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| المؤلفون: | Zheng Y; Sleep and Circadian Research Group, Woolcock Institute of Medical Research, Sydney, NSW 2037, Australia.; Central Clinical School, University of Sydney, Sydney, NSW 2050, Australia.; Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia.; Department of Respiratory and Sleep Medicine, St George Hospital, Sydney, NSW 2217, Australia., Yee BJ; Sleep and Circadian Research Group, Woolcock Institute of Medical Research, Sydney, NSW 2037, Australia.; Central Clinical School, University of Sydney, Sydney, NSW 2050, Australia.; Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia., Wong K; Sleep and Circadian Research Group, Woolcock Institute of Medical Research, Sydney, NSW 2037, Australia.; Central Clinical School, University of Sydney, Sydney, NSW 2050, Australia.; Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia., Grunstein RR; Sleep and Circadian Research Group, Woolcock Institute of Medical Research, Sydney, NSW 2037, Australia.; Central Clinical School, University of Sydney, Sydney, NSW 2050, Australia., Piper AJ; Central Clinical School, University of Sydney, Sydney, NSW 2050, Australia.; Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia. |
| المصدر: | Sleep advances : a journal of the Sleep Research Society [Sleep Adv] 2024 Mar 13; Vol. 5 (1), pp. zpae016. Date of Electronic Publication: 2024 Mar 13 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sleep Research Society Country of Publication: United States NLM ID: 101774029 Publication Model: eCollection Cited Medium: Internet ISSN: 2632-5012 (Electronic) Linking ISSN: 26325012 NLM ISO Abbreviation: Sleep Adv Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Darien, IL] : [Oxford, England] : Sleep Research Society ; Oxford University Press, [2020]- |
| مستخلص: | Study Objectives: Symptom impact and neurocognitive function have not been previously compared between patients with obesity-associated hypoventilation disorders (obesity hypoventilation syndrome [OHS]) and hypoventilation in the setting of obesity and obstructive airways disease (OHAD). The aim of this study is to compare baseline sleep-related symptoms, health-related quality of life, and neurocognitive function between OHS and OHAD and the impact of PAP therapy on these outcomes. Methods: Epworth Sleepiness Scale (ESS), Pittsburgh Sleepiness Quality Index (PSQI), SF36, and various neurocognitive tests, in addition to anthropometric, polysomnography, lung function, and blood gas data from participants with OHS and participants with OHAD, were included in the analysis. These data were originally collected in their respective randomized clinical trials, comparing the efficacy of different PAP modes (bilevel PAP vs. CPAP) in resolving hypercapnia. Between groups (OHS vs OHAD), pre- and post-treatment (with 3 months of positive airway pressure) comparisons were made using linear mixed modeling. Results: 45 OHS participants (mean age 51 years old, 33% female, BMI 52 kg/m 2 , FER 0.81, PaCO Conclusions: The symptom impact between two separate hypoventilation disorders (OHS and OHAD), in terms of sleepiness, sleep quality, quality of life, and cognitive function, were similar. OHS and OHAD had similar treatment responses in these parameters after 3 months of PAP therapy.Nocturnal ventilatory support in OHS. Competing Interests: Yizhong Zheng, Brendon J Yee, and Keith Wong certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or nonfinancial interest (such as personal or professional relationships, affiliations, and knowledge or beliefs) in the subject matter or materials discussed in this manuscript. Ronald R. Grunstein is an NHMRC Investigator Awardee Level 3 and serves on an advisory committee for Lilly. Amanda J. Piper has received personal fees for educational presentations from ResMed and Philips, manufacturers of positive airway pressure devices. (© The Author(s) 2024. Published by Oxford University Press on behalf of Sleep Research Society.) |
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| فهرسة مساهمة: | Keywords: chronic obstructive pulmonary disease; hypercapnic respiratory failure; neurocognitive function; obesity; obstructive sleep apnea; overlap syndrome; positive airway pressure therapy; quality of life; sleepiness |
| تواريخ الأحداث: | Date Created: 20240404 Latest Revision: 20240405 |
| رمز التحديث: | 20240405 |
| مُعرف محوري في PubMed: | PMC10990061 |
| DOI: | 10.1093/sleepadvances/zpae016 |
| PMID: | 38571727 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2632-5012 |
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| DOI: | 10.1093/sleepadvances/zpae016 |