&lt;![CDATA[&lt;B&gt;Sleep disordered breathing concomitant with fibromyalgia syndrome&lt;/B&gt;]]&gt;

Germanowicz, Dienaro; Lumertz, Magali Santos; Martinez, Dênis; Margarites, Ane F.

doi:10.1590/s1806-37132006001100012

Cited by 22 publications

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“…Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a life-threatening disease that causes various symptoms, (1,2) the most serious of which is sleepiness due to the increased risk for motor-vehicle accidents. (3)(4)(5) The pathophysiology of OSAHS is complex.…”

Section: Introductionmentioning

confidence: 99%

Dimensions of sleepiness and their correlations with sleep-disordered breathing in mild sleep apnea

Martinez

Lumertz²,

Lenz³

2009

J. bras. pneumol.

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Objective: There are many ways of assessing sleepiness, which has many dimensions. In patients presenting a borderline apnea-hypopnea index (AHI, expressed as events/hour of sleep), the mechanisms of excessive daytime sleepiness (EDS) remain only partially understood. In the initial stages of sleep-disordered breathing, the AHI might be related to as-yet-unexplored EDS dimensions. Methods: We reviewed the polysomnography results of 331 patients (52% males). The mean age was 40 ± 13 years, and the mean AHI was 4 ± 2 (range, 0-9). We assessed ten potential dimensions of sleepiness based on polysomnography results and medical histories. Results: The AHI in non-rapid eye movement (NREM) stage 1 sleep (AHI-N1), in NREM stage 2 sleep (AHI-N2), and in REM sleep (AHI-REM) were, respectively, 6 ± 7, 3 ± 3 and 10 ± 4. The AHI-N2 correlated significantly with the greatest number of EDS dimensions (5/10), including the Epworth sleepiness scale score (r = 0.216, p < 0.001). Factor analysis, using Cronbach's alpha, reduced the variables to three relevant factors: QUESTIONNAIRE (α = 0.7); POLYSOMNOGRAPHY (α = 0.68); and COMPLAINTS (α = 0.55). We used these factors as dependent variables in a stepwise multiple regression analysis, adjusting for age, gender, and body mass index. The AHI-N1 correlated significantly with POLYSOMNOGRAPHY (β = −0.173, p = 0.003), and the AHI-N2 correlated significantly with COMPLAINTS (β = −0.152, p = 0.017). The AHI-REM did not correlate with any factor. Conclusions: Our results underscore the multidimensionality of EDS in mild sleep apnea.Keywords: Disorders of excessive somnolence; Sleep apnea syndromes; Sleep, REM; Polysomnography. ResumoObjetivo: Há muitas formas de avaliação da sonolência, a qual possui diversas dimensões. Em pacientes com um índice de apneia-hipopneia (IAH, expresso em eventos/hora de sono) limítrofe, os mecanismos da sonolência excessiva diurna (SED) permanecem apenas parcialmente esclarecidos. Nos estágios iniciais do transtorno respiratório do sono, o IAH pode estar relacionado a outras dimensões da SED ainda não exploradas. Métodos: Revisamos os resultados de polissonografia de 331 pacientes (52% do sexo masculino). A idade média foi de 40 ± 13 anos e o IAH médio de 4 ± 2 (variação, 0-9). Avaliamos dez dimensões potenciais de sonolência com base nos resultados da polissonografia e da história médica. Resultados: O IAH em sono non-rapid eye movement (NREM) estágio 1 (IAH-N1), em sono NREM estágio 2 (IAH-N2), e em sono REM (IAH-REM) foram, respectivamente, 6 ± 7, 3 ± 3 e 10 ± 4. O IAH-N2 se correlacionou significantemente com o maior número de dimensões de SED (5/10), incluindo o escore da escala de sonolência de Epworth (r = 0,216, p < 0,001). Análise de fatores, utilizando-se o alfa de Cronbach, reduziu as variáveis a três fatores relevantes: QUESTIONÁRIO (α = 0,7); POLISSONOGRAFIA (α = 0,68); e QUEIXAS (α = 0,55). Usando esses fatores como variáveis dependentes na regressão múltipla, ajustando para idade, gênero e índice de massa corporal, o IAH-N1 se correlacion...

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Section: Introductionmentioning

confidence: 99%

Dimensions of sleepiness and their correlations with sleep-disordered breathing in mild sleep apnea

Martinez

Lumertz²,

Lenz³

2009

J. bras. pneumol.

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“…We have to keep in mind that patients with FMS may have similar sleep structures to OSAS [27]. As emphasized in the literature the association is clear, although it does not imply a cause and effect relationship [7]. Number of female patients with high risk of OSAS (N=12) was more than males (N=5), but the rate was insignificantly higher in male patients (5 of 6 patients vs. 12 of 25 patients).…”

Section: Discussionmentioning

confidence: 86%

“…Sleep-disordered breathing (SDB) is defined as obstructive breathing episodes occurring exclusively during sleep which is related to relaxation of the pharynx and the consequent increase in upper airway resistance [7]. The degree of pharyngeal occlusion varies, and the consequences can be more or less evident.…”

Section: Introductionmentioning

confidence: 99%

STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients

Ilhanli¹

2016

AJCEM

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Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with Obstructive sleep apnea syndrome (OSAS) are similar to those of patients with fibromyalgia syndrome (FMS). Patients with OSAS can also present FMS. STOP-Bang test is an effective scale which was developed to identify the patients with OSAS. The aim of this study was to evaluate the probable correlation between symptom severity of FMS and STOP-Bang test. Thirty one patients were included in the study. Demographic data including gender, age, body mass index and concomitant diseases are recorded. Musculoskeletal and neurologic examination, measurement of neck circumference and limitation of cervical range of motion were performed. Also MRI findings were recorded as decreased cervical lordosis, spondylosis and discopathy. STOP-Bang test was applied. Beside this test presence of snoring and fatigue were asked again separately. Fibromyalgia Impact Questionnaire (FIQ) was applied. Results of FIQ including total score, visual analog scale for pain (VAS pain) and fatigue (VAS fatigue) were recorded. Twenty five patients (80,6%) were female and 6 patients (19,4%) were male. Neck circumference of male patients was significantly higher than the females (p<0,05). All patients were complaining of fatigue, and 61,3% reported snoring. According to the STOP-Bang test high risk of OSAS was found in 54,8% of the patients (5 males and 12 females). There was significant and positive correlation between snoring and VAS pain, VAS fatigue, FIQ score and high risk of OSAS (p<0,01). Correlations between high risk of OSAS and VAS pain, VAS fatigue and FIQ score (p<0,01) were significant, as well as the correlations between high risk of OSAS and limitation of cervical rotation, and presence of cervical discopathy and decreased cervical lordosis (p<0,05). Although it does not imply a cause and effect relationship, the association between FMS and OSAS is clear. Physicians should keep in mind the presence of OSAS among patients with FMS, especially in male patients. STOP-Bang test is an effective co-examination to predict the risk level of OSAS which is correlated with snoring. Only asking presence of snoring can substitute for STOP-Bang test to refer these patients for the examination of upper airways.

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“…A total of 11 patients were determined with FMS; 9 of 18 females and 2 of 32 males. In the same study, the groups were compared in terms of OSAS severity with FMS frequency and no significant difference was determined between the groups [26]. …”

Section: Casementioning

confidence: 99%

The Combination of Fibromyalgia and Obstructive Sleep Apnea Syndrome: A Case Report and Review of the Literature

Yıldırım¹

2015

Med-Science

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<![CDATA[<B>Sleep disordered breathing concomitant with fibromyalgia syndrome</B>]]>

Cited by 22 publications

References 0 publications

Dimensions of sleepiness and their correlations with sleep-disordered breathing in mild sleep apnea

Dimensions of sleepiness and their correlations with sleep-disordered breathing in mild sleep apnea

STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients

The Combination of Fibromyalgia and Obstructive Sleep Apnea Syndrome: A Case Report and Review of the Literature

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