Genetics and sleep bruxism: a systematic review and meta-analysis of studies with twins.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI:10.1007/s11325-024-03090-5

Laiane Fernandes Pereira, Francisco Wilker Mustafa Gomes Muniz, Marina de Deus Moura de Lima, Cassiano Kuchenbecker Rösing, Lúcia de Fátima Almeida de Deus Moura, Marcoeli Silva de Moura, Cacilda Castelo Branco Lima

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Abstract

Objective: To systematically review the literature regarding the concordance of sleep bruxism (SB) between monozygotic (MZ) and dizygotic (DZ) twins.

Methods: The registration for this systematic review was accomplished in the International Prospective Register of Systematic Reviews (PROSPERO, No. CRD42021251751). As of July 2022, four databases were searched, including PubMed, Scopus, Embase, and Web of Science, as well as the grey literature in Google Scholar and OpenGrey. Observational studies evaluating SB in MZ and DZ twins of any age and sex were included. For the evaluation of the risk of bias, the Joanna Briggs checklist was utilized. The certainty of evidence was assessed via the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Pooled and subgroup meta-analyses were performed to estimate concordance of SB between twins (p < 0.05).

Results: In total, 3,155 records were identified. In the qualitative analysis, eleven studies were included; of these, seven were included in the meta-analysis. The majority of the articles exhibited a low risk of bias (63.6%). Greater SB concordance was observed between MZ twins than between DZ twins in the analysis of general concordance (OR = 1.47; 95% CI = 1.07-2.02) and also positive concordance (OR = 1.53; 95% CI = 1.29-1.81). Within the subgroup analyses, the significance of the findings remained only for the reported/self-reported SB regarding general concordance (OR = 1.44; 95% CI = 1.07-1.95) and positive concordance (OR = 1.55; 95% CI = 1.28-1.88). Low certainty of the evidence was observed for the general concordance analysis, while moderate certainty was observed for the positive concordance.

Conclusion: There was a higher concordance of SB in MZ twins compared to DZ twins, indicating a possible genetic influence on the condition's occurrence.

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遗传与睡眠磨牙症：对双胞胎研究的系统回顾和荟萃分析。

目的系统回顾有关单卵（MZ）和双卵（DZ）双胞胎睡眠磨牙症（SB）一致性的文献：本系统综述在国际系统综述前瞻性注册中心（PROSPERO，编号：CRD42021251751）注册。截至 2022 年 7 月，共检索了四个数据库，包括 PubMed、Scopus、Embase 和 Web of Science，以及 Google Scholar 和 OpenGrey 中的灰色文献。研究纳入了对任何年龄和性别的 MZ 和 DZ 双生子的 SB 进行评估的观察性研究。在评估偏倚风险时，采用了乔安娜-布里格斯（Joanna Briggs）核对表。证据的确定性通过建议评估、发展和评价分级（GRADE）系统进行评估。进行了汇总和亚组荟萃分析，以估计双胞胎之间 SB 的一致性（p 结果：共发现 3,155 条记录。在定性分析中，共纳入了 11 项研究；其中 7 项纳入了荟萃分析。大多数文章的偏倚风险较低（63.6%）。在一般一致性（OR = 1.47；95% CI = 1.07-2.02）和阳性一致性（OR = 1.53；95% CI = 1.29-1.81）分析中，观察到 MZ 双胞胎之间的 SB 一致性高于 DZ 双胞胎之间的 SB 一致性。在亚组分析中，只有报告/自我报告的 SB 在一般一致性（OR = 1.44；95% CI = 1.07-1.95）和阳性一致性（OR = 1.55；95% CI = 1.28-1.88）方面的研究结果仍具有显著性。一般一致性分析的证据确定性较低，而阳性一致性分析的证据确定性中等：结论：MZ 双胞胎与 DZ 双胞胎相比，SB 的一致性更高，这表明该病症的发生可能受到遗传因素的影响。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.