Pub Date : 2023-11-23DOI: 10.5005/jp-journals-10069-0119
Ashwitha Melrine Carl, AT Safeekh
{"title":"Quality of Sleep among Final MBBS and Final Year Engineering Students: A Comparative Study","authors":"Ashwitha Melrine Carl, AT Safeekh","doi":"10.5005/jp-journals-10069-0119","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0119","url":null,"abstract":"","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-23DOI: 10.5005/jp-journals-10069-0118
Priyanka Sharma, Mansi Jain, H. S. Sogi, Ridima Tiwari, Apurva Gambhir
{"title":"Sleep Disorders in Pediatric Dentistry: A Hidden Foe","authors":"Priyanka Sharma, Mansi Jain, H. S. Sogi, Ridima Tiwari, Apurva Gambhir","doi":"10.5005/jp-journals-10069-0118","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0118","url":null,"abstract":"","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep bruxism (SB) is a common disorder that presents as repetitive jaw muscle activity with clenching or grinding of teeth and/or bracing or thrusting of the mandible. Several studies have suggested that SB is associated with obstructive sleep apnea (OSA). However, the effect of treatment with continuous positive airway pressure (CPAP) on SB concomitant with OSA has not been well recognized, except in a few reported cases. Herein, we present three cases of SB with various OSA severities that were successfully treated with CPAP, as indicated by the improvement in their clinical symptoms and bruxism index on polysomnography. Our results suggest that clinicians should raise suspicion of OSA in patients with SB and be aware that patients with SB and concomitant moderate-to-severe OSA can be successfully treated with CPAP.
{"title":"A Case Series of Sleep Bruxism Treated With Nasal Continuous Positive Airway Pressure: Craniofacial Feature and Polysomnographic Findings","authors":"Hye-Rim Shin, Hye-Kyoung Kim, Jee Hyun Kim","doi":"10.13078/jsm.230017","DOIUrl":"https://doi.org/10.13078/jsm.230017","url":null,"abstract":"Sleep bruxism (SB) is a common disorder that presents as repetitive jaw muscle activity with clenching or grinding of teeth and/or bracing or thrusting of the mandible. Several studies have suggested that SB is associated with obstructive sleep apnea (OSA). However, the effect of treatment with continuous positive airway pressure (CPAP) on SB concomitant with OSA has not been well recognized, except in a few reported cases. Herein, we present three cases of SB with various OSA severities that were successfully treated with CPAP, as indicated by the improvement in their clinical symptoms and bruxism index on polysomnography. Our results suggest that clinicians should raise suspicion of OSA in patients with SB and be aware that patients with SB and concomitant moderate-to-severe OSA can be successfully treated with CPAP.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72422225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Byun, K. Ji, Hye-Rim Shin, Dae Lim Koo, Yu Jin Jung, Tae-Joon Kim, J. Sunwoo, Tae-won Yang, J. Jun, Jung-Won Shin, K. Jung
Rapid eye movement (REM) sleep behavior disorder (RBD) is diagnosed based on a history of dream-enactment behavior and documentation of REM sleep without atonia (RWA) on polysomnography (PSG). RWA can be quantified using various methods. To establish comprehensive and clear PSG criteria for diagnosing RBD, the International RBD Study Group (IRBDSG) has recently published guidelines, which include the use of a video-PSG technical setup, REM sleep staging, RWA scoring, video and audio recording and analyses, and a video-PSG procedure for the diagnosis and identification of the prodromal stages of neurodegenerative diseases. Although the guidelines can identify patients with homogeneous RBD, their applicability in a real-world setting, particularly in Korea, presents challenges. Therefore, the aim of the present study was to evaluate and introduce IRBDSG guidelines and results of Korean sleep experts’ opinion survey for diagnosing RBD based on PSG findings.
{"title":"Expert Opinion on Current Polysomnography Procedure for Diagnosis of Rapid Eye Movement Sleep Behavior Disorder in Korea","authors":"J. Byun, K. Ji, Hye-Rim Shin, Dae Lim Koo, Yu Jin Jung, Tae-Joon Kim, J. Sunwoo, Tae-won Yang, J. Jun, Jung-Won Shin, K. Jung","doi":"10.13078/jsm.230020","DOIUrl":"https://doi.org/10.13078/jsm.230020","url":null,"abstract":"Rapid eye movement (REM) sleep behavior disorder (RBD) is diagnosed based on a history of dream-enactment behavior and documentation of REM sleep without atonia (RWA) on polysomnography (PSG). RWA can be quantified using various methods. To establish comprehensive and clear PSG criteria for diagnosing RBD, the International RBD Study Group (IRBDSG) has recently published guidelines, which include the use of a video-PSG technical setup, REM sleep staging, RWA scoring, video and audio recording and analyses, and a video-PSG procedure for the diagnosis and identification of the prodromal stages of neurodegenerative diseases. Although the guidelines can identify patients with homogeneous RBD, their applicability in a real-world setting, particularly in Korea, presents challenges. Therefore, the aim of the present study was to evaluate and introduce IRBDSG guidelines and results of Korean sleep experts’ opinion survey for diagnosing RBD based on PSG findings.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82575856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Previous studies have shown that exposure to blue-enriched light in the morning or blue-suppressed light in the evening may positively affect sleep. In this study, we aimed to investigate the effect of combination of morning blue-enriched and night blue-suppressed lighting (MENS) on sleep quality. Methods: Thirty workers were recruited. After one-week baseline evaluation, the participants were randomly assigned to either an experimental or a control group. Both were exposed to light in the morning and evening for two weeks. The experimental group used a lighting device emitting 480-nm wavelength maximized light in the morning and minimized light in the evening, while the control group used 450-nm wavelength light in the same way. The final evaluation was conducted using questionnaires and sleep diaries. Results: Both groups showed statistically significant improvements in seven out of nine sleep quality measures (p<0.05). The experimental group showed improvement in sleep latency and sleep fragmentation compared to that in the control group (p=0.017). The control group showed improvement in wake after sleep onset. The ratio of participants who showed improvement and transitioned from abnormal to normal values was significantly higher in the experimental group for sleep latency (p=0.046) and in the control group for fatigue (p=0.012). Conclusions: The findings suggest that the use of MENS significantly improves sleep quality. Although the difference in the improvement effect between different wavelengths of blue light was not substantial, the use of 480-nm blue light appears to be effective in reducing sleep latency.
{"title":"Effect of the Combined Use of Morning Blue-Enriched Lighting and Night Blue-Suppressed Lighting (MENS) on Sleep Quality","authors":"Wankiun Lee, K. Jung","doi":"10.13078/jsm.230016","DOIUrl":"https://doi.org/10.13078/jsm.230016","url":null,"abstract":"Objectives: Previous studies have shown that exposure to blue-enriched light in the morning or blue-suppressed light in the evening may positively affect sleep. In this study, we aimed to investigate the effect of combination of morning blue-enriched and night blue-suppressed lighting (MENS) on sleep quality. Methods: Thirty workers were recruited. After one-week baseline evaluation, the participants were randomly assigned to either an experimental or a control group. Both were exposed to light in the morning and evening for two weeks. The experimental group used a lighting device emitting 480-nm wavelength maximized light in the morning and minimized light in the evening, while the control group used 450-nm wavelength light in the same way. The final evaluation was conducted using questionnaires and sleep diaries. Results: Both groups showed statistically significant improvements in seven out of nine sleep quality measures (p<0.05). The experimental group showed improvement in sleep latency and sleep fragmentation compared to that in the control group (p=0.017). The control group showed improvement in wake after sleep onset. The ratio of participants who showed improvement and transitioned from abnormal to normal values was significantly higher in the experimental group for sleep latency (p=0.046) and in the control group for fatigue (p=0.012). Conclusions: The findings suggest that the use of MENS significantly improves sleep quality. Although the difference in the improvement effect between different wavelengths of blue light was not substantial, the use of 480-nm blue light appears to be effective in reducing sleep latency.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74672132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jae Wook Cho, Hyun-Woo Kim, Jake Jeong, Kwangyeol Baek
Insomnia is a prevalent sleep disorder characterized by difficulties in falling asleep, frequent awakenings, or waking up too early. These disturbances adversely affect patient’s health. Although numerous insomnia treatment guidelines recommend cognitive behavioral therapy for insomnia (CBT-I) as the primary treatment approach, its clinical effectiveness has been hampered because of challenges such as insurance concerns, limited healthcare accessibility, inadequate compensation for providers, and a shortage of specialists. To address these limitations, CBT-I should be implemented as a digital therapeutic modality. Internationally, products such as Somryst, Sleepio, CBT-I Coach, Night Owl-Sleep Coach, and Minddistrict have been utilized. In South Korea, emerging digital therapeutic devices such as Somzz and PilLow Rx are also being introduced. In this review, we explored the current status of digital therapeutic modalities for insomnia in both international and domestic markets, aiming to provide insights into the future prospects in the realm of insomnia treatment in the modern digital healthcare era.
{"title":"Insomnia Treatment in the Digital Healthcare Era: Present and Future","authors":"Jae Wook Cho, Hyun-Woo Kim, Jake Jeong, Kwangyeol Baek","doi":"10.13078/jsm.230021","DOIUrl":"https://doi.org/10.13078/jsm.230021","url":null,"abstract":"Insomnia is a prevalent sleep disorder characterized by difficulties in falling asleep, frequent awakenings, or waking up too early. These disturbances adversely affect patient’s health. Although numerous insomnia treatment guidelines recommend cognitive behavioral therapy for insomnia (CBT-I) as the primary treatment approach, its clinical effectiveness has been hampered because of challenges such as insurance concerns, limited healthcare accessibility, inadequate compensation for providers, and a shortage of specialists. To address these limitations, CBT-I should be implemented as a digital therapeutic modality. Internationally, products such as Somryst, Sleepio, CBT-I Coach, Night Owl-Sleep Coach, and Minddistrict have been utilized. In South Korea, emerging digital therapeutic devices such as Somzz and PilLow Rx are also being introduced. In this review, we explored the current status of digital therapeutic modalities for insomnia in both international and domestic markets, aiming to provide insights into the future prospects in the realm of insomnia treatment in the modern digital healthcare era.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81272258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ohn, K. Maddison, J. Nguyen, Daisy Evans, N. Bear, R. N. Khan, P. R. Eastwood, B. S. Ungern-Sternberg, Andrew C Wilson, Jennifer H. Walsh
Objectives: Obstructive sleep apnea (OSA) increases the risk of perioperative adverse events in children. While polysomnography (PSG) remains the reference standard for OSA diagnosis, oximetry is a valuable screening tool. The traditional practice is the manual analysis of desaturation clusters derived from a tabletop device using the McGill oximetry score. However, automated analysis of wearable oximetry data can be an alternative. This study investigated the accuracy of wrist-worn oximetry with automated analysis as a preoperative OSA screening tool. Methods: Healthy children scheduled for adenotonsillectomy underwent concurrent overnight PSG and wrist-worn oximetry. PSG determined the obstructive apnea-hypopnea index (OAHI). Oximetry data were auto-analyzed to determine 3% oxygen desaturation index (ODI3) and visually scored as per McGill criteria. The logistic regression model assessed the predictive performance of ODI3 for detecting the presence and severity of OSA after adjusting for covariates. Results: Seventy-six children (34 females), aged (mean±standard deviation) 5.7±1.6 years were classified, based on PSG-derived OAHI, as no OSA (n=31), mild (n=31), and moderate-severe OSA (n=14). Oximetric ODI3 was identified as the sole predictor of moderate-severe OSA (OAHI≥5 events/h) (odds ratio 1.38, 95% confidence interval 1.15, 1.65, p=0.001). The best diagnostic performance was at ODI3=5 events/h (78.6% sensitivity, 75.8% specificity [receiver operating characteristic-area under the curve {ROC-AUC}=0.857]). ODI3 was also more sensitive than the McGill oximetry score in diagnosing moderate-severe OSA (78.6% by ODI3 vs. 33.0% by McGill). The performance was suboptimal for any level of OSA (OAHI≥1 event/h) (75.6% sensitivity, 61.3% specificity [ROC-AUC=0.709]). Conclusions: Wrist-worn oximetry-derived automated ODI3 can reliably identify moderate-severe OSA in children undergoing adenotonsillectomy, making it a potentially useful preoperative OSA screening tool.
{"title":"Performance Accuracy of Wrist-Worn Oximetry and Its Automated Output Parameters for Screening Obstructive Sleep Apnea in Children","authors":"M. Ohn, K. Maddison, J. Nguyen, Daisy Evans, N. Bear, R. N. Khan, P. R. Eastwood, B. S. Ungern-Sternberg, Andrew C Wilson, Jennifer H. Walsh","doi":"10.13078/jsm.230014","DOIUrl":"https://doi.org/10.13078/jsm.230014","url":null,"abstract":"Objectives: Obstructive sleep apnea (OSA) increases the risk of perioperative adverse events in children. While polysomnography (PSG) remains the reference standard for OSA diagnosis, oximetry is a valuable screening tool. The traditional practice is the manual analysis of desaturation clusters derived from a tabletop device using the McGill oximetry score. However, automated analysis of wearable oximetry data can be an alternative. This study investigated the accuracy of wrist-worn oximetry with automated analysis as a preoperative OSA screening tool. Methods: Healthy children scheduled for adenotonsillectomy underwent concurrent overnight PSG and wrist-worn oximetry. PSG determined the obstructive apnea-hypopnea index (OAHI). Oximetry data were auto-analyzed to determine 3% oxygen desaturation index (ODI3) and visually scored as per McGill criteria. The logistic regression model assessed the predictive performance of ODI3 for detecting the presence and severity of OSA after adjusting for covariates. Results: Seventy-six children (34 females), aged (mean±standard deviation) 5.7±1.6 years were classified, based on PSG-derived OAHI, as no OSA (n=31), mild (n=31), and moderate-severe OSA (n=14). Oximetric ODI3 was identified as the sole predictor of moderate-severe OSA (OAHI≥5 events/h) (odds ratio 1.38, 95% confidence interval 1.15, 1.65, p=0.001). The best diagnostic performance was at ODI3=5 events/h (78.6% sensitivity, 75.8% specificity [receiver operating characteristic-area under the curve {ROC-AUC}=0.857]). ODI3 was also more sensitive than the McGill oximetry score in diagnosing moderate-severe OSA (78.6% by ODI3 vs. 33.0% by McGill). The performance was suboptimal for any level of OSA (OAHI≥1 event/h) (75.6% sensitivity, 61.3% specificity [ROC-AUC=0.709]). Conclusions: Wrist-worn oximetry-derived automated ODI3 can reliably identify moderate-severe OSA in children undergoing adenotonsillectomy, making it a potentially useful preoperative OSA screening tool.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81970275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To improve the adaptation of shift work, various flexible shift patterns for nurses have introduced in addition to the existing eight-hour-three-shift system. This study aimed to compare the differences in rotating nurses’ sleep characteristics according to shift patterns. Methods: A total of 62 rotating nurses (all females, mean age 29.79±4.30 years) participated in sleep monitoring for consecutive two weeks. Objective sleep was obtained using Readiband (Fatigue Science, Inc., Vancouver, BC, Canada), a wrist-worn device that uses an accelerometer to distinguish sleep and wakefulness. Subjective sleep characteristics were measured using the Morningness-Eveningness questionnaire (MEQ), Bedtime Procrastination Scale (BPS), Epworth Sleepiness Scale (ESS), and Insomnia Severity Index (ISI). Results: Mean BPS was 30.42±5.10, ESS was 10.42±4.27, and ISI was 11.58±4.16, and there were no statistical differences in sleep parameters except for total sleep time (TST). Although significant differences were not found in sleep parameters according to shift patterns, 27.4% of rotating nurses report subjective sleep problems. More than half (59.7%) suffer from excessive daytime sleepiness. ISI was negatively correlated with age (rho=-0.275, p=0.031) and shift work period (rho=-0.278, p=0.028), but it was positively correlated with ESS (rho=0.306, p=0.015). Furthermore, BPS was negatively correlated with MEQ (rho=-0.351, p=0.005) and TST (rho=-0.307, p=0.016). Conclusions: To improve the sleep of rotating nurses, more active interventions, such as sleep education to reduce bedtime procrastination and short naps during night shifts, are needed.
{"title":"Nurses’ Sleep Characteristics by Shift Type in a Tertiary Hospital With Flexible Working Arrangements","authors":"S. Choi, Eun Yeon Joo","doi":"10.13078/jsm.230015","DOIUrl":"https://doi.org/10.13078/jsm.230015","url":null,"abstract":"Objectives: To improve the adaptation of shift work, various flexible shift patterns for nurses have introduced in addition to the existing eight-hour-three-shift system. This study aimed to compare the differences in rotating nurses’ sleep characteristics according to shift patterns. Methods: A total of 62 rotating nurses (all females, mean age 29.79±4.30 years) participated in sleep monitoring for consecutive two weeks. Objective sleep was obtained using Readiband (Fatigue Science, Inc., Vancouver, BC, Canada), a wrist-worn device that uses an accelerometer to distinguish sleep and wakefulness. Subjective sleep characteristics were measured using the Morningness-Eveningness questionnaire (MEQ), Bedtime Procrastination Scale (BPS), Epworth Sleepiness Scale (ESS), and Insomnia Severity Index (ISI). Results: Mean BPS was 30.42±5.10, ESS was 10.42±4.27, and ISI was 11.58±4.16, and there were no statistical differences in sleep parameters except for total sleep time (TST). Although significant differences were not found in sleep parameters according to shift patterns, 27.4% of rotating nurses report subjective sleep problems. More than half (59.7%) suffer from excessive daytime sleepiness. ISI was negatively correlated with age (rho=-0.275, p=0.031) and shift work period (rho=-0.278, p=0.028), but it was positively correlated with ESS (rho=0.306, p=0.015). Furthermore, BPS was negatively correlated with MEQ (rho=-0.351, p=0.005) and TST (rho=-0.307, p=0.016). Conclusions: To improve the sleep of rotating nurses, more active interventions, such as sleep education to reduce bedtime procrastination and short naps during night shifts, are needed.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84490528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This report describes the challenging case of a 45-year-old male Caucasian patient with morbid obesity and severe obstructive sleep apnea who was followed up for over 10 years by a multidisciplinary team that included sleep and dental medicine professionals, physiotherapists, and nutritionists. The patient underwent seven polysomnographic studies during the follow-up period; furthermore, nocturnal digital monitoring (NDM) was performed during the COVID-19 pandemic. The polysomnographic study revealed that the apnea-hypopnea index of the patient reduced from 131.7 ev/h to 9.4 ev/h without symptoms, while his NDM oxygen desaturation index varied because of weight gain during the COVID-19 pandemic. This case report highlights the importance of a multidisciplinary team in ensuring the success of mandibular advancement device therapy with excellent clinical outcomes. Furthermore, this report suggests that NDM was a good tool for follow-up during the COVID-19 pandemic.
{"title":"A Ten-Year Follow-Up Case Report on the Treatment of Severe Obstructive Sleep Apnea Using a Mandibular Advancement Device","authors":"D. Barbosa, A. J. M. Júnior","doi":"10.13078/jsm.230003","DOIUrl":"https://doi.org/10.13078/jsm.230003","url":null,"abstract":"This report describes the challenging case of a 45-year-old male Caucasian patient with morbid obesity and severe obstructive sleep apnea who was followed up for over 10 years by a multidisciplinary team that included sleep and dental medicine professionals, physiotherapists, and nutritionists. The patient underwent seven polysomnographic studies during the follow-up period; furthermore, nocturnal digital monitoring (NDM) was performed during the COVID-19 pandemic. The polysomnographic study revealed that the apnea-hypopnea index of the patient reduced from 131.7 ev/h to 9.4 ev/h without symptoms, while his NDM oxygen desaturation index varied because of weight gain during the COVID-19 pandemic. This case report highlights the importance of a multidisciplinary team in ensuring the success of mandibular advancement device therapy with excellent clinical outcomes. Furthermore, this report suggests that NDM was a good tool for follow-up during the COVID-19 pandemic.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78517036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Co-sleeping is defined as caregivers and infants sleeping in the same place or room. The purpose of this study was to investigate associations between co-sleeping, infant sleep, and parental misperceptions about infant sleep. Methods: The participants were 832 English-speaking caregivers. Most of the sample comprised of mothers (70.79%). The infants ages ranged from 6 to 12 months. All participants completed the Brief Infant Sleep Questionnaire-Revised and Parental Understanding and Misperceptions about BAby’s Sleep-Questionnaire in an online survey. Infant sleep and nighttime parental intervention were recorded using auto-videosomnography. The chi-square, non-parametric covariance analysis, and moderation analysis were conducted to analyze the results. Results: Among the respondents, 771 (92.70%) report-ed that their infants were in the solitary-sleeping group and 61 (7.30%), in the co-sleeping group. Parental misperceptions about infant sleep were higher in the co-sleeping group (29.67±11.28) than the solitary-sleeping group (23.5±10.79; p <0.001). The co-sleeping group had lower total sleep time (523.51±76.38) compared to the solitary-sleeping group (604.91±61.29; p <0.001) based on auto-videosomnography. The moderating effect of parental misperceptions about infant sleep in the relationship between parent-reported infant number of awakenings during the night (NWAK) and co-sleeping was significant (B=0.033, p =0.017). Conclusions: Co-sleeping had low prevalence in this study compared to solitary-sleeping. Co-sleeping was associated with higher levels of parental misperception about infant sleep. Additionally, in the case of co-sleeping caregivers, a higher misperception about infant sleep was more strongly associated with parent-reported infant NWAK. Parental misperceptions about infant sleep may be an important factor to consider in pediatric sleep.
目的:同睡被定义为看护人和婴儿睡在同一个地方或房间。本研究的目的是调查共睡、婴儿睡眠和父母对婴儿睡眠的误解之间的关系。方法:研究对象为832名讲英语的护理人员。大多数样本由母亲组成(70.79%)。这些婴儿的年龄从6到12个月不等。所有的参与者都通过在线调查完成了《婴儿睡眠简易问卷-修订》和《父母对婴儿睡眠的理解与误解问卷》。使用自动视频睡眠记录仪记录婴儿睡眠和夜间父母干预。采用卡方分析、非参数协方差分析和适度分析对结果进行分析。结果:调查对象中有771名(92.70%)报告其婴儿为单独睡眠组，61名(7.30%)报告其婴儿为共睡组。共睡组父母对婴儿睡眠的误解(29.67±11.28)高于单独睡组(23.5±10.79);p < 0.001)。共睡组总睡眠时间(523.51±76.38)低于单独睡眠组(604.91±61.29);P <0.001)。父母对婴儿睡眠的误解对父母报告的婴儿夜间醒来次数(NWAK)与共睡之间的关系有显著的调节作用(B=0.033, p =0.017)。结论:与单独睡眠相比，本研究中共睡的患病率较低。同睡与父母对婴儿睡眠的误解程度较高有关。此外，在同睡的看护人的情况下，对婴儿睡眠的更高误解与父母报告的婴儿NWAK密切相关。父母对婴儿睡眠的误解可能是儿童睡眠中需要考虑的重要因素。
{"title":"Parental Misperceptions About Infant Sleep as a Moderator Between Co-Sleeping and Infant Sleep","authors":"Yuri Roh, E. Jang, N. Barnett, S. Suh","doi":"10.13078/jsm.230012","DOIUrl":"https://doi.org/10.13078/jsm.230012","url":null,"abstract":"Objectives: Co-sleeping is defined as caregivers and infants sleeping in the same place or room. The purpose of this study was to investigate associations between co-sleeping, infant sleep, and parental misperceptions about infant sleep. Methods: The participants were 832 English-speaking caregivers. Most of the sample comprised of mothers (70.79%). The infants ages ranged from 6 to 12 months. All participants completed the Brief Infant Sleep Questionnaire-Revised and Parental Understanding and Misperceptions about BAby’s Sleep-Questionnaire in an online survey. Infant sleep and nighttime parental intervention were recorded using auto-videosomnography. The chi-square, non-parametric covariance analysis, and moderation analysis were conducted to analyze the results. Results: Among the respondents, 771 (92.70%) report-ed that their infants were in the solitary-sleeping group and 61 (7.30%), in the co-sleeping group. Parental misperceptions about infant sleep were higher in the co-sleeping group (29.67±11.28) than the solitary-sleeping group (23.5±10.79; p <0.001). The co-sleeping group had lower total sleep time (523.51±76.38) compared to the solitary-sleeping group (604.91±61.29; p <0.001) based on auto-videosomnography. The moderating effect of parental misperceptions about infant sleep in the relationship between parent-reported infant number of awakenings during the night (NWAK) and co-sleeping was significant (B=0.033, p =0.017). Conclusions: Co-sleeping had low prevalence in this study compared to solitary-sleeping. Co-sleeping was associated with higher levels of parental misperception about infant sleep. Additionally, in the case of co-sleeping caregivers, a higher misperception about infant sleep was more strongly associated with parent-reported infant NWAK. Parental misperceptions about infant sleep may be an important factor to consider in pediatric sleep.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90652674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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