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Mechanisms that Link Obstructive Sleep Apnea to Stroke 阻塞性睡眠呼吸暂停与中风的联系机制
Pub Date : 2022-04-30 DOI: 10.5005/jp-journals-10069-0092
Aishwarya Aggarwal
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引用次数: 0
Prevalence of Pediatric Sleep Disorders and their Relationship with Vitamin D Levels in Indian Children 印度儿童儿童睡眠障碍的患病率及其与维生素D水平的关系
Pub Date : 2022-04-30 DOI: 10.5005/jp-journals-10069-0095
Divya A Varghese, V. Prasad
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引用次数: 0
A Case of Painful Legs and Moving Toes Syndrome in a Young Woman 一例年轻女性腿痛和脚趾移动综合征
Pub Date : 2022-04-29 DOI: 10.13078/jsm.210026
H. Bae, D. Shin, Mi-kyoung Kang, Hyun Chang Lee, K. Jung
Painful legs and moving toes syndrome (PLMT) is a rare syndrome characterized by pain in the lower extremities and involuntary movements of single or multiple toes. A 29-year-old woman with lumbosacral intervertebral disc herniation complained of bilateral foot pain and involuntary toe movements for three months. This is the first case of PLMT in a young adult patient with a lumbosacral intervertebral disc herniation in Korea.
腿痛和动趾综合征(PLMT)是一种罕见的综合征,其特征是下肢疼痛和单个或多个脚趾的不自主运动。29岁女性腰骶椎间盘突出症主诉双侧足部疼痛和脚趾不自主活动三个月。这是韩国第一例腰骶椎间盘突出的年轻成年患者的PLMT。
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引用次数: 0
Can Fitness Trackers Track Sleep? 健身追踪器能追踪睡眠吗?
Pub Date : 2022-04-29 DOI: 10.13078/jsm.220005
P. Song
Technological advances over the years have led to the widespread use and popularity of consumer wearable devices. Although polysomnography and actigraphy are standard tools for objective evaluation of sleep, common wearable devices that can be used daily can aid with diagnosis and management of sleep disorders. Accelerometer and photoplethysmography sensors are included both in actigraphy and wearable devices; therefore, the wearable device functions as an actigraphy tool to analyze sleep architecture. Easy accessibility, cost-effectiveness, and ease of long-term monitoring serve as advantages of this device; however, scientific validation is warranted to promote the use of the commercial apparatus as a medical device.
多年来的技术进步导致了消费者可穿戴设备的广泛使用和普及。虽然多导睡眠描记仪和活动描记仪是客观评估睡眠的标准工具,但日常使用的普通可穿戴设备可以帮助诊断和管理睡眠障碍。加速度计和光容积脉搏波传感器包括在活动记录仪和可穿戴设备中;因此,可穿戴设备可以作为分析睡眠结构的活动描记工具。易于使用,成本效益高,易于长期监测是该设备的优势;然而,为了促进商业仪器作为医疗设备的使用,有必要进行科学验证。
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引用次数: 0
Clinical Differences of Insomnia Subtype According to Actigraphy Based Objective Short Sleep, Subjective Short Sleep, and Normal Sleep 基于活动描记法的客观短睡眠、主观短睡眠和正常睡眠失眠亚型的临床差异
Pub Date : 2022-04-29 DOI: 10.13078/jsm.220001
S. Choi, Hyunjin Jo, E. Joo
Objectives: This study aims to examine the clinical differences between objective short sleep insomniacs (OSSI) and subjective short sleep insomniacs (SSSI). Methods: We enrolled 79 patients (aged 27–74 years) with chronic insomnia disorder (CID) who underwent overnight polysomnography (PSG) and completed sleep-related questionnaires as well as habitual sleep time. All of them completed actigraphy (ACT) recording for one week prior to the PSG study. Objective sleep duration for one-week average sleep was calculated by ACT, and subjective sleep duration was counted through self-reported habitual sleep time. We divided the subjects into three groups; OSSI (<6 h/night), SSSI (objective sleep ≥6 h/night and subjective sleep <6 h/ night), and normal sleep duration insomniacs (NSDI, subjective sleep ≥6 h/night). Results: The three groups namely OSSI, SSSI, and NSDI had 25 (31.6%), 36 (45.6%), and 18 (22.8%) subjects, respectively. The SSSI were significantly older and had higher daytime sleepiness than the OSSI. According to the PSG results, the OSSI showed shorter sleep latency (11.86 min vs. 39.69 min) and N2 sleep % (59.43% vs. 67.96%), and longer rapid eye movement sleep % (20.79% vs. 15.47%) than that in the NSDI. There was no difference in treatment response between groups. Conclusions: 45.6% of CID patients underestimated their sleep relative to objective sleep. However, there were no differences in total sleep time on PSG between groups. The OSSI showed younger age and more daytime sleepiness, and the SSSI showed poorer sleep quality than the NSDI. These findings suggest that long-term ACT recording in a casual environment would be useful to monitor objective sleep in patients with CID, particularly, in subjectively short sleep insomniacs.
目的:探讨客观短睡眠失眠症(OSSI)与主观短睡眠失眠症(SSSI)的临床差异。方法:对79例慢性失眠症(CID)患者(年龄27-74岁)进行夜间多导睡眠图(PSG)检查,并填写睡眠相关问卷和习惯性睡眠时间。所有患者在PSG研究前一周完成活动描记(ACT)记录。客观睡眠时间采用ACT计算一周平均睡眠时间,主观睡眠时间采用自述习惯性睡眠时间计算。我们将受试者分为三组;OSSI (<6 h/night)、SSSI(客观睡眠≥6 h/night,主观睡眠<6 h/night)和正常睡眠持续时间失眠症(NSDI,主观睡眠≥6 h/night)。结果:OSSI、SSSI、NSDI三组分别有25例(31.6%)、36例(45.6%)、18例(22.8%)。SSSI组明显比OSSI组年龄更大,白天嗜睡程度更高。PSG结果显示,OSSI组睡眠潜伏期较NSDI组短(11.86 min vs. 39.69 min), N2睡眠率较NSDI组短(59.43% vs. 67.96%),快速眼动睡眠率较NSDI组长(20.79% vs. 15.47%)。两组间治疗反应无差异。结论:45.6%的CID患者相对于客观睡眠低估了自己的睡眠。然而,两组之间在PSG上的总睡眠时间没有差异。OSSI组表现出更年轻的年龄和更多的白天嗜睡,SSSI组比NSDI组表现出更差的睡眠质量。这些发现表明,在随意的环境中长期记录ACT将有助于监测CID患者的客观睡眠,特别是主观上短时间睡眠失眠症患者。
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引用次数: 0
Comparison of Sleep, Perceived Health, and Job Stress According to Symptoms of Shift Work Disorder in Shift Nurses 轮班护士轮班工作障碍症状对睡眠、健康感知和工作压力的影响
Pub Date : 2022-04-29 DOI: 10.13078/jsm.220003
S. Choi, Yi-Kyung Ha, E. Joo
Objectives: This study aimed to investigate the prevalence of symptoms of shift work disorder (SSWD) and its related factors in rapidly rotating three-shift nurses. Methods: We enrolled 344 nurses (mean age, 28.7 years) without prior history of sleep disturbance before starting shift work in a university-affiliated hospital. SSWD were defined using self-reported sleep questionnaires (insomnia severity index >14 and/or Epworth Sleepiness Scale ≥10) and without any sleep problem before shift work. Sleep pattern in each of the three shifts was measured using the Munich Chronotype Questionnaire for Shift-Workers. Mood (anxiety, depression) and job stress were also measured using self-reported questionnaires. Results: Our results showed that 62.2% of the participants presented SSWD. Compared to the non-SWD group, the SSWD group showed worse sleep hygiene, lower total sleep time (TST) during workdays, higher anxiety and depressive mood, and higher job stress. In the SSWD group, the evening chronotype individuals presented the shortest TST during day shifts, while the morning chronotype individuals presented the shortest TST during evening shifts. Conclusions: SSWD is highly prevalent in fast rotating three-shift nurses. This study suggests that intensive education on sleep hygiene and appropriate scheduling of shift work while considering individual chronotypes may improve sleep patterns and sleep quality of shift workers and minimize SSWD.
目的:本研究旨在调查快速轮转三班护士轮班工作障碍(SSWD)症状的患病率及其相关因素。方法:选取某大学附属医院轮班前无睡眠障碍史的护士344名,平均年龄28.7岁。采用自我报告的睡眠问卷(失眠严重程度指数>14和/或Epworth嗜睡量表≥10)定义SSWD,轮班工作前无任何睡眠问题。使用慕尼黑轮班工人时型问卷测量了三个班次中每一个班次的睡眠模式。情绪(焦虑、抑郁)和工作压力也通过自我报告问卷进行测量。结果:62.2%的受试者出现SSWD。与非swd组相比,ssd组表现出较差的睡眠卫生,工作日总睡眠时间(TST)较低,焦虑和抑郁情绪较高,工作压力较大。在SSWD组中,夜间时间型个体在白班时的TST最短,而早晨时间型个体在晚班时的TST最短。结论:SSWD在快速轮转三班护士中高发。本研究表明,加强睡眠卫生教育和适当安排轮班工作,同时考虑个体的睡眠类型,可以改善轮班工人的睡眠模式和睡眠质量,最大限度地减少睡眠不足。
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引用次数: 0
A Successful Treatment of Obesity Hypoventilation Syndrome Using Bi-level Positive Airway Pressure in a Patient With Hypoxic Brain Damage 低氧脑损伤患者应用双水平气道正压成功治疗肥胖低通气综合征
Pub Date : 2022-04-29 DOI: 10.13078/jsm.210027
Y. Hong, Han Beet Kim, Min-Jun Song, Hee-Hung Mo, H. Im
We present the case of a 78-year-old female who experienced acute mental deterioration after vomiting. She showed severe hypercapnia without definite lung disease and hypoxic injury on brain image. After the acute period, she still had excessive daytime sleepiness, and the hypercapnia aggravated during the night. Polysomnography revealed severe obstructive sleep apnea, a sleep-related breathing disorder with a high apneahypopnea index of 60.2/h (mainly a hypopnea index of 59.0/h). She was diagnosed with combined obesity hypoventilation syndrome (OHS) and sleep-related breathing disorder, as the cause of daytime hypercapnia and excessive daytime sleepiness. Three months of successful bi-level positive airway pressure (BiPAP) therapy dramatically improved her daytime sleepiness and cognition. This case suggests that patients with OHS can be susceptible to hypoxic brain damage, and emphasizes the importance of the recognition and diagnosis of OHS and appropriate treatment with BiPAP therapy.
我们提出的情况下,78岁的女性谁经历了急性精神恶化呕吐后。她表现为严重的高碳酸血症,无明确的肺部疾病和缺氧损伤。急性期结束后,患者白天仍嗜睡,夜间高碳酸血症加重。多导睡眠图显示重度阻塞性睡眠呼吸暂停,为睡眠相关呼吸障碍,呼吸低通气指数高,为60.2/h(主要为低通气指数59.0/h)。她被诊断为合并肥胖低通气综合征(OHS)和睡眠相关呼吸障碍,这是导致白天高碳酸血症和白天过度嗜睡的原因。三个月成功的双水平气道正压通气(BiPAP)治疗显著改善了她白天的嗜睡和认知。本病例提示OHS患者易发生缺氧性脑损伤,并强调对OHS的识别和诊断以及适当采用BiPAP治疗的重要性。
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引用次数: 0
To Determine the Predictors for Sleep Quality in Young Adults Using Modifiable Lifestyle Factors for Noncommunicable Diseases: A Cross-sectional Study 利用非传染性疾病的可改变生活方式因素确定年轻人睡眠质量的预测因素:一项横断面研究
Pub Date : 2022-01-28 DOI: 10.5005/jp-journals-10069-0086
Amit Kumar, Dimple Rawat, Anshu Sharma, A. Gulati, Ram Sagar
A bstrAct Aims: To determine the predictors for sleep quality in young adults using modifiable lifestyle markers for noncommunicable diseases (NCDs) among adults aged 20–40 years. Materials and methods: An exploratory study was conducted in New Delhi among 100 young adults aged 20–40 years in the year 2018, using a convenience sampling method. Body composition was assessed using Tanita UM-075. The relationship between the variables was measured with Spearman correlation analysis. Multivariable logistic regression analysis was conducted to determine the predictors for poor sleep quality. The receiver operating characteristics (ROC) curve was used to determine the predictive accuracy of the model. Results: Among all, 57% had sound quality sleep followed by 43% with disturbed; 23% were highly stressed, 71% moderately, and 6% low stressed. Significant correlation between sleep quality and risk factors for NCDs like body mass index (BMI) ( r = 0.8111, p < 0.001), waist circumference ( r = 0.6661, p < 0.001), body fat percentage ( r = 0.3692, p = 0.002), visceral fat ( r = 0.68, p < 0.001), stress score ( r = 0.092, p = 0.36), muscle mass (MM) ( r = 0.36, p = 0.0002). High BMI was observed to be an independent predictor for disturbed sleep quality (odds ratio 4.31, 95% CI 1.98–9.38). The area under the curve for the prediction of sleep quality was observed 0.97% using a combination of BMI, MM, duration of sleep. Conclusion: High BMI was observed to be an independent predictor (4.31 times higher) for the disturbed sleep quality. Clinical significance: Lifestyle modifiable factors should be looked upon when dealing with patients with disturbed sleep quality.
目的:利用20-40岁成年人非传染性疾病(ncd)的可改变生活方式标志物,确定年轻人睡眠质量的预测因素。材料与方法:2018年在新德里对100名20-40岁的年轻人进行了一项探索性研究,采用方便抽样法。使用Tanita UM-075评估体成分。采用Spearman相关分析测量各变量之间的关系。采用多变量logistic回归分析确定睡眠质量差的预测因素。采用受试者工作特征(ROC)曲线确定模型的预测精度。结果:57%睡眠质量良好,43%睡眠质量不佳;23%的人压力大,71%的人压力中等,6%的人压力小。睡眠质量与身体质量指数(BMI) (r = 0.8111, p < 0.001)、腰围(r = 0.6661, p < 0.001)、体脂率(r = 0.3692, p = 0.002)、内脏脂肪(r = 0.68, p < 0.001)、应激评分(r = 0.092, p = 0.36)、肌肉质量(r = 0.36, p = 0.0002)等非传染性疾病的危险因素存在显著相关。观察到高BMI是睡眠质量紊乱的独立预测因子(优势比4.31,95% CI 1.98-9.38)。结合BMI、MM、睡眠时间预测睡眠质量的曲线下面积为0.97%。结论:高BMI是影响睡眠质量的独立预测因子(高4.31倍)。临床意义:在处理睡眠质量紊乱患者时,应重视生活方式改变因素。
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引用次数: 0
Continuous Positive Airway Pressure Compliance: Addressing the Elephant in the Room 持续气道正压依从性:解决房间里的大象
Pub Date : 2022-01-28 DOI: 10.5005/jp-journals-10069-0084
Rohit Kumar, S. Yadav
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引用次数: 0
Effects of Diet Components on the Sleep Quality of First-year Medical Students of a Medical University of Northern India 饮食成分对北印度某医科大学一年级医学生睡眠质量的影响
Pub Date : 2022-01-28 DOI: 10.5005/jp-journals-10069-0089
S. Roy, Archna Ghildiyal
Aim: The primary aim was to find out the effect of diet components: protein-rich food (represented by the non-vegetarians) or carbohydrate- rich food (represented by the vegetarians) on the sleep quality of first-year medical students. The secondary aim was to find whether the total calorie intake and the sleep quality of the subjects had any relation. Materials and methods: Students were divided into four groups according to gender and whether they are vegetarians or non-vegetarians. All of them were required to fill their daily food consumption questionnaire, at the end of each day, for 28 days. At the end of this period, they had to fill the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The total calorie intake and PSQI scores were calculated and analyzed. Results: The average calorie intake and PSQI score of non-vegetarians are ± SD = 50747.78 ± 15068.05 kcal and 5.76 ± 2.57, respectively. The average calorie intake and PSQI score of vegetarians are ± SD = 60342.63 ± 18309.56 kcal and 6.02 ± 2.66, respectively. No significant correlation was found to exist between calorie intake and sleep quality, in any of the individual groups nor overall. Conclusion: The average calorie intake of vegetarians was higher, but their sleep quality was worse, due to more carbohydrate consumption and less protein consumption as compared to the non-vegetarians. More of carbohydrate and less of protein had resulted into their poorer sleep quality. Boys had overall better sleep quality than girls. Excess intake of snacks and fast food and consuming less variety of foods, as mostly seen in girls, were also found to be the dietary reasons behind their poorer sleep quality. Clinical significance: This study will help hostellers in finding the balanced combination of food components that are best for them to lead a healthy life and get the very needed sound sleep and can be beneficial for different institutions in designing their balanced hostel mess menu.
目的:主要目的是了解饮食成分:富含蛋白质的食物(以非素食者为代表)或富含碳水化合物的食物(由素食者代表)对一年级医学生睡眠质量的影响。第二个目的是找出受试者的总热量摄入和睡眠质量是否有任何关系。材料和方法:根据性别和是否为素食者,将学生分为四组。他们都被要求在每天结束时填写28天的每日食物消费问卷。在此期间结束时,他们必须填写匹兹堡睡眠质量指数(PSQI)问卷。计算并分析了总热量摄入和PSQI评分。结果:非素食者的平均卡路里摄入量和PSQI得分分别为±SD=50747.78±15068.05 kcal和5.76±2.57。素食者的平均卡路里摄入量和PSQI得分分别为±SD=60342.63±18309.56 kcal和6.02±2.66 kcal。在任何一个单独的组中,也没有发现热量摄入和睡眠质量之间存在显著的相关性。结论:与非素食者相比,素食者的平均卡路里摄入量较高,但睡眠质量较差,这是因为他们摄入了更多的碳水化合物和更少的蛋白质。碳水化合物含量高,蛋白质含量低,导致他们的睡眠质量较差。男孩的睡眠质量总体上比女孩好。零食和快餐摄入过多,食物种类较少,这主要发生在女孩身上,也是她们睡眠质量较差的饮食原因。临床意义:这项研究将帮助寄宿者找到最适合他们健康生活和获得所需良好睡眠的食物成分的平衡组合,并有助于不同机构设计平衡的宿舍餐单。
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引用次数: 0
期刊
Indian journal of sleep medicine
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