Pub Date : 2022-01-28DOI: 10.5005/jp-journals-10069-0085
C. Gouder, S. Montefort, J. Bartra
Aim: An association between obstructive sleep apnea (OSA) and allergic rhinitis (AR), both common with increasing prevalence worldwide, has frequently been reported. The objective of this study was to assess acceptability, feasibility, and usefulness of routinely checking sensitization status in suspected sleep apnea. Materials and methods: All consecutive adult patients referred to an adult sleep clinic in Malta over a 10-week period were included. A medical history, physical examination, and skin testing for common aeroallergens were performed for all and rhinoconjunctivitis quality of life questionnaire (RQLQ), Total-4-nasal symptom score (T4NSS), and visual analogue scale (VAS) for AR patients. Uncontrolled AR was treated. The polysomnography report was reviewed. Results: Our cohort included 95 patients—34.7% were sensitized and diagnosed with AR. The most common perennial aeroallergens were Dermatophagoides pteronyssinus (86.1%), farina (75%), seasonal aeroallergens, tree (19%), and grass pollen (19%). When comparing allergic and nonallergic groups, the former were younger (p = 0.002), more likely female (p = 0.06) and asthmatic (p = 0.014), suffered rhinorrhea (p = 0.02), or other rhinoconjunctivitis symptoms (p <0.001). Patients with AR were less likely diagnosed with sleep apnea (60.6%) compared to those without (81.3%) (p = 0.014). A total of 54.2% of patients with normal polysomnography were diagnosed with AR compared to 30% of sleep apnea patients (p = 0.26). Conclusion: Skin prick testing (SPT) in this context is acceptable, safe, and feasible, mainly useful in younger females, asthmatics, and those with AR symptoms. Diagnosing AR in patients whose symptoms have been mistaken for sleep apnea and in patients with coexisting sleep apnea will improve morbidity and quality of life. Clinical significance: Checking sensitization status in patients with suspected sleep apnea will improve clinical outcomes.
{"title":"Usefulness of Checking Sensitization Status in Adult Patients with Suspected Sleep Apnea","authors":"C. Gouder, S. Montefort, J. Bartra","doi":"10.5005/jp-journals-10069-0085","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0085","url":null,"abstract":"Aim: An association between obstructive sleep apnea (OSA) and allergic rhinitis (AR), both common with increasing prevalence worldwide, has frequently been reported. The objective of this study was to assess acceptability, feasibility, and usefulness of routinely checking sensitization status in suspected sleep apnea. Materials and methods: All consecutive adult patients referred to an adult sleep clinic in Malta over a 10-week period were included. A medical history, physical examination, and skin testing for common aeroallergens were performed for all and rhinoconjunctivitis quality of life questionnaire (RQLQ), Total-4-nasal symptom score (T4NSS), and visual analogue scale (VAS) for AR patients. Uncontrolled AR was treated. The polysomnography report was reviewed. Results: Our cohort included 95 patients—34.7% were sensitized and diagnosed with AR. The most common perennial aeroallergens were Dermatophagoides pteronyssinus (86.1%), farina (75%), seasonal aeroallergens, tree (19%), and grass pollen (19%). When comparing allergic and nonallergic groups, the former were younger (p = 0.002), more likely female (p = 0.06) and asthmatic (p = 0.014), suffered rhinorrhea (p = 0.02), or other rhinoconjunctivitis symptoms (p <0.001). Patients with AR were less likely diagnosed with sleep apnea (60.6%) compared to those without (81.3%) (p = 0.014). A total of 54.2% of patients with normal polysomnography were diagnosed with AR compared to 30% of sleep apnea patients (p = 0.26). Conclusion: Skin prick testing (SPT) in this context is acceptable, safe, and feasible, mainly useful in younger females, asthmatics, and those with AR symptoms. Diagnosing AR in patients whose symptoms have been mistaken for sleep apnea and in patients with coexisting sleep apnea will improve morbidity and quality of life. Clinical significance: Checking sensitization status in patients with suspected sleep apnea will improve clinical outcomes.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44713382","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 : 2022-01-28DOI: 10.5005/jp-journals-10069-0090
Rohit Kumar, P. Ish, Nitesh Gupta, N. Malhotra, Harsha Jain, N. Gupta
Pediatric obstructive sleep apnea (OSA) often is underdiagnosed, particularly when associated with a syndrome when there are numerous and varied manifestations. However, a high index of suspicion and screening can help in early diagnosis and treatment for the same. We present a case of Laurence–Moon–Bardet–Biedl syndrome diagnosed since the age of 8 years presenting at the age of 16 years with severe OSA with good clinical recovery on therapeutic use of continuous positive airway pressure (CPAP).
{"title":"Laurence–Moon–Bardet–Biedl Syndrome and Obstructive Sleep Apnea","authors":"Rohit Kumar, P. Ish, Nitesh Gupta, N. Malhotra, Harsha Jain, N. Gupta","doi":"10.5005/jp-journals-10069-0090","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0090","url":null,"abstract":"Pediatric obstructive sleep apnea (OSA) often is underdiagnosed, particularly when associated with a syndrome when there are numerous and varied manifestations. However, a high index of suspicion and screening can help in early diagnosis and treatment for the same. We present a case of Laurence–Moon–Bardet–Biedl syndrome diagnosed since the age of 8 years presenting at the age of 16 years with severe OSA with good clinical recovery on therapeutic use of continuous positive airway pressure (CPAP).","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48791913","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 : 2022-01-28DOI: 10.5005/jp-journals-10069-0088
Prashant Sharma, Pradeep Raghav, Nisha Kalonia, K. Amit
Ab s t r Ac t Purpose: The scoping review was conducted for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in obstructive sleep apnea (OSA). Methods: Strategic and thorough literature search using free text and MESH terms in three major database systems PubMed, SCOPUS, and Web of Science was undertaken till October 30, 2020, followed by PRISMA for the identification of studies for data extraction. Results and conclusions: Summarization of evidence was done for study characteristics, and diagnostic methods for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in OSA. The literature supports that patients using mandibular advancement appliances (MADs) showed better adherence and compliance in comparison with those using continuous positive airway pressure (CPAP); along with the patients’ compliance, the daytime sleepiness, state on waking, morning headache, oxygen saturation, frequency and intensity of snoring, and quality of sleep for both patients and their bed partners showed a marked improvement with MAD.
目的:评价口腔矫治器下颌前移对阻塞性睡眠呼吸暂停(OSA)患者生活质量的影响。方法:到2020年10月30日，在PubMed、SCOPUS和Web of Science三大数据库系统中使用自由文本和MESH术语进行战略性和全面的文献检索，随后使用PRISMA进行研究识别，进行数据提取。结果与结论:总结研究特点及诊断方法，评价口腔矫治器下颌前移对OSA患者生活质量的影响。文献支持使用下颌推进器(MADs)的患者比使用持续气道正压通气(CPAP)的患者表现出更好的依从性和依从性;随着患者的依从性，患者及其床伴的白天嗜睡、清醒状态、早晨头痛、血氧饱和度、打鼾的频率和强度以及睡眠质量在MAD的治疗下均有显著改善。
{"title":"Effect of Mandibular Advancement through Oral Appliance Therapy on Quality of Life in Obstructive Sleep Apnea: A Scoping Review","authors":"Prashant Sharma, Pradeep Raghav, Nisha Kalonia, K. Amit","doi":"10.5005/jp-journals-10069-0088","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0088","url":null,"abstract":"Ab s t r Ac t Purpose: The scoping review was conducted for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in obstructive sleep apnea (OSA). Methods: Strategic and thorough literature search using free text and MESH terms in three major database systems PubMed, SCOPUS, and Web of Science was undertaken till October 30, 2020, followed by PRISMA for the identification of studies for data extraction. Results and conclusions: Summarization of evidence was done for study characteristics, and diagnostic methods for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in OSA. The literature supports that patients using mandibular advancement appliances (MADs) showed better adherence and compliance in comparison with those using continuous positive airway pressure (CPAP); along with the patients’ compliance, the daytime sleepiness, state on waking, morning headache, oxygen saturation, frequency and intensity of snoring, and quality of sleep for both patients and their bed partners showed a marked improvement with MAD.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41515872","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 : 2022-01-28DOI: 10.5005/jp-journals-10069-0087
Priyanka Sharma, A. Das
Background: COVID-19 disrupted lives globally, and to combat it, various countries including India imposed lockdown and other restrictions. This study was conducted to estimate the prevalence of poor sleep quality among Indian adults in 18–30-year age-group and factors associated with it during lockdown. Methods: This was an online survey-based cross-sectional study conducted in May 2020 after 6 weeks of lockdown in India. Information regarding sociodemographic profile, screen time, physical activity, substance use, caffeine intake, and sleep habits during lockdown was collected. Pittsburgh sleep quality index was used to assess the sleep quality. Descriptive analysis was performed. Results: A total of 244 study participants were included in the study, out of which 59% (144) were males and mean age was 24.1 years. Physical activity was decreased among 138 (56.6%) and screen time of more than 4 hours among 152 (62.3%) study participants. Poor sleep quality was reported by 47.1% (115) and sleep duration was decreased among 24.6% (60) study participants. Younger age, living in a containment zone, optimal use of available time, and decreased sleep duration were found to be associated with poor sleep quality. Conclusion: Lockdown affected sleep quality of the study participants adversely, delaying sleeping and waking times. It is important to ensure minimum disruption of day-to-day schedule of people even during such restrictions. Living in a containment zone was found to be significantly associated with poor sleep quality. Authorities should see to it that people living in such zones should be given priority and counseled appropriately.
{"title":"Sleep Quality during COVID-19 Lockdown among Young Indian Adults: A Cross-sectional Study","authors":"Priyanka Sharma, A. Das","doi":"10.5005/jp-journals-10069-0087","DOIUrl":"https://doi.org/10.5005/jp-journals-10069-0087","url":null,"abstract":"Background: COVID-19 disrupted lives globally, and to combat it, various countries including India imposed lockdown and other restrictions. This study was conducted to estimate the prevalence of poor sleep quality among Indian adults in 18–30-year age-group and factors associated with it during lockdown. Methods: This was an online survey-based cross-sectional study conducted in May 2020 after 6 weeks of lockdown in India. Information regarding sociodemographic profile, screen time, physical activity, substance use, caffeine intake, and sleep habits during lockdown was collected. Pittsburgh sleep quality index was used to assess the sleep quality. Descriptive analysis was performed. Results: A total of 244 study participants were included in the study, out of which 59% (144) were males and mean age was 24.1 years. Physical activity was decreased among 138 (56.6%) and screen time of more than 4 hours among 152 (62.3%) study participants. Poor sleep quality was reported by 47.1% (115) and sleep duration was decreased among 24.6% (60) study participants. Younger age, living in a containment zone, optimal use of available time, and decreased sleep duration were found to be associated with poor sleep quality. Conclusion: Lockdown affected sleep quality of the study participants adversely, delaying sleeping and waking times. It is important to ensure minimum disruption of day-to-day schedule of people even during such restrictions. Living in a containment zone was found to be significantly associated with poor sleep quality. Authorities should see to it that people living in such zones should be given priority and counseled appropriately.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47091797","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. Seok, Eun Jin Na, Seul Gi Kim, Jongkyu Park, Eunkyeong Park, P. Song, Kwang Ik Yang
Jin Myoung Seok, Eun Jin Na, Seul Gi Kim, Jongkyu Park, Eunkyeong Park, Pamela Song, Kwang Ik Yang Sleep Disorders Center, Department of Neurology, Soonchunhyang University Hospital Cheonan, Soonchunhyang University College of Medicine, Cheonan, Infection Control Team, Soonchunhyang University Hospital Cheonan, Cheonan, Department of Neurology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Seok Jin Myoung, Na Eun Jin, Kim Seul Gi, Park Jongkyu, Park Eunkyeong, Pamela Song, Kwang Ik Yang睡眠障碍中心，天安顺天香大学医院神经科，天安顺天香大学医学院，感染控制组，天安顺天香大学医院，天安，仁济大学医学院，白一山医院神经科，韩国高阳市
{"title":"Association Between Suggestive Symptom of Restless Legs Syndrome and COVID-19 Vaccination: A Pilot Study","authors":"J. Seok, Eun Jin Na, Seul Gi Kim, Jongkyu Park, Eunkyeong Park, P. Song, Kwang Ik Yang","doi":"10.13078/jsm.210022","DOIUrl":"https://doi.org/10.13078/jsm.210022","url":null,"abstract":"Jin Myoung Seok, Eun Jin Na, Seul Gi Kim, Jongkyu Park, Eunkyeong Park, Pamela Song, Kwang Ik Yang Sleep Disorders Center, Department of Neurology, Soonchunhyang University Hospital Cheonan, Soonchunhyang University College of Medicine, Cheonan, Infection Control Team, Soonchunhyang University Hospital Cheonan, Cheonan, Department of Neurology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86921007","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}
Treatment-emergent central sleep apnea (TE-CSA) is commonly encountered during the treatment for obstructive sleep apnea (OSA) with positive airway pressure (PAP) and usually remains self-limited. Persistent TE-CSA is sporadically seen with PAP therapy and has only rarely been described with hypoglossal nerve stimulation (HGNS). We report the case of a 60-year-old female patient with moderate OSA that progressed to TE-CSA with PAP therapy. A prolonged trial with PAP therapy was limited because the patient experienced recurrent aerophagia and subsequently underwent HGNS implantation. HGNS titration led to improved control of the patient’s OSA, but TE-CSA recurred and demonstrated a strong positional component. Lateral positional therapy was implemented with adequate control of respiratory events. TE-CSA can persist throughout different treatment modalities, including HGNS. The patient’s successful lateral sleep therapy for persistent and positionally exacerbated TE-CSA demonstrates the benefit of a well-known sleep apnea treatment for this poorly understood condition.
{"title":"Positional Therapy in a Patient With Refractory Treatment-Emergent Central Sleep Apnea","authors":"William Palmer, M. Jaziri, M. Tovar","doi":"10.13078/jsm.210019","DOIUrl":"https://doi.org/10.13078/jsm.210019","url":null,"abstract":"Treatment-emergent central sleep apnea (TE-CSA) is commonly encountered during the treatment for obstructive sleep apnea (OSA) with positive airway pressure (PAP) and usually remains self-limited. Persistent TE-CSA is sporadically seen with PAP therapy and has only rarely been described with hypoglossal nerve stimulation (HGNS). We report the case of a 60-year-old female patient with moderate OSA that progressed to TE-CSA with PAP therapy. A prolonged trial with PAP therapy was limited because the patient experienced recurrent aerophagia and subsequently underwent HGNS implantation. HGNS titration led to improved control of the patient’s OSA, but TE-CSA recurred and demonstrated a strong positional component. Lateral positional therapy was implemented with adequate control of respiratory events. TE-CSA can persist throughout different treatment modalities, including HGNS. The patient’s successful lateral sleep therapy for persistent and positionally exacerbated TE-CSA demonstrates the benefit of a well-known sleep apnea treatment for this poorly understood condition.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79434778","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}
H. Elphick, Claire Earley, Karen Tyas, Lowri Thomas, Lisa Artis, V. Dawson
Objectives: Poor sleep is associated with adverse outcomes during childhood. Behavioral insomnia is the most common sleep difficulty experienced by children. The coronavirus disease 2019 (COVID-19) global pandemic in 2020 has profoundly affected children’s sleep patterns. This project aimed to evaluate a one-toone sleep service delivered via online clinics by community sleep practitioners in the UK.Methods: This was an observational pre- and post-evaluation study over a 12-month period. The intervention derived from aspects of cognitive-behavioral therapy for insomnia. The evaluation was questionnaire-based and assessed sleep parameters and well-being.Results: 104 parents returned completed questionnaires. The average time of sleep onset was 1 hour and 39 minutes pre-intervention and 20 minutes post-intervention. The average number of nights per week that children woke up was 3.9 pre-intervention and 0.9 post-intervention; the number of night awakenings fell from 1.9 to 0.5 and the time that children were awake after sleep onset fell from 66.8 minutes to 5.8 minutes. The average time that children were asleep was 8.0 hours per night pre-intervention and 10.2 hours post-intervention. The improvement in all sleep parameters was statistically significant (p<0.05). All parameters of parental and children’s well-being improved significantly (p<0.05), except for perceived ability to drive (p=0.07). All parents stated that they would recommend sleep support and 20% already had done so.Conclusions: The COVID-19 pandemic has accelerated the development of remote health care solutions, and in the case of children’s sleep clinics, the online mode of intervention delivery that is as effective, acceptable, and accessible as face-to-face delivery.
{"title":"The “Sleep Well, Lincolnshire” Project: Evaluation of an Online Sleep Practitioner Clinic","authors":"H. Elphick, Claire Earley, Karen Tyas, Lowri Thomas, Lisa Artis, V. Dawson","doi":"10.13078/jsm.210013","DOIUrl":"https://doi.org/10.13078/jsm.210013","url":null,"abstract":"Objectives: Poor sleep is associated with adverse outcomes during childhood. Behavioral insomnia is the most common sleep difficulty experienced by children. The coronavirus disease 2019 (COVID-19) global pandemic in 2020 has profoundly affected children’s sleep patterns. This project aimed to evaluate a one-toone sleep service delivered via online clinics by community sleep practitioners in the UK.Methods: This was an observational pre- and post-evaluation study over a 12-month period. The intervention derived from aspects of cognitive-behavioral therapy for insomnia. The evaluation was questionnaire-based and assessed sleep parameters and well-being.Results: 104 parents returned completed questionnaires. The average time of sleep onset was 1 hour and 39 minutes pre-intervention and 20 minutes post-intervention. The average number of nights per week that children woke up was 3.9 pre-intervention and 0.9 post-intervention; the number of night awakenings fell from 1.9 to 0.5 and the time that children were awake after sleep onset fell from 66.8 minutes to 5.8 minutes. The average time that children were asleep was 8.0 hours per night pre-intervention and 10.2 hours post-intervention. The improvement in all sleep parameters was statistically significant (p<0.05). All parameters of parental and children’s well-being improved significantly (p<0.05), except for perceived ability to drive (p=0.07). All parents stated that they would recommend sleep support and 20% already had done so.Conclusions: The COVID-19 pandemic has accelerated the development of remote health care solutions, and in the case of children’s sleep clinics, the online mode of intervention delivery that is as effective, acceptable, and accessible as face-to-face delivery.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86389010","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: Sleep-related leg cramps (SRLC) are common among older people. Severe clinical symptoms of SRLC usually cause great discomfort to patients. To date, many treatment drugs have been tried; however, there are currently no drugs approved for treating this condition. We aimed to assess the efficacy of a new drug, oxcarbazepine (OXC), in the treatment of SRLC.Methods: We retrospectively analyzed clinical outcomes following OXC administration. A daily dose of 150 mg OXC was prescribed to control nocturnal leg cramps. Clinical outcomes were measured using the Clinical Global Impression Scale to confirm the effectiveness of OXC.Results: A total of 88.9% (16/18) of patients clinically improved four weeks after OXC prescription, and 94% (15/16) of patients continued to improve at the last follow-up (3–6 months). None of the patients complained of side effects related to 150 mg OXC.Conclusions: OXC may be a new medical option for treatment of SRLC.
{"title":"Efficacy of Oxcarbazepine for Sleep-Related Leg Cramps: A Retrospective Study","authors":"S. Ahn, Y. Shin, K. Jung","doi":"10.13078/jsm.210018","DOIUrl":"https://doi.org/10.13078/jsm.210018","url":null,"abstract":"Objectives: Sleep-related leg cramps (SRLC) are common among older people. Severe clinical symptoms of SRLC usually cause great discomfort to patients. To date, many treatment drugs have been tried; however, there are currently no drugs approved for treating this condition. We aimed to assess the efficacy of a new drug, oxcarbazepine (OXC), in the treatment of SRLC.Methods: We retrospectively analyzed clinical outcomes following OXC administration. A daily dose of 150 mg OXC was prescribed to control nocturnal leg cramps. Clinical outcomes were measured using the Clinical Global Impression Scale to confirm the effectiveness of OXC.Results: A total of 88.9% (16/18) of patients clinically improved four weeks after OXC prescription, and 94% (15/16) of patients continued to improve at the last follow-up (3–6 months). None of the patients complained of side effects related to 150 mg OXC.Conclusions: OXC may be a new medical option for treatment of SRLC.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74665892","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: Sleep issues are more prevalent in healthcare workers compared to workers in other industries. This study investigated sleep-wake pattern, sleep quality, and daytime status in hospital workers using a Galaxy Watch3 (GW3), a wrist-worn device that uses an accelerometer and heart rate sensor to distinguish sleep and wakefulness.Methods: Multiple sleep parameters including total sleep time (TST) were obtained using a GW3. The Epworth sleepiness scale (ESS), insomnia severity index (ISI), Pittsburgh sleep quality index (PSQI), and bedtime procrastination scale (BPS) were used to assess participants’ status.Results: A total of 70 daytime hospital workers (male, 45.7%; mean age, 35.66±7.79 yr) participated in the monitoring of their sleep-wake patterns for 30 consecutive days. Participants had a mean ESS of 8.14±3.62, ISI of 6.13±3.83, and PSQI of 4.86±2.14. The mean TST was 5.75±0.74 hr (range: 3.42–6.88) during workdays and 5.92±0.92 hr (range: 2.87–8.25) during free days. Chronotype (mid-sleep on freedays corrected for sleep debt accumulated over the work week) was 3.60±1.03 clock hr (range: 1.84–6.69). BPS was negatively correlated with age (rho=-0.27, p=0.022), TST of workdays (rho=-0.53, p<0.001), and TST of free days (rho=-0.43, p<0.001). A higher BPS was associated with larger social jetlag (rho=0.28, p=0.018) and later chronotype (rho=0.41, p<0.001).Conclusions: In this study, 91.5% of daytime hospital workers suffered from chronic sleep insufficiency (<7 hr during both workdays and free days) although their daytime sleepiness or subjective sleep were not poor. Individuals with a later chronotype had poorer sleep quality and worse sleep procrastination behavior.
{"title":"Sleep-Wake Pattern, Sleep Quality and Daytime Status in Fixed Day-Shift Hospital Workers","authors":"S. Choi, Hyunjin Jo, Dongyeop Kim, E. Joo","doi":"10.13078/jsm.210021","DOIUrl":"https://doi.org/10.13078/jsm.210021","url":null,"abstract":"Objectives: Sleep issues are more prevalent in healthcare workers compared to workers in other industries. This study investigated sleep-wake pattern, sleep quality, and daytime status in hospital workers using a Galaxy Watch3 (GW3), a wrist-worn device that uses an accelerometer and heart rate sensor to distinguish sleep and wakefulness.Methods: Multiple sleep parameters including total sleep time (TST) were obtained using a GW3. The Epworth sleepiness scale (ESS), insomnia severity index (ISI), Pittsburgh sleep quality index (PSQI), and bedtime procrastination scale (BPS) were used to assess participants’ status.Results: A total of 70 daytime hospital workers (male, 45.7%; mean age, 35.66±7.79 yr) participated in the monitoring of their sleep-wake patterns for 30 consecutive days. Participants had a mean ESS of 8.14±3.62, ISI of 6.13±3.83, and PSQI of 4.86±2.14. The mean TST was 5.75±0.74 hr (range: 3.42–6.88) during workdays and 5.92±0.92 hr (range: 2.87–8.25) during free days. Chronotype (mid-sleep on freedays corrected for sleep debt accumulated over the work week) was 3.60±1.03 clock hr (range: 1.84–6.69). BPS was negatively correlated with age (rho=-0.27, p=0.022), TST of workdays (rho=-0.53, p<0.001), and TST of free days (rho=-0.43, p<0.001). A higher BPS was associated with larger social jetlag (rho=0.28, p=0.018) and later chronotype (rho=0.41, p<0.001).Conclusions: In this study, 91.5% of daytime hospital workers suffered from chronic sleep insufficiency (<7 hr during both workdays and free days) although their daytime sleepiness or subjective sleep were not poor. Individuals with a later chronotype had poorer sleep quality and worse sleep procrastination behavior.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82000869","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: Bedtime procrastination (BP) is defined as the behavior of voluntarily postponing bedtime without having external reasons for doing so. According to previous studies, people with reduced use of active emotion regulation strategies may use BP to cope with negative emotions. However, research about the relationship among active emotional regulation strategies, BP, and insomnia is lacking. This study aimed to investigate the mediating effect of BP between active emotional regulation strategies and insomnia severity.Methods: In total, 597 adults (female, 81.9%; mean age, 23.18±2.80 years) completed the Emotional Regulation Strategies Checklist, Insomnia Severity Index, and Bedtime Procrastination Scale.Results: There was a significant association between active emotional regulation strategies and BP (r=-0.152, p<0.01), between BP and insomnia severity (r=0.259, p<0.01), and between active emotional regulation strategies and insomnia severity (r=-0.128, p<0.01). BP significantly mediated the relationship between active emotional regulation strategies and insomnia severity (B=-0.024; 95% confidence interval [CI], -0.04 to -0.01).Conclusions: BP may be considered in the relationship between active emotional regulation strategies and insomnia severity. Understanding the mediating role of BP may help prevent insomnia.
{"title":"Bedtime Procrastination as a Mediator in the Relationship Between Active Emotion Regulation Strategies and Insomnia","authors":"Goeun Kim, H. Jeon, S. Suh","doi":"10.13078/jsm.210023","DOIUrl":"https://doi.org/10.13078/jsm.210023","url":null,"abstract":"Objectives: Bedtime procrastination (BP) is defined as the behavior of voluntarily postponing bedtime without having external reasons for doing so. According to previous studies, people with reduced use of active emotion regulation strategies may use BP to cope with negative emotions. However, research about the relationship among active emotional regulation strategies, BP, and insomnia is lacking. This study aimed to investigate the mediating effect of BP between active emotional regulation strategies and insomnia severity.Methods: In total, 597 adults (female, 81.9%; mean age, 23.18±2.80 years) completed the Emotional Regulation Strategies Checklist, Insomnia Severity Index, and Bedtime Procrastination Scale.Results: There was a significant association between active emotional regulation strategies and BP (r=-0.152, p<0.01), between BP and insomnia severity (r=0.259, p<0.01), and between active emotional regulation strategies and insomnia severity (r=-0.128, p<0.01). BP significantly mediated the relationship between active emotional regulation strategies and insomnia severity (B=-0.024; 95% confidence interval [CI], -0.04 to -0.01).Conclusions: BP may be considered in the relationship between active emotional regulation strategies and insomnia severity. Understanding the mediating role of BP may help prevent insomnia.","PeriodicalId":90527,"journal":{"name":"Indian journal of sleep medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88751918","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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