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Background Obstructive sleep apnea in pregnant women is closely related to maternal obesity, and the relationship with later pregnancy increases. We wanted to determine the prevalence of OSA and to determine the effects of OSA on pregnancy-related disorders in overweight pregnant women. Methods Eligible participants who were overweight [body mass index u2265 23 kg/mu00b2] in gestational age of 30 weeks or more completed an OSA using a portable polysomnography at home. Primipara was 25, while multipara was 26, and multipara was 26. There were eight cases of GDM and five cases of preeclampsia reported, five cases of preeclampsia, and six patients experienced preterm birth. In the OSA group, the BMI and preeclampsia rates were higher relative to the control group. Preeclampsia patients in the majority underwent preterm delivery. Conclusion OSA is a significant risk factor for preeclampsia, resulting in preterm delivery. An OSA examination should be deemed "required" for overweight pregnant women.
Source link: https://europepmc.org/article/MED/36625172
In a sample of Chinese and Korean American immigrants, the aim of this study investigates links between sleep apnea and abdominal obesity, as well as general obesity. If WHR 0. 9 in men and WHR 0. 8 in women, and WHR u2265. 85 in women, it was determined. The risk of insomnia apnea was determined by using the Berlin questionnaire. The Poisson regression models investigated correlations between sleep apnea risk and obesity. At p 0. 1, the risk of sleep apnea was positively related to abdominal fat and general obesity, with abdominal pain and general obesity. Conclusions based on socioeconomic status and ethnicity, Chinese and Korean immigrants living in the United States who are at risk of sleep apnea are at an elevated risk of sleep apnea. When evaluating the risk of sleep apnea among Asian Americans, abdominal obesity may be a more reliable predictor than general obesity.
Source link: https://europepmc.org/article/MED/36622567
Background and Background This research has shown that sodium-restricted diet therapy dramatically reduced the risk of apnea in patients with sleep apnea. However, the longitudinal correlation between the habit of adding salt to foods and sleep apnea in general populations is uncertain. Methods The UK Biobank cohort survey, which covers more than 500,000 participants aged 40 to 69 in the United Kingdom, from 2006 to 2010. Using Cox proportional hazard regression models, the relationship between the habit of adding salt to foods and event sleep apnea was estimated. Compared to those who never/rarely added salt to foods, those who occasionally used salt to foods had an 11%, 15%, and 24% risk of incident sleep apnea, respectively. Conclusions of this large prospective survey Findings: The use of salt to foods was correlated with a higher risk of incident sleep apnea.
Source link: https://europepmc.org/article/MED/36611201
Understanding the causes and effects of OSA in women with infertility may help plan treatment. Methods The aim of this survey was a descriptive cross-sectional survey conducted to determine OSA in women presenting to an infertility clinic using validated sleep questionnaires to measure sleep and fertility results. The fertility effects of an Infertile-C group and an Infertile-S group were tested to determine OSA risk and other sleep disorders. Obese women with high OSA risk were more likely to have other comorbidities. Conclusions: Women with infertility and OSA risk have more health issues and elevated BMI, as well as insomnia symptoms, and may have more sleep problems.
Source link: https://europepmc.org/article/MED/36609819
Patients with acute heart disease are referred to an HSAT regimen. HSAT was a hit in 123 patients, of whom 112 were positive for sleep apnea. The majority of sleep apnea cases were obstructive, with 63% being moderate to severe. After accounting for gender, the apnea hypopnea index in the HT group was 34% lower in the HF group than in the HF group, and that this effect persisted in White patients but not among African-Americans. In conclusion, sleep apnea remains common in patients with HF with a high co-morbidity burden.
Source link: https://europepmc.org/article/MED/36621055
Aims Previously, observational studies have shown connections between sleep apnea and cardiovascular diseases, but whether the links are causal remains unclear. Methods We used the bi-directional, two-sample Mendelian randomization study to determine the presence and direction of the causal connection between SA or snoring and CVDs. The most recent genome-wide association survey, which included five cohorts with a total number of 25,008 SA cases and 172,050 snoring cases, revealed single-nucleotide polymorphisms associated with SA and snoring. Results Among the analytic sample of 523,366 individuals, and after correcting for multiple studies, inverse-variance weighted increased the risk of hypertension and coronary artery disease, with all false-discovery rates below 0. 05, but such associations were dramatically reduced after adjusting for body mass index using MVMR-IVW.
Source link: https://europepmc.org/article/MED/36611115
Background The discovery of physiological endotypic characteristics, according to emerging evidence, may lead to precision medicine in obstructive sleep apnea. Does a single night review of PSG-derived endotypic features provide accurate estimates in moderate-to-severe OSA? Study design and methods For the reliability analysis, two consecutive in-lab polysomnographies from a clinical trial were used. Endotypic features, which include upper airway collapsibility, upper airway dilator muscle tone tone, ventilation control sensitivity, and arousal threshold were established, were among the four endotypic characteristics that indicated upper airway permeability, upper airway dilator muscle tone, ventilator muscle tone sensitivity, and arousal thresholds. Variability in AHI varied in AHI, but not in body location or in sleep stages was responsible for changes in Vpassive and Vactive variables. Endotypic trait analysis using a single standard PSG shows good stability and reproducibility in moderate-to-severe OSA patients. Endotypic characteristics of MDDs can aid in the identification of crucial changes and guide future evaluation of non-positive airway pressure interventions in OSA.
Source link: https://europepmc.org/article/MED/36610664
Background: Obstructive sleep apnea is the most common form of sleep apnea and is caused by either complete or partial obstructions of the upper airway. Evidence has consistently backed up the connection of obstructive sleep apnea syndrome with an elevated incidence of hypertension. The aim of this research was to determine the effect of CPAP on treating hypertension in patients with OAS. Apnea's Obstructionive Sleep Disorders (OBP) Researchers Objectives: To determine the effects of continuous positive airway pressure on hypertension in patients with obstructive sleep apnea. Mean systolic blood pressure in the CPAP group was 155. 9 mmHg, non-CPAP group 13. 6; mean SBP 96. 4 mmHg; mean SBP 96. 2 mmHg in non-CPAP group was 13. 6 mmHg; mean SBP 96. 4 mmHg; non-CPAP group 13. 6 mmHg; mean DBP 96. 2 mmHg; mean SBP 13. 6 mmHg Mean SBP of 137 mmHg in the CPAP group, equaling DBP 83. 8 mmHg, when in the non-CPAP group, mean DBP 90. 6 mmHg. The mean SBP was 131. 6 mmHg in CPAP group, and in non-CPAP group, it was 85. 1 mmHg, meaning no. 85. 1 mmHg. Patients with severe OSA have a larger SBP decrease than those with moderate OSA. SBP reduction in patients with extreme OSA increased in patients with extreme SBP decline than those with normal OSA remained higher.
Source link: https://europepmc.org/article/PPR/PPR592548
After laparoscopic Roux-en-Y gastric bypass, patients with only minor comorbidities are eligible for same-day discharge in current practice. Obstructive sleep apnea is a common problem among patients with morbid obesity, with a hazard ratio of around 70% among patients undergoing bariatric surgery. Continuous positive airway pressure is the new gold standard for OSA. We investigated whether same-day discharge after RYGB is safe for patients with compliant use of CPAP. Methods In this single-center prospective feasibility study, patients were selected for RYGB and were appropriately treated for OSA. Forty-nine patients underwent RYGB's intended same-day discharge, of whom 45 were successfully discharged, of whom 45 were successful. Due to a postponed start of the surgery, three patients had an overnight stay as a result of divergent vital signs and one patient. Conclusions That same-day discharge from RYGB can be considered safe for selected patients with well-regulated OSA.
Source link: https://europepmc.org/article/MED/36598709
This article explores the orthodontic options for treating pediatric obstructive sleep apnea. A retrognathic mandible positioned more posteriorly to the tongue in the sagittal direction can reduce the available upper airway space and decrease airflow during sleep. Maxillary expansion kits and mandibular advancement kits are among the medical options for mild to moderate OSA; however, orthodontic treatment options should only be applied after appropriate individual diagnosis for each orthodontic patient.
Source link: https://europepmc.org/article/MED/36627215
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