Gender differences in upper airway compliance during NREM sleep: role of neck circumference
Sleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, and Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201 It has been proposed that the gender difference in sleep apnea prevalenc...
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| Veröffentlicht in: | Journal of applied physiology (1985) 2002-06, Vol.92 (6), p.2535-2541 |
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| container_title | Journal of applied physiology (1985) |
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| creator | Rowley, James A Sanders, Carrie S Zahn, Brian R Badr, M. Safwan |
| description | Sleep Research Laboratory, John D. Dingell Veterans Affairs
Medical Center, and Division of Pulmonary, Critical Care and Sleep
Medicine, Department of Medicine, Wayne State University School of
Medicine, Detroit, Michigan 48201
It has been proposed that the gender
difference in sleep apnea prevalence is related to gender differences
in upper airway structure and function. We hypothesized that men would
have smaller retropalatal cross-sectional area and higher compliance
during sleep compared with women. Using upper airway imaging, we
measured upper airway cross-sectional area and retropalatal compliance in wakefulness and non-rapid eye movement (NREM) sleep in 15 men and 15 women without sleep-disordered breathing. Cross-sectional area at the
beginning of inspiration tended to be larger in men compared with women
in both wakefulness [194.5 ± 21.3 vs. 138.8 ± 12.0 (SE)
mm 2 ] and NREM sleep (111.1 ± 17.6 vs. 83.3 ± 11.9 mm 2 ; P = 0.058). There was no
significant difference, however, after correction for body surface
area. Retropalatal compliance also tended to be higher in men during
both wakefulness (5.9 ± 1.4 vs. 3.1 ± 1.4 mm 2 /cmH 2 O; P = 0.006) and NREM
sleep (12.6 ± 2.7 vs. 4.7 ± 2.6 mm 2 /cmH 2 O; P = 0.055). However,
compliance was similar in men relative to women after correction for
neck circumference. We conclude that the gender difference in
retropalatal compliance is more accurately attributed to differences in
neck circumference between the genders.
cross-sectional area; upper airway imaging; upper airway structure; non-rapid eye movement sleep |
| doi_str_mv | 10.1152/japplphysiol.00553.2001 |
| format | Article |
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Medical Center, and Division of Pulmonary, Critical Care and Sleep
Medicine, Department of Medicine, Wayne State University School of
Medicine, Detroit, Michigan 48201
It has been proposed that the gender
difference in sleep apnea prevalence is related to gender differences
in upper airway structure and function. We hypothesized that men would
have smaller retropalatal cross-sectional area and higher compliance
during sleep compared with women. Using upper airway imaging, we
measured upper airway cross-sectional area and retropalatal compliance in wakefulness and non-rapid eye movement (NREM) sleep in 15 men and 15 women without sleep-disordered breathing. Cross-sectional area at the
beginning of inspiration tended to be larger in men compared with women
in both wakefulness [194.5 ± 21.3 vs. 138.8 ± 12.0 (SE)
mm 2 ] and NREM sleep (111.1 ± 17.6 vs. 83.3 ± 11.9 mm 2 ; P = 0.058). There was no
significant difference, however, after correction for body surface
area. Retropalatal compliance also tended to be higher in men during
both wakefulness (5.9 ± 1.4 vs. 3.1 ± 1.4 mm 2 /cmH 2 O; P = 0.006) and NREM
sleep (12.6 ± 2.7 vs. 4.7 ± 2.6 mm 2 /cmH 2 O; P = 0.055). However,
compliance was similar in men relative to women after correction for
neck circumference. We conclude that the gender difference in
retropalatal compliance is more accurately attributed to differences in
neck circumference between the genders.
cross-sectional area; upper airway imaging; upper airway structure; non-rapid eye movement sleep</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/japplphysiol.00553.2001</identifier><identifier>PMID: 12015370</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Bethesda, MD: Am Physiological Soc</publisher><subject>Adult ; Air breathing ; Anatomy, Cross-Sectional ; Biological and medical sciences ; Bronchoscopy ; Compliance ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Male ; Neck - anatomy & histology ; Palate - anatomy & histology ; Pharynx - anatomy & histology ; Reference Values ; Respiratory Physiological Phenomena ; Respiratory System - anatomy & histology ; Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics ; Sex Characteristics ; Sleep - physiology ; Vertebrates: respiratory system ; Wakefulness - physiology</subject><ispartof>Journal of applied physiology (1985), 2002-06, Vol.92 (6), p.2535-2541</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-5dc8c0ba44b5112ccd4d5a9bd1cb90b3a3d42047b538ee9934879815a62119363</citedby><cites>FETCH-LOGICAL-c417t-5dc8c0ba44b5112ccd4d5a9bd1cb90b3a3d42047b538ee9934879815a62119363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3026,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14188186$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12015370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rowley, James A</creatorcontrib><creatorcontrib>Sanders, Carrie S</creatorcontrib><creatorcontrib>Zahn, Brian R</creatorcontrib><creatorcontrib>Badr, M. Safwan</creatorcontrib><title>Gender differences in upper airway compliance during NREM sleep: role of neck circumference</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>Sleep Research Laboratory, John D. Dingell Veterans Affairs
Medical Center, and Division of Pulmonary, Critical Care and Sleep
Medicine, Department of Medicine, Wayne State University School of
Medicine, Detroit, Michigan 48201
It has been proposed that the gender
difference in sleep apnea prevalence is related to gender differences
in upper airway structure and function. We hypothesized that men would
have smaller retropalatal cross-sectional area and higher compliance
during sleep compared with women. Using upper airway imaging, we
measured upper airway cross-sectional area and retropalatal compliance in wakefulness and non-rapid eye movement (NREM) sleep in 15 men and 15 women without sleep-disordered breathing. Cross-sectional area at the
beginning of inspiration tended to be larger in men compared with women
in both wakefulness [194.5 ± 21.3 vs. 138.8 ± 12.0 (SE)
mm 2 ] and NREM sleep (111.1 ± 17.6 vs. 83.3 ± 11.9 mm 2 ; P = 0.058). There was no
significant difference, however, after correction for body surface
area. Retropalatal compliance also tended to be higher in men during
both wakefulness (5.9 ± 1.4 vs. 3.1 ± 1.4 mm 2 /cmH 2 O; P = 0.006) and NREM
sleep (12.6 ± 2.7 vs. 4.7 ± 2.6 mm 2 /cmH 2 O; P = 0.055). However,
compliance was similar in men relative to women after correction for
neck circumference. We conclude that the gender difference in
retropalatal compliance is more accurately attributed to differences in
neck circumference between the genders.
cross-sectional area; upper airway imaging; upper airway structure; non-rapid eye movement sleep</description><subject>Adult</subject><subject>Air breathing</subject><subject>Anatomy, Cross-Sectional</subject><subject>Biological and medical sciences</subject><subject>Bronchoscopy</subject><subject>Compliance</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Neck - anatomy & histology</subject><subject>Palate - anatomy & histology</subject><subject>Pharynx - anatomy & histology</subject><subject>Reference Values</subject><subject>Respiratory Physiological Phenomena</subject><subject>Respiratory System - anatomy & histology</subject><subject>Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics</subject><subject>Sex Characteristics</subject><subject>Sleep - physiology</subject><subject>Vertebrates: respiratory system</subject><subject>Wakefulness - physiology</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EokvhL4AvoF6yeGI7H9xQ1RakAhIqJw6WY092XZzEtTdq99_jZSPKhdNIM887M3oIeQNsDSDL97c6BB-2--Qmv2ZMSr4uGYMnZJWnZQEVg6dk1dSSFbVs6hPyIqXbDAgh4Tk5gZKB5DVbkZ9XOFqM1Lq-x4ijwUTdSOcQclO7eK_31ExD8E7nGbVzdOOGfv1-8YUmjxg-0Dh5pFNPRzS_qHHRzMOy6SV51muf8NVST8mPy4ub80_F9berz-cfrwsjoN4V0prGsE4L0UmA0hgrrNRtZ8F0Leu45laUTNSd5A1i23LR1G0DUlclQMsrfkreHfeGON3NmHZqcMmg93rEaU6qhiqHRJvB-giaOKUUsVchukHHvQKmDl7Vv17VH6_q4DUnXy8n5m5A-5hbRGbg7QLoZLTvY9bl0iMnoGmgOfwqjtzWbbb3LqJark2bvbqcvb_Bh93hjbZUlSollyrYPsfO_h_LtPqL898vE6YD</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Rowley, James A</creator><creator>Sanders, Carrie S</creator><creator>Zahn, Brian R</creator><creator>Badr, M. Safwan</creator><general>Am Physiological Soc</general><general>American Physiological Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>Gender differences in upper airway compliance during NREM sleep: role of neck circumference</title><author>Rowley, James A ; Sanders, Carrie S ; Zahn, Brian R ; Badr, M. Safwan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-5dc8c0ba44b5112ccd4d5a9bd1cb90b3a3d42047b538ee9934879815a62119363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Air breathing</topic><topic>Anatomy, Cross-Sectional</topic><topic>Biological and medical sciences</topic><topic>Bronchoscopy</topic><topic>Compliance</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Neck - anatomy & histology</topic><topic>Palate - anatomy & histology</topic><topic>Pharynx - anatomy & histology</topic><topic>Reference Values</topic><topic>Respiratory Physiological Phenomena</topic><topic>Respiratory System - anatomy & histology</topic><topic>Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics</topic><topic>Sex Characteristics</topic><topic>Sleep - physiology</topic><topic>Vertebrates: respiratory system</topic><topic>Wakefulness - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rowley, James A</creatorcontrib><creatorcontrib>Sanders, Carrie S</creatorcontrib><creatorcontrib>Zahn, Brian R</creatorcontrib><creatorcontrib>Badr, M. Safwan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied physiology (1985)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rowley, James A</au><au>Sanders, Carrie S</au><au>Zahn, Brian R</au><au>Badr, M. Safwan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender differences in upper airway compliance during NREM sleep: role of neck circumference</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>92</volume><issue>6</issue><spage>2535</spage><epage>2541</epage><pages>2535-2541</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><coden>JAPHEV</coden><abstract>Sleep Research Laboratory, John D. Dingell Veterans Affairs
Medical Center, and Division of Pulmonary, Critical Care and Sleep
Medicine, Department of Medicine, Wayne State University School of
Medicine, Detroit, Michigan 48201
It has been proposed that the gender
difference in sleep apnea prevalence is related to gender differences
in upper airway structure and function. We hypothesized that men would
have smaller retropalatal cross-sectional area and higher compliance
during sleep compared with women. Using upper airway imaging, we
measured upper airway cross-sectional area and retropalatal compliance in wakefulness and non-rapid eye movement (NREM) sleep in 15 men and 15 women without sleep-disordered breathing. Cross-sectional area at the
beginning of inspiration tended to be larger in men compared with women
in both wakefulness [194.5 ± 21.3 vs. 138.8 ± 12.0 (SE)
mm 2 ] and NREM sleep (111.1 ± 17.6 vs. 83.3 ± 11.9 mm 2 ; P = 0.058). There was no
significant difference, however, after correction for body surface
area. Retropalatal compliance also tended to be higher in men during
both wakefulness (5.9 ± 1.4 vs. 3.1 ± 1.4 mm 2 /cmH 2 O; P = 0.006) and NREM
sleep (12.6 ± 2.7 vs. 4.7 ± 2.6 mm 2 /cmH 2 O; P = 0.055). However,
compliance was similar in men relative to women after correction for
neck circumference. We conclude that the gender difference in
retropalatal compliance is more accurately attributed to differences in
neck circumference between the genders.
cross-sectional area; upper airway imaging; upper airway structure; non-rapid eye movement sleep</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>12015370</pmid><doi>10.1152/japplphysiol.00553.2001</doi><tpages>7</tpages></addata></record> |
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| issn | 8750-7587 1522-1601 |
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| source | MEDLINE; American Physiological Society; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Air breathing Anatomy, Cross-Sectional Biological and medical sciences Bronchoscopy Compliance Female Fundamental and applied biological sciences. Psychology Humans Male Neck - anatomy & histology Palate - anatomy & histology Pharynx - anatomy & histology Reference Values Respiratory Physiological Phenomena Respiratory System - anatomy & histology Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics Sex Characteristics Sleep - physiology Vertebrates: respiratory system Wakefulness - physiology |
| title | Gender differences in upper airway compliance during NREM sleep: role of neck circumference |
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