Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy
Objectives Rapid eye movement behaviour disorder (RBD) is a parasomnia in which there is loss of muscle atonia during rapid eye movement (REM) sleep, resulting in dream enactment. The aims of this study were to determine the prevalence of obstructive sleep apnoea (OSA) in RBD patients and determine...
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| Veröffentlicht in: | Sleep & breathing 2018-09, Vol.22 (3), p.825-830 |
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| creator | Gabryelska, A. Roguski, A. Simpson, G. Maschauer, E. L. Morrison, I. Riha, Renata L. |
| description | Objectives
Rapid eye movement behaviour disorder (RBD) is a parasomnia in which there is loss of muscle atonia during rapid eye movement (REM) sleep, resulting in dream enactment. The aims of this study were to determine the prevalence of obstructive sleep apnoea (OSA) in RBD patients and determine whether continuous positive airway pressure (CPAP) therapy improved RBD symptoms in patients with concomitant RBD and OSA.
Methods
A questionnaire was mailed to 120 patients identified from a tertiary sleep centre with RBD meeting full International Classification for Sleep Disorders-3 (ICSD-3) criteria. Patients were diagnosed as having OSA if they had an apnoea-hypopnea index (AHI) ≥ 5. The questionnaire focused on CPAP-use, compliance and complications. Standard statistical analysis was undertaken using SPSS (v.21, IBM).
Results
One hundred and seven of the potential participants (89.2%) had an OSA diagnosis. Out of 72 who responded to the questionnaire, (60%) 27 patients were using CPAP therapy. CPAP therapy improved RBD symptoms in 45.8% of this group. Despite this positive response to treatment in nearly half of CPAP-users, there was no significant difference in subjective or objective CPAP compliance between those who reported RBD improvement and those who did not. Subjective compliance with CPAP was over-reported, with mean usage being 7.17 ± 1.7 h per night compared to objective mean compliance of 5.71 ± 1.7.
Conclusions
OSA is a very common co-morbidity of RBD. CPAP therapy might improve self-reported RBD symptoms further, in addition to standard RBD treatment. However, further research into its topic is necessary. |
| doi_str_mv | 10.1007/s11325-017-1563-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6133117</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2096327365</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-a47bca69efe236077dfd1072265fe17d160a30fdd39dfc9124f96358299efe0d3</originalsourceid><addsrcrecordid>eNp1kV9vFCEUxSfGxv7RD-CLIfHFl1EuzMDig0nT1NqkjcboM2Hh0qWZhRFm1uy3l-3WVk18gnB_99xzOU3zEuhboFS-KwCc9S0F2UIveKueNEfQM9aCpOrp3Z22qgd22ByXckspdAsFz5pDtqivSomjZvsl48YMGC2S5ElalinPdgobJGVAHIkZY0JDQiRfz6_JEldmE9KciQslZYf5PclYxhQLkikRm-IU4pzmQsZUwp2OCfmn2ZKxcmXOFVthNuP2eXPgzVDwxf150nz_eP7t7FN79fni8uz0qrWdpFNrOrm0Rij0yLigUjrvgErGRO8RpANBDafeOa6ctwpY55Xg_YKpXQt1_KT5sNcd5-UancU4ZTPoMYe1yVudTNB_V2JY6Zu00QI4B5BV4M29QE4_ZiyTXodicRhMxLqoBtVx0VVLfUVf_4Pe1r-KdT3NaLXFJBc7CvaUzamUjP7BDFC9C1bvg9U1WL0LVqva8-rPLR46fidZAbYHSi3FG8yPo_-v-gtDebGV</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2096327365</pqid></control><display><type>article</type><title>Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Gabryelska, A. ; Roguski, A. ; Simpson, G. ; Maschauer, E. L. ; Morrison, I. ; Riha, Renata L.</creator><creatorcontrib>Gabryelska, A. ; Roguski, A. ; Simpson, G. ; Maschauer, E. L. ; Morrison, I. ; Riha, Renata L.</creatorcontrib><description>Objectives
Rapid eye movement behaviour disorder (RBD) is a parasomnia in which there is loss of muscle atonia during rapid eye movement (REM) sleep, resulting in dream enactment. The aims of this study were to determine the prevalence of obstructive sleep apnoea (OSA) in RBD patients and determine whether continuous positive airway pressure (CPAP) therapy improved RBD symptoms in patients with concomitant RBD and OSA.
Methods
A questionnaire was mailed to 120 patients identified from a tertiary sleep centre with RBD meeting full International Classification for Sleep Disorders-3 (ICSD-3) criteria. Patients were diagnosed as having OSA if they had an apnoea-hypopnea index (AHI) ≥ 5. The questionnaire focused on CPAP-use, compliance and complications. Standard statistical analysis was undertaken using SPSS (v.21, IBM).
Results
One hundred and seven of the potential participants (89.2%) had an OSA diagnosis. Out of 72 who responded to the questionnaire, (60%) 27 patients were using CPAP therapy. CPAP therapy improved RBD symptoms in 45.8% of this group. Despite this positive response to treatment in nearly half of CPAP-users, there was no significant difference in subjective or objective CPAP compliance between those who reported RBD improvement and those who did not. Subjective compliance with CPAP was over-reported, with mean usage being 7.17 ± 1.7 h per night compared to objective mean compliance of 5.71 ± 1.7.
Conclusions
OSA is a very common co-morbidity of RBD. CPAP therapy might improve self-reported RBD symptoms further, in addition to standard RBD treatment. However, further research into its topic is necessary.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-017-1563-9</identifier><identifier>PMID: 28951996</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Apnea ; Compliance ; Continuous Positive Airway Pressure ; Dentistry ; Epidemiology • Original ; Epidemiology • Original Article ; Eye movements ; Female ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Neurology ; Otorhinolaryngology ; Patient Compliance ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Polysomnography ; Pressure ; Prevalence ; Questionnaires ; REM sleep ; REM Sleep Behavior Disorder - epidemiology ; REM Sleep Behavior Disorder - therapy ; Respiratory tract ; Self Report ; Sleep ; Sleep apnea ; Sleep Apnea, Obstructive - epidemiology ; Sleep Apnea, Obstructive - therapy ; Sleep deprivation ; Sleep disorders ; Statistical analysis ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Sleep & breathing, 2018-09, Vol.22 (3), p.825-830</ispartof><rights>The Author(s) 2017</rights><rights>Sleep and Breathing is a copyright of Springer, (2017). All Rights Reserved. © 2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-a47bca69efe236077dfd1072265fe17d160a30fdd39dfc9124f96358299efe0d3</citedby><cites>FETCH-LOGICAL-c470t-a47bca69efe236077dfd1072265fe17d160a30fdd39dfc9124f96358299efe0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-017-1563-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-017-1563-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28951996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gabryelska, A.</creatorcontrib><creatorcontrib>Roguski, A.</creatorcontrib><creatorcontrib>Simpson, G.</creatorcontrib><creatorcontrib>Maschauer, E. L.</creatorcontrib><creatorcontrib>Morrison, I.</creatorcontrib><creatorcontrib>Riha, Renata L.</creatorcontrib><title>Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Objectives
Rapid eye movement behaviour disorder (RBD) is a parasomnia in which there is loss of muscle atonia during rapid eye movement (REM) sleep, resulting in dream enactment. The aims of this study were to determine the prevalence of obstructive sleep apnoea (OSA) in RBD patients and determine whether continuous positive airway pressure (CPAP) therapy improved RBD symptoms in patients with concomitant RBD and OSA.
Methods
A questionnaire was mailed to 120 patients identified from a tertiary sleep centre with RBD meeting full International Classification for Sleep Disorders-3 (ICSD-3) criteria. Patients were diagnosed as having OSA if they had an apnoea-hypopnea index (AHI) ≥ 5. The questionnaire focused on CPAP-use, compliance and complications. Standard statistical analysis was undertaken using SPSS (v.21, IBM).
Results
One hundred and seven of the potential participants (89.2%) had an OSA diagnosis. Out of 72 who responded to the questionnaire, (60%) 27 patients were using CPAP therapy. CPAP therapy improved RBD symptoms in 45.8% of this group. Despite this positive response to treatment in nearly half of CPAP-users, there was no significant difference in subjective or objective CPAP compliance between those who reported RBD improvement and those who did not. Subjective compliance with CPAP was over-reported, with mean usage being 7.17 ± 1.7 h per night compared to objective mean compliance of 5.71 ± 1.7.
Conclusions
OSA is a very common co-morbidity of RBD. CPAP therapy might improve self-reported RBD symptoms further, in addition to standard RBD treatment. However, further research into its topic is necessary.</description><subject>Apnea</subject><subject>Compliance</subject><subject>Continuous Positive Airway Pressure</subject><subject>Dentistry</subject><subject>Epidemiology • Original</subject><subject>Epidemiology • Original Article</subject><subject>Eye movements</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Neurology</subject><subject>Otorhinolaryngology</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Polysomnography</subject><subject>Pressure</subject><subject>Prevalence</subject><subject>Questionnaires</subject><subject>REM sleep</subject><subject>REM Sleep Behavior Disorder - epidemiology</subject><subject>REM Sleep Behavior Disorder - therapy</subject><subject>Respiratory tract</subject><subject>Self Report</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Sleep deprivation</subject><subject>Sleep disorders</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kV9vFCEUxSfGxv7RD-CLIfHFl1EuzMDig0nT1NqkjcboM2Hh0qWZhRFm1uy3l-3WVk18gnB_99xzOU3zEuhboFS-KwCc9S0F2UIveKueNEfQM9aCpOrp3Z22qgd22ByXckspdAsFz5pDtqivSomjZvsl48YMGC2S5ElalinPdgobJGVAHIkZY0JDQiRfz6_JEldmE9KciQslZYf5PclYxhQLkikRm-IU4pzmQsZUwp2OCfmn2ZKxcmXOFVthNuP2eXPgzVDwxf150nz_eP7t7FN79fni8uz0qrWdpFNrOrm0Rij0yLigUjrvgErGRO8RpANBDafeOa6ctwpY55Xg_YKpXQt1_KT5sNcd5-UancU4ZTPoMYe1yVudTNB_V2JY6Zu00QI4B5BV4M29QE4_ZiyTXodicRhMxLqoBtVx0VVLfUVf_4Pe1r-KdT3NaLXFJBc7CvaUzamUjP7BDFC9C1bvg9U1WL0LVqva8-rPLR46fidZAbYHSi3FG8yPo_-v-gtDebGV</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Gabryelska, A.</creator><creator>Roguski, A.</creator><creator>Simpson, G.</creator><creator>Maschauer, E. L.</creator><creator>Morrison, I.</creator><creator>Riha, Renata L.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</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>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180901</creationdate><title>Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy</title><author>Gabryelska, A. ; Roguski, A. ; Simpson, G. ; Maschauer, E. L. ; Morrison, I. ; Riha, Renata L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-a47bca69efe236077dfd1072265fe17d160a30fdd39dfc9124f96358299efe0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Apnea</topic><topic>Compliance</topic><topic>Continuous Positive Airway Pressure</topic><topic>Dentistry</topic><topic>Epidemiology • Original</topic><topic>Epidemiology • Original Article</topic><topic>Eye movements</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Neurology</topic><topic>Otorhinolaryngology</topic><topic>Patient Compliance</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Polysomnography</topic><topic>Pressure</topic><topic>Prevalence</topic><topic>Questionnaires</topic><topic>REM sleep</topic><topic>REM Sleep Behavior Disorder - epidemiology</topic><topic>REM Sleep Behavior Disorder - therapy</topic><topic>Respiratory tract</topic><topic>Self Report</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep deprivation</topic><topic>Sleep disorders</topic><topic>Statistical analysis</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gabryelska, A.</creatorcontrib><creatorcontrib>Roguski, A.</creatorcontrib><creatorcontrib>Simpson, G.</creatorcontrib><creatorcontrib>Maschauer, E. L.</creatorcontrib><creatorcontrib>Morrison, I.</creatorcontrib><creatorcontrib>Riha, Renata L.</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gabryelska, A.</au><au>Roguski, A.</au><au>Simpson, G.</au><au>Maschauer, E. L.</au><au>Morrison, I.</au><au>Riha, Renata L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>22</volume><issue>3</issue><spage>825</spage><epage>830</epage><pages>825-830</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Objectives
Rapid eye movement behaviour disorder (RBD) is a parasomnia in which there is loss of muscle atonia during rapid eye movement (REM) sleep, resulting in dream enactment. The aims of this study were to determine the prevalence of obstructive sleep apnoea (OSA) in RBD patients and determine whether continuous positive airway pressure (CPAP) therapy improved RBD symptoms in patients with concomitant RBD and OSA.
Methods
A questionnaire was mailed to 120 patients identified from a tertiary sleep centre with RBD meeting full International Classification for Sleep Disorders-3 (ICSD-3) criteria. Patients were diagnosed as having OSA if they had an apnoea-hypopnea index (AHI) ≥ 5. The questionnaire focused on CPAP-use, compliance and complications. Standard statistical analysis was undertaken using SPSS (v.21, IBM).
Results
One hundred and seven of the potential participants (89.2%) had an OSA diagnosis. Out of 72 who responded to the questionnaire, (60%) 27 patients were using CPAP therapy. CPAP therapy improved RBD symptoms in 45.8% of this group. Despite this positive response to treatment in nearly half of CPAP-users, there was no significant difference in subjective or objective CPAP compliance between those who reported RBD improvement and those who did not. Subjective compliance with CPAP was over-reported, with mean usage being 7.17 ± 1.7 h per night compared to objective mean compliance of 5.71 ± 1.7.
Conclusions
OSA is a very common co-morbidity of RBD. CPAP therapy might improve self-reported RBD symptoms further, in addition to standard RBD treatment. However, further research into its topic is necessary.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28951996</pmid><doi>10.1007/s11325-017-1563-9</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Sleep & breathing, 2018-09, Vol.22 (3), p.825-830 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Apnea Compliance Continuous Positive Airway Pressure Dentistry Epidemiology • Original Epidemiology • Original Article Eye movements Female Humans Internal Medicine Male Medicine Medicine & Public Health Middle Aged Morbidity Neurology Otorhinolaryngology Patient Compliance Patients Pediatrics Pneumology/Respiratory System Polysomnography Pressure Prevalence Questionnaires REM sleep REM Sleep Behavior Disorder - epidemiology REM Sleep Behavior Disorder - therapy Respiratory tract Self Report Sleep Sleep apnea Sleep Apnea, Obstructive - epidemiology Sleep Apnea, Obstructive - therapy Sleep deprivation Sleep disorders Statistical analysis Surveys and Questionnaires Treatment Outcome |
| title | Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapy |
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