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Nocturnal nasal obstruction is frequent and reduces sleep quality in patients with obstructive sleep apnea

Värendh, Maria LU ; Andersson, Morgan LU ; Bjørnsdottir, Erla; Hrubos-Strøm, Harald; Johannisson, Arne LU ; Arnardottir, Erna S.; Gislason, Thorarinn and Juliusson, Sigurdur (2018) In Journal of Sleep Research 27(4).
Abstract

The prevalence and consequences of nasal obstruction in untreated obstructive sleep apnea patients are not known. The study objectives were to investigate the frequency of subjective and objective nasal obstruction in untreated sleep apnea patients and the associations with sleep and quality of life. Patients in the Icelandic Sleep Apnea Cohort were subjected to a type 3 sleep study, answered questionnaires and had their nasal dimensions measured by acoustic rhinometry. In total, 810 patients participated (including 153 females), aged 54.5 ± 10.6 years [mean ± standard deviation (SD)] with an apnea/hypopnea index 44.7 ± 20.7 h−1. Nocturnal nasal obstruction (greater than or equal to three times per week) was reported by 35%... (More)

The prevalence and consequences of nasal obstruction in untreated obstructive sleep apnea patients are not known. The study objectives were to investigate the frequency of subjective and objective nasal obstruction in untreated sleep apnea patients and the associations with sleep and quality of life. Patients in the Icelandic Sleep Apnea Cohort were subjected to a type 3 sleep study, answered questionnaires and had their nasal dimensions measured by acoustic rhinometry. In total, 810 patients participated (including 153 females), aged 54.5 ± 10.6 years [mean ± standard deviation (SD)] with an apnea/hypopnea index 44.7 ± 20.7 h−1. Nocturnal nasal obstruction (greater than or equal to three times per week) was reported by 35% of the patients. These patients had smaller nasal dimensions measured by the minimum cross-sectional area within the smaller nasal valve (0.42 ± 0.17 versus 0.45 ± 0.16 cm2, P = 0.013), reported more daytime sleepiness (Epworth Sleepiness Scale score 12.5 ± 4.9 versus 10.8 ± 5.0; P < 0.001) and slightly lower mental quality of life than patients without nocturnal nasal obstruction. Nocturnal nasal obstruction is reported in one-third of the sleep apnea patients and they are more likely to suffer from daytime sleepiness and slightly reduced quality of life than other sleep apnea patients.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acoustic measurement, apnea, breathing, nasal anatomy, nose, survey
in
Journal of Sleep Research
volume
27
issue
4
publisher
Wiley-Blackwell
external identifiers
  • scopus:85049838682
ISSN
0962-1105
DOI
10.1111/jsr.12631
language
English
LU publication?
yes
id
dc6f5ec2-16bd-4046-945e-e4118ea97f86
date added to LUP
2018-07-24 11:46:43
date last changed
2019-10-15 06:42:13
@article{dc6f5ec2-16bd-4046-945e-e4118ea97f86,
  abstract     = {<p>The prevalence and consequences of nasal obstruction in untreated obstructive sleep apnea patients are not known. The study objectives were to investigate the frequency of subjective and objective nasal obstruction in untreated sleep apnea patients and the associations with sleep and quality of life. Patients in the Icelandic Sleep Apnea Cohort were subjected to a type 3 sleep study, answered questionnaires and had their nasal dimensions measured by acoustic rhinometry. In total, 810 patients participated (including 153 females), aged 54.5 ± 10.6 years [mean ± standard deviation (SD)] with an apnea/hypopnea index 44.7 ± 20.7 h<sup>−1</sup>. Nocturnal nasal obstruction (greater than or equal to three times per week) was reported by 35% of the patients. These patients had smaller nasal dimensions measured by the minimum cross-sectional area within the smaller nasal valve (0.42 ± 0.17 versus 0.45 ± 0.16 cm<sup>2</sup>, P = 0.013), reported more daytime sleepiness (Epworth Sleepiness Scale score 12.5 ± 4.9 versus 10.8 ± 5.0; P &lt; 0.001) and slightly lower mental quality of life than patients without nocturnal nasal obstruction. Nocturnal nasal obstruction is reported in one-third of the sleep apnea patients and they are more likely to suffer from daytime sleepiness and slightly reduced quality of life than other sleep apnea patients.</p>},
  articleno    = {e12631},
  author       = {Värendh, Maria and Andersson, Morgan and Bjørnsdottir, Erla and Hrubos-Strøm, Harald and Johannisson, Arne and Arnardottir, Erna S. and Gislason, Thorarinn and Juliusson, Sigurdur},
  issn         = {0962-1105},
  keyword      = {acoustic measurement,apnea,breathing,nasal anatomy,nose,survey},
  language     = {eng},
  month        = {08},
  number       = {4},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Sleep Research},
  title        = {Nocturnal nasal obstruction is frequent and reduces sleep quality in patients with obstructive sleep apnea},
  url          = {http://dx.doi.org/10.1111/jsr.12631},
  volume       = {27},
  year         = {2018},
}