Stuart F Quan1, Rohit Budhiraja2, Salma Batool-Anwar3, Daniel J Gottlieb4, Phillip Eichling5, Sanjay Patel6, Wei Shen7, James K Walsh8, Clete A Kushida9. 1. Division of Sleep Medicine, Harvard Medical School, Boston, MA ; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA ; Arizona Respiratory Center, University of Arizona, Tucson, AZ. 2. Department of Medicine, Tufts University School of Medicine, Boston, MA. 3. Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. 4. Division of Sleep Medicine, Harvard Medical School, Boston, MA ; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA ; VA Boston Healthcare System, Boston, MA. 5. College of Medicine, University of Arizona, Tucson, AZ ; Comprehensive Sleep Solutions, Tucson, AZ. 6. Division of Sleep Medicine, Harvard Medical School, Boston, MA ; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. 7. Arizona Respiratory Center, University of Arizona, Tucson, AZ ; Southern Arizona VA Health Care System, Tucson, AZ. 8. Sleep Medicine and Research Center, St. Luke's Hospital, Chesterfield, MO. 9. Stanford University Sleep Clinic and Center for Human Sleep Research, Redwood City, CA.
Abstract
BACKGROUND AND OBJECTIVES: Obstructive sleep apnea (OSA) is associated with sleepiness, depression and reduced quality of life. However, it is unclear whether mild OSA has these negative impacts. Using data from the Apnea Positive Pressure Long-term Efficacy Study (APPLES), this study determined whether participants with mild OSA had greater sleepiness, more depressive symptoms and poorer quality of life in comparison to those without OSA. METHODS: 239 individuals evaluated for participation in APPLES with a baseline apnea hypopnea index (AHI) < 15 /hour were assigned to 1 of 2 groups: No OSA (N=40, AHI < 5 /hour) or Mild OSA (N=199, 5 to <15 /hour) based on their screening polysomnogram. Scores on their Epworth Sleepiness Scale (ESS), Stanford Sleepiness Scale (SSS), Hamilton Rating Scale for Depression (HAM-D), Profile of Mood States (POMS) and Sleep Apnea Quality of Life Index (SAQLI) were compared between groups. RESULTS: There were no significant differences between the No OSA and Mild OSA groups on any of the 5 measures: ESS (No OSA, 9.8 ± 3.5 vs Mild OSA, 10.6 ± 4.3, p=0.26), SSS,(2.8 ± 0.9 vs. 2.9 ± 1.0, p=0.52), HAM-D (4.6 ± 3.0 vs. 4.9 ± 4.7, p=0.27), POMS (33.5 ± 22.3 vs. 28.7 ± 22.0, p=0.70), SAQLI (4.5 ± 0.8 vs. 4.7 ± 0.7, p=0.39). CONCLUSION: Individuals with mild OSA in this cohort do not have worse sleepiness, mood or quality of life in comparison to those without OSA.
BACKGROUND AND OBJECTIVES:Obstructive sleep apnea (OSA) is associated with sleepiness, depression and reduced quality of life. However, it is unclear whether mild OSA has these negative impacts. Using data from the Apnea Positive Pressure Long-term Efficacy Study (APPLES), this study determined whether participants with mild OSA had greater sleepiness, more depressive symptoms and poorer quality of life in comparison to those without OSA. METHODS: 239 individuals evaluated for participation in APPLES with a baseline apnea hypopnea index (AHI) < 15 /hour were assigned to 1 of 2 groups: No OSA (N=40, AHI < 5 /hour) or Mild OSA (N=199, 5 to <15 /hour) based on their screening polysomnogram. Scores on their Epworth Sleepiness Scale (ESS), Stanford Sleepiness Scale (SSS), Hamilton Rating Scale for Depression (HAM-D), Profile of Mood States (POMS) and Sleep Apnea Quality of Life Index (SAQLI) were compared between groups. RESULTS: There were no significant differences between the No OSA and Mild OSA groups on any of the 5 measures: ESS (No OSA, 9.8 ± 3.5 vs Mild OSA, 10.6 ± 4.3, p=0.26), SSS,(2.8 ± 0.9 vs. 2.9 ± 1.0, p=0.52), HAM-D (4.6 ± 3.0 vs. 4.9 ± 4.7, p=0.27), POMS (33.5 ± 22.3 vs. 28.7 ± 22.0, p=0.70), SAQLI (4.5 ± 0.8 vs. 4.7 ± 0.7, p=0.39). CONCLUSION: Individuals with mild OSA in this cohort do not have worse sleepiness, mood or quality of life in comparison to those without OSA.
Authors: Gawon Ju; In-Young Yoon; Sang Don Lee; Tae Hui Kim; Jin Young Choe; Ki Woong Kim Journal: J Am Geriatr Soc Date: 2012-05-30 Impact factor: 5.562
Authors: Stuart F Quan; Cynthia S Chan; William C Dement; Alan Gevins; James L Goodwin; Daniel J Gottlieb; Sylvan Green; Christian Guilleminault; Max Hirshkowitz; Pamela R Hyde; Gary G Kay; Eileen B Leary; Deborah A Nichols; Paula K Schweitzer; Richard D Simon; James K Walsh; Clete A Kushida Journal: Sleep Date: 2011-03-01 Impact factor: 5.849
Authors: Najib T Ayas; Allen A J Hirsch; Ismail Laher; T Douglas Bradley; Atul Malhotra; Vsevolod Y Polotsky; Esra Tasali Journal: Clin Sci (Lond) Date: 2014-08 Impact factor: 6.124
Authors: Clete A Kushida; Deborah A Nichols; Stuart F Quan; James L Goodwin; David P White; Daniel J Gottlieb; James K Walsh; Paula K Schweitzer; Christian Guilleminault; Richard D Simon; Eileen B Leary; Pamela R Hyde; Tyson H Holmes; Daniel A Bloch; Sylvan Green; Linda K McEvoy; Alan Gevins; William C Dement Journal: J Clin Sleep Med Date: 2006-07-15 Impact factor: 4.062
Authors: Kristine A Wilckens; Martica H Hall; Kirk I Erickson; Anne Germain; Vishwajit L Nimgaonkar; Timothy H Monk; Daniel J Buysse Journal: Sleep Med Date: 2016-10-21 Impact factor: 3.492
Authors: Kristine A Wilckens; Howard J Aizenstein; Eric A Nofzinger; Jeffrey A James; Brant P Hasler; Bedda L Rosario-Rivera; Peter L Franzen; Anne Germain; Martica H Hall; David J Kupfer; Julie C Price; Greg J Siegle; Daniel J Buysse Journal: J Sleep Res Date: 2016-02-07 Impact factor: 3.981