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Nepožitek J, Dostálová S, Věchetová G, Sieger T, Forejtová Z, Nováková L, Galušková K, Milata M, Varga Z, Tanaka H, Růžička E, Šonka K, Edwards M, Serranová T. Sleepiness and comorbid sleep disorders in functional motor disorders: a comparative study with central hypersomnia. J Sleep Res 2024; 33:e14098. [PMID: 37967854 DOI: 10.1111/jsr.14098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 10/20/2023] [Accepted: 10/29/2023] [Indexed: 11/17/2023]
Abstract
Sleep symptoms, including excessive sleepiness, are frequently reported by patients with functional motor disorders (FMD). We aimed to classify the comorbid sleep disorders in FMD, and to investigate the relationship between subjective sleepiness and objective measures of hypersomnia, comparing them with data from people with central hypersomnia. A total of 37 patients (mean [SD] age 46.4 [11.2] years) with clinically definite FMD, and 17 patients (mean [SD] age 41.1 [11.6] years) with central hypersomnia underwent structured medical and sleep history, neurological examination, polysomnography, multiple sleep latency test (MSLT), and questionnaires assessing sleepiness, fatigue, and depression. In all, 23 patients with FMD (62%) reported excessive daytime sleepiness. Evidence of specific sleep disorders was identified in our cohort, with 35% having restless legs syndrome; 49% obstructive sleep apnea; and 8% periodic limb movements in sleep; however, the presence of these disorders was not correlated with subjective sleepiness. Patients with FMD with self-reported sleepiness reported higher fatigue (p = 0.002), depression (p = 0.002), and had longer sleep latencies in the MSLT (p < 0.001) compared to the patients with central hypersomnia. No correlation was found between subjective and objective sleepiness in either group. Fatigue positively correlated with self-reported sleepiness in patients with FMD (p < 0.001). This study did not find objective correlates of increased sleepiness in patients with FMD. While sleep abnormalities were found to be common in FMD, they were not correlated with self-reports of excessive sleepiness. Positive correlations between self-reported sleepiness and fatigue support the current unified model of non-motor symptoms in FMD.
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Affiliation(s)
- Jiří Nepožitek
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Simona Dostálová
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Gabriela Věchetová
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Tomáš Sieger
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
- Department of Cybernetics, Faculty of Electrical Engineering, Czech Technical University, Prague, Czech Republic
| | - Zuzana Forejtová
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Lucia Nováková
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Karolína Galušková
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Martin Milata
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Zsóka Varga
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Hiroki Tanaka
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Evžen Růžička
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Karel Šonka
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Mark Edwards
- Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK
| | - Tereza Serranová
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
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Deboer T, Arnardóttir ES, Landolt H, Luppi PH, McNicholas WT, Pevernagie D, Plazzi G. The European Sleep Research Society - past, present and future. J Sleep Res 2022; 31:e13601. [PMID: 35430759 PMCID: PMC9539836 DOI: 10.1111/jsr.13601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 03/18/2022] [Indexed: 01/20/2023]
Abstract
It is 50 years ago, in 1972, that the founding conference of the European Sleep Research Society (ESRS) was organised in Basel. Since then the Society has had 13 presidents and a multitude of board members and has organised, among other things, another 24 congresses. At this 50th anniversary, as the 26th ESRS congress is approaching, we have summarised the history of the ESRS. In this review, we provide a background to show why the foundation of a European society was a logical step, and show how, in the course of the past 50 years, the Society changed and grew. We give special attention to some developments that occurred over the years and discuss where the ESRS stands now, and how we foresee its future.
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Affiliation(s)
- Tom Deboer
- Laboratory for Neurophysiology, Department of Cell and Chemical BiologyLeiden University Medical CenterLeidenthe Netherlands
| | - Erna Sif Arnardóttir
- Reykjavik University Sleep Institute School of TechnologyReykjavik UniversityReykjavikIceland
| | - Hans‐Peter Landolt
- Institute of Pharmacology and Toxicology, University of ZürichZürichSwitzerland
- Sleep & Health ZürichUniversity Center of Competence, University of ZürichZürichSwitzerland
| | - Pierre Hervé Luppi
- Team “SLEEP” Centre de Recherche en Neurosciences de Lyon (CRNL)UMR 5292 CNRS/U1028 INSERM and Université de LyonBronFrance
| | - Walter T. McNicholas
- School of MedicineUniversity College Dublin, and Department of Respiratory and Sleep Medicine, St. Vincent's Hospital GroupDublinIreland
| | - Dirk Pevernagie
- Department of Respiratory MedicineGhent University HospitalGhentBelgium
- Dept of Internal Medicine and Paediatrics, Faculty of Medicine and Health SciencesGhent UniversityGhentBelgium
| | - Giuseppe Plazzi
- Department of BiomedicalMetabolic and Neural Sciences, University of Modena and Reggio EmiliaModenaItaly
- IRCCSIstituto delle Scienze Neurologiche di BolognaBolognaItaly
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Grote L, Pevernagie D, Bruni O, Deboer T, Garcia‐Borreguero D, Hill EA, Penzel T, Puertas FJ, Wiechmann A, Verspaandonk M, Paunio T. 10-year anniversary of the European Somnologist examination - A historic overview and critical appraisal. J Sleep Res 2022; 31:e13667. [PMID: 35689475 PMCID: PMC9539585 DOI: 10.1111/jsr.13667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Revised: 05/19/2022] [Accepted: 05/20/2022] [Indexed: 11/30/2022]
Abstract
The European Somnologist certification programme was developed by the European Sleep Research Society to improve patient care in sleep medicine by providing an independent evaluation of theoretical and practical knowledge. The examination of eligible experts plays a key role in this procedure. A process was started more than 15 years ago to create the European sleep medicine curriculum, eligibility criteria for certification, and sleep centre accreditation criteria. The process was characterised by interdisciplinary collaboration, consensus, and achieving new solutions. During the past 10 years, experience has been gained by the examination and certification of more than 1000 sleep medicine experts from more than 50 countries. The process has continuously been improved. However, as the programme was designed and administered mainly by medical experts in the field, systematic influence from teaching and pedagogic experts was partially underrepresented. The current critical appraisal pinpoints several missing links in the process - mainly as a missing constructive alignment between learning objectives, learning and teaching activities, and the final assessment. A series of suggestions has been made to further improve the ESRS certification programme.
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Affiliation(s)
- Ludger Grote
- Center for Sleep and Wake Disorders, Sahlgrenska AcademyGothenburg UniversityGothenburgSweden
- Pulmonary MedicineSahlgrenska University HospitalGothenburgSweden
| | - Dirk Pevernagie
- Department of Respiratory MedicineGhent University HospitalGhentBelgium
- Department of Internal Medicine and Paediatrics, Faculty of Medicine and Health SciencesGhent UniversityGhentBelgium
| | - Oliviero Bruni
- Developmental and Social PsychologySapienza University of RomeRomeItaly
| | - Tom Deboer
- Laboratory for Neurophysiology, Department of Cell and Chemical BiologyLeiden University Medical CenterLeidenThe Netherlands
| | | | - Elizabeth A. Hill
- Sleep & Circadian Neuroscience Institute, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | | | - F. Javier Puertas
- Neurophysiology and Sleep Unit, La Ribera University Hospital‐FISABIO and Faculty of Medicine and Health SciencesCatholic University of Valencia “San Vicente Mártir”ValenciaSpain
| | | | | | - Tiina Paunio
- Department of Psychiatry and SleepWell Research Program, Faculty of MedicineUniversity of Helsinki and Helsinki University Central HospitalHelsinkiFinland
- Public Health and WelfareFinnish Institute for Health and WelfareHelsinkiFinland
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4
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van der Werf YD, Korostovtseva L, Khachatryan SG, Deleanu OC, Young P, Gnidovec-Stražišar B, Engstrøm M, Arnardottir ES, Verbraecken J, Pevernagie D. The history and role of the Assembly of National Sleep Societies (ANSS) within the European Sleep Research Society (ESRS). J Sleep Res 2022; 31:e13663. [PMID: 35707915 DOI: 10.1111/jsr.13663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 05/11/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Ysbrand D van der Werf
- Department of Anatomy and Neurosciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands
| | | | - Samson G Khachatryan
- Department of Neurology and Neurosurgery, National Institute of Health, Yerevan, Armenia
| | - Oana C Deleanu
- University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
| | - Peter Young
- Department of Neurology, Medical Park Bad Feilnbach, Bad Feilnbach, Germany
| | | | - Morten Engstrøm
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Department of Neurology and Clinical Neurophysiology, St Olavs Hospital, Trondheim, Norway
| | - Erna S Arnardottir
- Reykjavik University Sleep Institute School of Technology, Reykjavik University, Reykjavik, Iceland
| | - Johan Verbraecken
- Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium
| | - Dirk Pevernagie
- Department of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.,Department of Internal Medicine and Paediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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5
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Penzel T. Sleep medicine guidelines, recommendations for clinical practice: the role of the European Sleep Research Society. J Sleep Res 2022; 31:e13614. [PMID: 35460125 DOI: 10.1111/jsr.13614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 04/05/2022] [Accepted: 04/05/2022] [Indexed: 11/28/2022]
Abstract
The European Sleep Research Society (ESRS) has a strong focus on sleep research in Europe. In addition, the ESRS supports sleep medicine in Europe by providing a platform of exchange and communication for the national sleep societies of all European countries and by providing committees that support co-ordination for important clinical activities. These committees help on clinical guidelines, certification of sleep centres, certification of sleep physicians, psychologists, sleep scientists, sleep technologists, and medical education in sleep medicine. For education in sleep medicine, a "Catalogue on knowledge and skills" has been developed based on a consensus process. This catalogue serves as the backbone for a European textbook on sleep medicine and as the basis for courses, qualifications, and examinations of somnologists in Europe. These activities are devoted to improving and maintain a high quality of care in Europe for sleep medicine services.
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Affiliation(s)
- Thomas Penzel
- Interdisciplinary Sleep Medicine Center, Charité Universitätsmedizin Berlin, Berlin, Germany
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Gauld C, Micoulaud-Franchi JA. Why could sleep medicine never do without polysomnography? J Sleep Res 2021; 31:e13541. [PMID: 34927296 DOI: 10.1111/jsr.13541] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 12/06/2021] [Accepted: 12/06/2021] [Indexed: 12/12/2022]
Abstract
Given the clinical, methodological, conceptual and modelling challenges within the field of sleep medicine, polysomnography (PSG) has emerged as a central diagnostic tool over time. It has been highly beneficial to clinical practice over the years, thanks to the scientific data that it provides. More recently, sleep medicine has sought answers in precision medicine, broadening its quest for biomarkers that take into account environmental factors, big data, and nosological refinement. However, despite these innovative developments that are relatively independent of PSG, sleep medicine remains intimately associated with the latter. The aim of this paper was to show the central role of PSG for sleep medicine. Indeed, PSG is central to sleep medicine, not only due to the empirical data it provides but also because it represents an obligatory passage point (OPP) within the discipline. It crystallizes debate, pulls disparate types of data together, and facilitates a common language for the different specialties involved in sleep medicine, thereby lending legitimacy and credibility to the specialty. Thus, the role of polysomnography as an OPP in the field of sleep medicine reinforces the discipline, especially because critics (e.g., of the Apnea Hypopnea Index) cannot easily find fault with it.
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Affiliation(s)
- Christophe Gauld
- Department of Child Psychiatry, Paedopsychiatry Service, University of Lyon, Lyon, France.,UMR CNRS 8590 IHPST, Sorbonne University, Paris 1, France
| | - Jean-Arthur Micoulaud-Franchi
- Services of Functional Exploration of the Nervous System, University Sleep Clinic, University Hospital of Bordeaux, Bordeaux, France.,USR CNRS 3413 SANPSY, University Hospital Pellegrin, University of Bordeaux, Bordeaux, France
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Tamschick R, Navarini A, Strobel W, Müller S. Insomnia and other sleep disorders in dermatology patients: A questionnaire-based study with 634 patients. Clin Dermatol 2021; 39:996-1004. [PMID: 34920837 DOI: 10.1016/j.clindermatol.2021.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Insufficient sleep duration and quality are associated with various adverse health outcomes. Whereas sleep disorders have been studied in a few skin conditions, data in a more comprehensive dermatology population are lacking. We sought to describe the prevalence, causes, and consequences of sleep disorders in dermatology patients. In this cross-sectional, single-center study, dermatology patients completed a questionnaire addressing skin-related and non-skin-related health, sleep behavior, causes, and consequences of sleep disorders. According to the Regensburg Insomnia Scale, 27.92% of the 634 participants had insomnia (177 of 634 patients). Of these 177 patients, 115 (64.97%) were subjectively sleep disturbed, with skin-related causes accounting for 55.65% (64 of 115 patients), non-skin-related accounting for 33.04% (38 of 115 patients), and combined accounting for 11.30% (13 of 115 patients). Itch was the leading cause of skin-related sleep disorders (64.49%, 50 of 77 patients), followed by skin-related pain (55.84%, 43 of 77 patients) and skin-related fearful thoughts (54.55%, 42 of 77 patients). Sleep disorders reduced daytime performance in 68.70% (79 of 115 patients) and sleep quality of relatives in 20.87% (24 of 115 patients). The prevalence of insomnia among different diagnostic categories ranged from 20.31% to 50.00%. The most common strategy to improve sleep was taking sleep medication (57.39%, 66 of 115 patients). We conclude that sleep disorders are highly prevalent in dermatology patients, often leading to reduced daytime performance, impaired sleep among the patients' relatives, and increased use of substances.
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Affiliation(s)
- Rianna Tamschick
- Department of Dermatology, University Hospital of Basel, Basel, Switzerland.
| | - Alexander Navarini
- Department of Dermatology, University Hospital of Basel, Basel, Switzerland
| | - Werner Strobel
- Sleep Unit, Respiratory Medicine, Department of Internal Medicine, University Hospital of Basel, Basel, Switzerland
| | - Simon Müller
- Department of Dermatology, University Hospital of Basel, Basel, Switzerland
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BaHammam AS, Han F, Gupta R, Duong-Quy S, Al-Abri MA, Jahrami HA, Song P, Desudchit T, Xu L, Hong SB. Asian accreditation of sleep medicine physicians and technologists: practice guidelines by the Asian Society of Sleep Medicine. Sleep Med 2021; 81:246-252. [PMID: 33735652 DOI: 10.1016/j.sleep.2021.02.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 02/17/2021] [Indexed: 11/17/2022]
Abstract
Due to the rapid growth in sleep medicine's professional content, several countries have recognized sleep medicine as an independent specialty. The practice of sleep medicine and the demand for this service in Asian countries are expanding. At this point of growth, the accreditation of sleep medicine specialists is paramount to patient care and the training of physicians and technologists. The Asian Society of Sleep Medicine (ASSM) mandated a taskforce committee for the accreditation of sleep medicine practice. This taskforce developed Asian accreditation practice guidelines for sleep medicine physicians and technologists. This paper presents the newly approved Asian accreditation practice guidelines for sleep medicine physicians and technologists by the ASSM.
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Affiliation(s)
- Ahmed S BaHammam
- University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia.
| | - Fang Han
- Sleep Center, Peking University People's Hospital, Beijing, China.
| | - Ravi Gupta
- Department of Psychiatry and Division of Sleep Medicine, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, 249203, India.
| | - Sy Duong-Quy
- Bio-Medical Research Center, Lam Dong Medical College, Dalat, Viet Nam; Division of Pulmonary, Allergy and Critical Care Medicine, Penn State College of Medicine, Hershey, PA, USA.
| | - Mohammed A Al-Abri
- Department of Physiology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
| | - Haitham A Jahrami
- Ministry of Health, Manama, Bahrain; College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
| | - Pamela Song
- Departments of Neurology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Republic of Korea.
| | - Tayard Desudchit
- Excellence Center for Sleep Disorders, King Chulalongkorn Memorial Hospital/The Thai Red Cross Society, Bangkok, Thailand; Division of Neurology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Neurology, Department of Pediatrics, SK Building 11, King Chulalongkorn Memorial Hospital/The Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
| | - Liyue Xu
- Sleep Center, Peking University People's Hospital, Beijing, China.
| | - Seung Bong Hong
- Department of Neurology, Samsung Medical Center, Samsung Biomedical Research Institute (SBRI), Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Neuroscience Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
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More CE, Papp C, Harsanyi S, Gesztelyi R, Mikaczo A, Tajti G, Kardos L, Seres I, Lorincz H, Csapo K, Zsuga J. Altered irisin/BDNF axis parallels excessive daytime sleepiness in obstructive sleep apnea patients. Respir Res 2019; 20:67. [PMID: 30952206 PMCID: PMC6449996 DOI: 10.1186/s12931-019-1033-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Accepted: 03/26/2019] [Indexed: 02/08/2023] Open
Abstract
STUDY OBJECTIVES Obstructive sleep apnea hypopnea syndrome (OSAHS) is a sleep-related breathing disorder, characterized by excessive daytime sleepiness (EDS), paralleled by intermittent collapse of the upper airway. EDS may be the symptom of OSAHS per se but may also be due to the alteration of central circadian regulation. Irisin is a putative myokine and has been shown to induce BDNF expression in several sites of the brain. BDNF is a key factor regulating photic entrainment and consequent circadian alignment and adaptation to the environment. Therefore, we hypothesized that EDS accompanying OSAHS is reflected by alteration of irisin/BDNF axis. METHODS Case history, routine laboratory parameters, serum irisin and BDNF levels, polysomnographic measures and Epworth Sleepiness Scale questionnaire (ESS) were performed in a cohort of OSAHS patients (n = 69). Simple and then multiple linear regression was used to evaluate data. RESULTS We found that EDS reflected by the ESS is associated with higher serum irisin and BDNF levels; β: 1.53; CI: 0.35, 6.15; p = 0.012 and β: 0.014; CI: 0.0.005, 0.023; p = 0.02, respectively. Furthermore, influence of irisin and BDNF was significant even if the model accounted for their interaction (p = 0.006 for the terms serum irisin, serum BDNF and their interaction). Furthermore, a concentration-dependent effect of both serum irisin and BDNF was evidenced with respect to their influence on the ESS. CONCLUSIONS These results suggest that the irisin-BDNF axis influences subjective daytime sleepiness in OSAS patients reflected by the ESS. These results further imply the possible disruption of the circadian regulation in OSAHS. Future interventional studies are needed to confirm this observation.
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Affiliation(s)
- Csaba E More
- Department of Psychiatry, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Csaba Papp
- Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Szilvia Harsanyi
- Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Rudolf Gesztelyi
- Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Angela Mikaczo
- Department of Pulmonology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Gabor Tajti
- Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Laszlo Kardos
- Institute of Clinical Pharmacology, Infectious Diseases and Allergology, Kenezy Gyula Teaching County Hospital and Outpatient Clinic, Bartok Bela ut 2-26, Debrecen, 4031, Hungary
| | - Ildiko Seres
- Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Hajnalka Lorincz
- Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary
| | - Krisztina Csapo
- Department of Neurology, Faculty of Medicine, University of Debrecen, Moricz Zsigmond krt. 22, Debrecen, 4032, Hungary
| | - Judit Zsuga
- Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary.
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Podnar S, Dolenc Grošelj L. Neuropathic changes in the tongue protruder muscles in patients with snoring or obstructive sleep apnea. Neurophysiol Clin 2018; 48:269-275. [PMID: 29910146 DOI: 10.1016/j.neucli.2018.05.040] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 05/28/2018] [Accepted: 05/28/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE Both myopathic and neuropathic tongue protruder muscle changes have been demonstrated to occur in obstructive sleep apnea (OSA) patients using different methods. We tried to elucidate this dilemma using quantitative electromyographic (EMG) methods. METHODS In a group of consecutive patients with suspected OSA a full overnight polysomnography (PSG) and quantitative needle EMG of the tongue protruder, biceps brachii and vastus lateralis muscles were performed. EMG findings were compared to control subjects. RESULTS Of 23 patients, 8 were classified as simple snorers and the remaining 15 as OSA patients by PSG. Motor unit potential (MUP) parameters obtained in tongue protruder muscles, but not biceps brachii or vastus lateralis muscles, were significantly larger in patients compared to controls. However, no correlation was found between tongue protruder muscle MUP parameters and patient characteristics. DISCUSSION Our study confirmed previous findings of neuropathic changes in the tongue protruder muscles of OSA patients, and extended these to simple snorers. Changes were limited to the upper airway muscle, and could not been explained by the severity or duration of the sleep breathing disorder. The possible role of denervation injury caused by the upper airway vibrations should be tested in the future by appropriately designed studies.
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Affiliation(s)
- Simon Podnar
- Institute of Clinical Neurophysiology, Division of Neurology, University Medical Center Ljubljana, 1525 Ljubljana, Slovenia.
| | - Leja Dolenc Grošelj
- Institute of Clinical Neurophysiology, Division of Neurology, University Medical Center Ljubljana, 1525 Ljubljana, Slovenia
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11
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Fischer J, Brenner S. Standardprozeduren für Erwachsene in akkreditierten Schlafmedizinischen Zentren in Europa. SOMNOLOGIE 2013. [DOI: 10.1007/s11818-013-0640-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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12
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Penzel T, Pevernagie D, Dogas Z, Grote L, de Lacy S, Rodenbeck A, Bassetti C, Berg S, Cirignotta F, d'Ortho MP, Garcia-Borreguero D, Levy P, Nobili L, Paiva T, Peigneux P, Pollmächer T, Riemann D, Skene DJ, Zucconi M, Espie C. Catalogue of knowledge and skills for sleep medicine. J Sleep Res 2013; 23:222-38. [DOI: 10.1111/jsr.12095] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2012] [Accepted: 07/29/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Thomas Penzel
- Sleep Center; Charite University Hospital Berlin; Berlin Germany
| | - Dirk Pevernagie
- Sleep Disorders Centre; Kempenhaeghe Foundation; Heeze The Netherlands
| | - Zoran Dogas
- School of Medicine; University of Split; Split Croatia
| | - Ludger Grote
- Sleep Disorders Center; Sahlgrenska University Hospital; Gothenburg Sweden
| | | | | | | | - Søren Berg
- Department of ENT Diseases; University Hospital of Lund; Lund Sweden
| | - Fabio Cirignotta
- Neurology; University of Bologna; S. Orsola-Malpighi Hospital; Bologna Italy
| | - Marie-Pia d'Ortho
- Centre du Sommeil; Service de Physiologie-Explorations Fonctionnelles; Hopital Bichat Claude Bernard; APHP and Université Paris 7; Paris France
| | | | | | - Lino Nobili
- Centre of Sleep Medicine; Centre for Epilepsy Surgery; Niguarda Hospital; Milan Italy
| | | | - Philippe Peigneux
- Neuropsychology and Functional Neuroimaging Research Unit; Université Libre de Bruxelles; Bruxelles Belgium
| | | | - Dieter Riemann
- Psychiatry and Psychotherapy; Freiburg University Medical Center; Freiburg Germany
| | - Debra J. Skene
- Faculty of Health and Medical Sciences; Department of Chronobiology; University of Surrey; Guildford UK
| | - Marco Zucconi
- Department of Clinical Neurosciences; San Raffaele Hospital; Milan Italy
| | - Colin Espie
- Sleep and Circadian Neuroscience Institute; University of Oxford; Oxford UK
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Bahammam AS, Al-Jahdali H, Alharbi AS, Alotaibi G, Asiri SM, Alsayegh A. Saudi regulations for the accreditation of sleep medicine physicians and technologists. Ann Thorac Med 2013; 8:3-7. [PMID: 23440260 PMCID: PMC3573555 DOI: 10.4103/1817-1737.105710] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2012] [Accepted: 10/10/2012] [Indexed: 11/27/2022] Open
Abstract
The professional content of sleep medicine has grown significantly over the past few decades, warranting the recognition of sleep medicine as an independent specialty. Because the practice of sleep medicine has expanded in Saudi Arabia over the past few years, a national regulation system to license and ascertain the competence of sleep medicine physicians and technologists has become essential. Recently, the Saudi Commission for Health Specialties formed the National Committee for the Accreditation of Sleep Medicine Practice and developed national accreditation criteria. This paper presents the newly approved Saudi accreditation criteria for sleep medicine physicians and technologists.
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Affiliation(s)
- Ahmed S Bahammam
- University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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14
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15
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Utte L, Blau A, Rodenbeck A. Qualitätssicherung in DGSM-akkreditierten Schlaflaboren. SOMNOLOGIE 2012. [DOI: 10.1007/s11818-012-0579-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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16
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FISCHER JÜRGEN, DOGAS ZORAN, BASSETTI CLAUDIOL, BERG SØREN, GROTE LUDGER, JENNUM POUL, LEVY PATRICK, MIHAICUTA STEFAN, NOBILI LINO, RIEMANN DIETER, PUERTAS CUESTA FJAVIER, RASCHKE FRIEDHART, SKENE DEBRAJ, STANLEY NEIL, PEVERNAGIE DIRK. Standard procedures for adults in accredited sleep medicine centres in Europe. J Sleep Res 2011; 21:357-68. [DOI: 10.1111/j.1365-2869.2011.00987.x] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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17
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18
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BaHammam AS. Sleep medicine in Saudi Arabia: Current problems and future challenges. Ann Thorac Med 2011; 6:3-10. [PMID: 21264164 PMCID: PMC3023868 DOI: 10.4103/1817-1737.74269] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2010] [Accepted: 09/22/2010] [Indexed: 12/02/2022] Open
Abstract
Sleep medicine is a relatively new specialty in the medical community. The practice of sleep medicine in Saudi Arabia (KSA) began in the mid to late nineties. Since its inception, the specialty has grown, and the number of specialists has increased. Nevertheless, sleep medicine is still underdeveloped in the KSA, particularly in the areas of clinical service, education, training and research. Based on available data, it appears that sleep disorders are prevalent among Saudis, and the demand for sleep medicine service is expected to rise significantly in the near future. A number of obstacles have been defined that hinder the progress of the specialty, including a lack of trained technicians, specialists and funding. Awareness about sleep disorders and their serious consequences is low among health care workers, health care authorities, insurance companies and the general public. A major challenge for the future is penetrating the educational system at all levels to demonstrate the high prevalence and serious consequences of sleep disorders. To attain adequate numbers of staff and facilities, the education and training of health care professionals at the level of sleep medicine specialists and sleep technologists is another important challenge that faces the specialty. This review discusses the current position of sleep medicine as a specialty in the KSA and the expected challenges of the future. In addition, it will guide clinicians interested in setting up new sleep medicine services in the KSA or other developing countries through the potential obstacles that may face them in this endeavor.
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Affiliation(s)
- Ahmed S. BaHammam
- University Sleep Disorders Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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19
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PEVERNAGIE DIRK, STANLEY NEIL, BERG SÖREN, KRIEGER JEAN, AMICI ROBERTO, BASSETTI CLAUDIO, BILLIARD MICHEL, CIRIGNOTTA FABIO, GARCIA-BORREGUERO DIEGO, TOBLER IRENE, FISCHER JÜRGEN. European guidelines for the certification of professionals in sleep medicine: report of the task force of the European Sleep Research Society. J Sleep Res 2009; 18:136-41. [DOI: 10.1111/j.1365-2869.2008.00721.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Björnsson E. Don't sleep on it. THE CLINICAL RESPIRATORY JOURNAL 2008; 2:195. [PMID: 20298332 DOI: 10.1111/j.1752-699x.2008.00098.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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21
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22
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Pollmächer T. European sleep medicine is airborne. J Sleep Res 2006; 15:230. [PMID: 16704579 DOI: 10.1111/j.1365-2869.2006.00526.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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