Acupressure effect on sleep quality: a systematic review and meta-analysis
Acupressure is a non-invasive treatment in which pressure is applied to specific body points. Following public health concerns about poor sleep quality and increasing interest in alternative treatments, a systematic review and meta-analysis were designed to evaluate the effects of acupressure on the quality of sleep. Ten English (PubMed, CENTRAL, CINAHL etc.) and five Chinese (CNKI, WANFANG etc.) databases were searched and the validity of the eligible studies was critically appraised. Thirty-two eligible randomized controlled trials of moderate to high quality which employed polysomnography, actigraphy, or self-assessment...
Source: Sleep Medicine Reviews - December 21, 2016 Category: Sleep Medicine Authors: Alexander Waits, You-Ren Tang, Hao-Ming Cheng, Chen-Jei Tai, Li-Yin Chien Tags: Clinical Review Source Type: research
Critical Review: CPAP and Weight Management of Obstructive Sleep Apnea Cardiovascular Co-morbidities
The cardiovascular co-morbidities of obstructive sleep apnea (OSA) are similar to those of obesity. Cardiovascular co-morbidities often are the cause of adverse outcomes in overweight/obese OSA patients. Continuous positive airway pressure (CPAP) therapy resolves the symptoms of OSA, but may, or may not lead to improvement of a given cardiovascular co-morbidity. The impact of CPAP on cardiovascular risk variables, adverse cardiovascular events in overweight/obese OSA patients has been evaluated primarily in prospective, uncontrolled cohort studies. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - December 17, 2016 Category: Sleep Medicine Authors: David W. Hudgel Tags: Clinical Review Source Type: research
Phenotypic approaches to obstructive sleep apnoea – New pathways for targeted therapy
People develop obstructive sleep apnoea (OSA) for different reasons. The ability to understand these reasons, easily identify them in individual patients, and develop therapies that target one or more of these reasons are the keys to unlocking new approaches for the treatment of OSA. In line with this approach, recent advances in OSA pathogenesis using upper airway and respiratory phenotyping techniques have identified four key causes of OSA. A narrow or collapsible upper airway ( ‘impaired anatomy’) is the primary cause. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - December 16, 2016 Category: Sleep Medicine Authors: Danny J. Eckert Tags: Clinical Review Source Type: research
How does general anaesthesia affect the circadian clock?
Post-operative patients experience sleep disturbances. Animal studies demonstrate that general anaesthesia (GA) can disrupt circadian rhythms and cause changes in the molecular clock, indicating that anaesthesia contributes to post-operative circadian disruption. Here we review the effect of anaesthesia on the circadian clock and its rhythms in order to summarise current findings outline commonalities between studies and propose mechanisms by which effects may be mediated.Key points: (1) GA has strong effects on the main neurotransmitter systems linked with circadian control (GABA/NMDA) and may act by interfering with ligh...
Source: Sleep Medicine Reviews - December 16, 2016 Category: Sleep Medicine Authors: Raewyn C. Poulsen, Guy R. Warman, Jamie Sleigh, Nicola M. Ludin, James F. Cheeseman Tags: Clinical Review Source Type: research
Phenotypic approaches to obstructive sleep apnoea- New pathways for targeted therapy
People develop obstructive sleep apnoea (OSA) for different reasons. The ability to understand these reasons, easily identify them in individual patients, and develop therapies that target one or more of these reasons are the keys to unlocking new approaches for the treatment of OSA. In line with this approach, recent advances in OSA pathogenesis using upper airway and respiratory phenotyping techniques have identified four key causes of OSA. A narrow or collapsible upper airway ( ‘impaired anatomy’) is the primary cause. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - December 16, 2016 Category: Sleep Medicine Authors: Danny J. Eckert Tags: Clinical Review Source Type: research
The use of pulse transit time in pediatric sleep studies: A systematic review
As a surrogate measure of blood pressure, pulse transit time (PTT) is commonly used in studies investigating arterial function and respiratory sleep disturbance. A systematic search of the literature was conducted with the aim of reviewing the usefulness of the technique within pediatric sleep studies. All studies that used PTT as a diagnostic tool during sleep in infants, children or adolescents were considered. The search yielded 425 articles, of which 21 full-text articles met inclusion criteria, the majority reporting on obstructive sleep apnea (OSA). (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 29, 2016 Category: Sleep Medicine Authors: Laurelle A. Smith, Patrick J. Dawes, Barbara C. Galland Tags: Clinical Review Source Type: research
The use of pulse transit time in paediatric sleep studies: a systematic review
As a surrogate measure of blood pressure, pulse transit time (PTT) is commonly used in studies investigating arterial function and respiratory sleep disturbance. A systematic search of the literature was conducted with the aim of reviewing the usefulness of the technique within paediatric sleep studies. All studies that used PTT as a diagnostic tool during sleep in infants, children or adolescents were considered. The search yielded 425 articles, of which 21 full-text articles met inclusion criteria, the majority reporting on obstructed sleep apnea (OSA). (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 29, 2016 Category: Sleep Medicine Authors: Laurelle A. Smith, Patrick J. Dawes, Barbara C. Galland Tags: Clinical Review Source Type: research
Exploring the brain bases of dreaming. Commentary on “Beyond the neuropsychology of dreaming: Insights into the neural basis of dreaming with new techniques of sleep recording and analysis.” Sleep Medicine Reviews
Although it has been known since soon after the discovery of rapid eye movement (REM) sleep that dreams can occur in all stages of sleep [1,2], it is clear that REM sleep represents the sleep state most conducive to sensorily vivid, motoric and emotionally salient dreams with the most elaborated narrative structures [3]. The first positron emission tomography (PET) studies of REM sleep from the late 1990s [4 –8] provided essential background for speculation as to the brain bases for the unique features of the REM-sleep dream experience in comparison to waking consciousness. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 20, 2016 Category: Sleep Medicine Authors: Edward F. Pace-Schott Tags: Guest Editorial Source Type: research
Exploring the brain bases of dreaming. Commentary on: “Beyond the neuropsychology of dreaming: insights into the neural basis of dreaming with new techniques of sleep recording and analysis.” Sleep Medicine Reviews
Although it has been known since soon after the discovery of REM sleep that dreams can occur in all stages of sleep [1, 2], it is clear that REM sleep represents the sleep state most conducive to sensorily vivid, motoric and emotionally salient dreams with the most elaborated narrative structures [3]. The first PET studies of REM sleep from the late 1990s [4-8] provided essential background for speculation as to the brain bases for the unique features of the REM-sleep dream experience in comparison to waking consciousness. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 20, 2016 Category: Sleep Medicine Authors: Edward F. Pace-Schott Tags: Guest editorial Source Type: research
Positional modification techniques for supine obstructive sleep apnea: a systematic review and meta-analysis
This review aimed to determine the effectiveness of positional modification techniques in preventing supine sleep, sleep-disordered breathing and other clinically important outcomes on patients with supine obstructive sleep apnea (OSA). Randomized controlled trials comparing positional modification techniques with any other therapy or placebo were included. Electronic searches of databases including CENTRAL, MEDLINE, CINAHL, EMBASE, and Web of Science up to April 2016 were performed. Meta-analysis was undertaken where possible. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 17, 2016 Category: Sleep Medicine Authors: Hayley Barnes, Bradley Edwards, Simon Joosten, Matthew Naughton, Garun Hamilton, Eli Dabscheck Tags: Clinical Review Source Type: research
Performance of screening questionnaires for obstructive sleep apnea during pregnancy: A systematic review and meta-analysis
PROSPERO registration CRD42015025848. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 14, 2016 Category: Sleep Medicine Authors: Visasiri Tantrakul, Pawin Numthavaj, Christian Guilleminault, Mark McEvoy, Panyu Panburana, Win Khaing, John Attia, Ammarin Thakkinstian Source Type: research
Idiopathic REM sleep behavior disorder and neurodegenerative risk: to tell or not to tell to the patient? How to minimize the risk?
Most people with idiopathic REM sleep behavior disorder (iRBD) have an underlying synucleinopathy, mainly Parkinson ’s disease (PD) or dementia with Lewy bodies, with median conversion time of 4-9 years from iRBD diagnosis and of 11-16 years from symptom onset. Subtle signs and imaging tests indicate concomitant neurodegeneration in widespread brain areas. Risk factor studies suggest that iRBD patients may have prior head injury, occupational farming, pesticide exposure, low education level and possibly more frequent family history of dream-enactment behavior (but not of PD), plus unexpected risk factors (smoking, ischem...
Source: Sleep Medicine Reviews - November 9, 2016 Category: Sleep Medicine Authors: Dario Arnaldi, Elena Antelmi, Erik K. St. Louis, Ronald B. Postuma, Isabelle Arnulf Source Type: research
Exercise interventions to improve sleep in cancer patients: A systematic review and meta-analysis
Exercise leads to several positive outcomes in oncology. However, the question as to whether exercise is a valuable option for improving patients' sleep, which is frequently disturbed in cancer patients, remains unanswered. The aims of this study were to conduct a systematic review and meta-analysis of randomized and non-randomized clinical trials that have investigated the effect of exercise on sleep outcomes, assessed subjectively and objectively. Relevant studies, published before May 2016, were traced through a systematic search of Pubmed, Embase, PsyInfo, SportDiscus and Cochrane Library databases. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 8, 2016 Category: Sleep Medicine Authors: Joanie Mercier, Jos ée Savard, Paquito Bernard Source Type: research
Insomnia heterogeneity: characteristics to consider for data-driven multivariate subtyping
Meta-analyses and systematic reviews have reported surprisingly few consistent insomnia-characteristics with respect to cognitions, mood, traits, history of life events and family history. One interpretation of this limited consistency is that different subtypes of insomnia exist, each with its own specific multivariate profile of characteristics. Because previously unrecognized subtypes will be differentially represented in individual studies and dilute effect sizes of subtype-dependent characteristics of importance, they are unlikely to be reported consistently in individual studies, let alone in meta-analyses. (Source: ...
Source: Sleep Medicine Reviews - November 7, 2016 Category: Sleep Medicine Authors: Jeroen S. Benjamins, Filippo Migliorati, Kim Dekker, Rick Wassing, Sarah Moens, Tessa F. Blanken, Bart H.W. te Lindert, Jeffrey Sjauw Mook, Eus J.W. Van Someren Tags: Theoretical Review Source Type: research
Diagnostic Accuracy of the Berlin Questionnaire, STOP-Bang, STOP, and Epworth Sleepiness Scale in Detecting Obstructive Sleep Apnea: A Bivariate Meta-analysis
Obstructive sleep apnea (OSA) is a highly prevalent sleep disorder; however, it remains underdiagnosed and undertreated. Although screening tools such as the Berlin questionnaire (BQ), STOP-Bang questionnaire (SBQ), STOP questionnaire (STOP), and Epworth sleepiness scale (ESS) are widely used for OSA, the findings regarding their diagnostic accuracy are controversial. Therefore, this meta-analysis investigated and compared the summary sensitivity, specificity, and diagnostic odds ratio (DOR) among the BQ, SBQ, STOP, and ESS according to the severity of OSA. (Source: Sleep Medicine Reviews)
Source: Sleep Medicine Reviews - November 3, 2016 Category: Sleep Medicine Authors: Hsiao-Yean Chiu, Pin-Yuan Chen, Li-Pang Chuang, Ning-Hung Chen, Yu-Kang Tu, Yu-Jung Hsieh, Yu-Chi Wang, Christian Guilleminault Tags: Clinical Review Source Type: research
