Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnoea.
Linda D. Sharples,Linda D. Sharples,Abigail Clutterbuck-James,Matthew Glover,Maxine Bennett,Rebecca Chadwick,Marcus Pittman,Timothy G. Quinnell +7 more
TLDR
Although CPAP has a greater treatment effect, MAD is an appropriate treatment for patients who are intolerant of CPAP and may be comparable to CPAP in mild disease.About:
This article is published in Sleep Medicine Reviews.The article was published on 2016-06-01 and is currently open access. It has received 145 citations till now. The article focuses on the topics: Continuous positive airway pressure & Epworth Sleepiness Scale.read more
Citations
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Journal ArticleDOI
Phenotypes in obstructive sleep apnea: A definition, examples and evolution of approaches.
TL;DR: The use of machine learning is discussed as a promising phenotyping strategy that can integrate multiple types of data (genomic, molecular, cellular, clinical) to identify unique, meaningful OSA phenotypes.
Journal ArticleDOI
Sleep Disorder Diagnosis During Pregnancy and Risk of Preterm Birth.
TL;DR: Considering the high prevalence of sleep disorders during pregnancy and availability of evidence-based nonpharmacologic interventions, current findings suggest that screening for severe presentations would be prudent.
Journal ArticleDOI
Comparative efficacy of CPAP, MADs, exercise-training, and dietary weight loss for sleep apnea: a network meta-analysis
Imran H. Iftikhar,Lia Bittencourt,Shawn D. Youngstedt,Najib T. Ayas,Peter A. Cistulli,Richard Schwab,Martin W. Durkin,Ulysses J. Magalang +7 more
TL;DR: CPAP is the most efficacious in complete resolution of sleep apnea and in improving the indices of saturation during sleep, and MADs offer a reasonable alternative to CPAP, exercise training which significantly improved daytime sleepiness could be used as adjunctive to the former two.
Journal ArticleDOI
Comparison of the effects of continuous positive airway pressure and mandibular advancement devices on sleepiness in patients with obstructive sleep apnoea: a network meta-analysis
TL;DR: Continuous positive airway pressure seemed to be a more effective treatment than mandibular advancement devices, and had an increasingly larger effect in more severe or sleepier obstructive sleep apnoea patients when compared with inactive controls.
Journal ArticleDOI
Obstructive Sleep Apnea Syndrome, Objectively Measured Physical Activity and Exercise Training Interventions: A Systematic Review and Meta-Analysis
Monique Mendelson,Monique Mendelson,Sébastien Bailly,Sébastien Bailly,Mathieu Marillier,Mathieu Marillier,Patrice Flore,Patrice Flore,Jean-Christian Borel,Jean-Christian Borel,Isabelle Vivodtzev,Isabelle Vivodtzev,Stéphane Doutreleau,Stéphane Doutreleau,Samuel Verges,Samuel Verges,Renaud Tamisier,Renaud Tamisier,Jean-Louis Pépin,Jean-Louis Pépin +19 more
TL;DR: Objective measurement of physical activity in routine OSA management and well-designed clinical trials are recommended and future interventions (including exercise training) focusing on increasing physical activity levels may have important clinical impacts on both OSA severity and the burden of associated co-morbidities.
References
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A new method for measuring daytime sleepiness: the Epworth sleepiness scale.
TL;DR: The development and use of a new scale, the Epworth sleepiness scale (ESS), is described, which is a simple, self-administered questionnaire which is shown to provide a measurement of the subject's general level of daytime sleepiness.
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The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
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WinBUGS – A Bayesian modelling framework: Concepts, structure, and extensibility
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