Publications by authors named "I Fietze"

Background: This study examines the relationship between obstructive sleep apnea severity, sleep position, and body weight, particularly focusing on the negative impact of sleeping in a supine position combined with being overweight in a population-based sample.

Methods: The Apnea-Hypopnea Index (AHI) was utilized as a marker of OSA severity and sleep position from a standardized overnight polysomnography. Participants were categorized by body mass index (BMI) (kg/m) into normal weight/underweight (<25) and overweight (≥25).

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Article Synopsis
  • There is increasing interest in periodic limb movements in sleep (PLMS) both clinically and scientifically, highlighting its significance as a movement disorder.
  • The study evaluates the effectiveness of the SOMNOwatch™ actigraph in detecting PLMS by comparing its results with traditional nocturnal polysomnography (PSG) in 28 patients.
  • Findings show a high correlation between the PLMI from both methods (r = 0.98), with the SOMNOwatch™ displaying strong sensitivity (86.7%) and specificity (92.3%) for detecting PLMS.
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Chronic pain affects the quality of life for millions of people worldwide. There is a bidirectional link between pain and sleep: poor sleep quality exacerbates pain, and pain disrupts sleep. Addressing this cycle is crucial for effective pain management and improving patients' overall health outcomes.

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  • - The study examined the sleep patterns of patients with obesity hypoventilation syndrome (OHS) who are opium addicts, on methadone maintenance treatment (MMT), or non-addicts, using polysomnographic (PSG) data.
  • - A total of 75 patients were categorized into three groups, and results indicated that while the overall apnea hypopnea index was similar across groups, the opium addicts had significantly longer apnea durations, while those on MMT showed worse hypopnea and oxygen saturation measures.
  • - The findings highlighted that sleep disturbances were more pronounced in the MMT group compared to opium addicts, suggesting a need for more research on how both substances affect sleep in OHS patients.
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Rationale: Adherence to positive airway pressure (PAP) therapy is a common and challenging issue. Although some studies have looked at the impact of initial mask selection, there is a lack of data regarding the impact of a change in mask on adherence to PAP therapy.

Objective(s): This study investigated the impact of a mask change or renewal on mid-term PAP adherence.

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