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Racial variations in maxillomandibular advancement for obstructive sleep apnea: a systematic review and meta-analysis.
Sleep Breath
December 2024
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Article Synopsis
- - The study investigates how different ethnic/racial groups respond to MMA treatment for obstructive sleep apnea (OSA), analyzing various clinical outcomes through a meta-analysis of 20 studies with 469 patients from Caucasian, Asian, and Latino backgrounds.
- - Results show that both Caucasians and Asians exhibited significant reductions in Apnea-Hypopnea Index (AHI), with Asians experiencing greater improvements compared to Caucasians and Latinos, while Latinos showed the least improvement.
- - The findings suggest that there are notable differences in MMA treatment outcomes across ethnic/racial groups, with Asians having more severe OSA before surgery but achieving better postoperative results in sleep apnea severity and sleep quality measures compared to Caucasians.
Alterations of Gut Microbiome Composition and Function Pre- and Post-Adenotonsillectomy in Children with Obstructive Sleep Apnea.
J Otolaryngol Head Neck Surg
November 2024
Department of Laboratory Medicine, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Importance: Obstructive sleep apnea (OSA) in children is linked with alterations in the gut microbiome. The influence of adenotonsillectomy (AT), a primary intervention for OSA, on gut microbiota dynamics relative to disease severity remains to be elucidated.
Objective: This study aimed to investigate the impact of OSA severity and AT on the gut microbiome in pediatric patients.
Effects of multilevel OSA surgery on patients with poor cardiopulmonary performance: A prospective pilot study.
Auris Nasus Larynx
December 2024
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; College of Medicine, Chang Gung University, Taoyuan and Kaohsiung, Taiwan; Sleep Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; School of Medicine and Institute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung, Taiwan; Department of Business Management, Institute of Healthcare Management, National Sun Yat-sen University, Kaohsiung, Taiwan; Robotic Surgery Center and Center for Quality Management, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Electronic address:
Objective: Multilevel airway surgery for obstructive sleep apnea/hypopnea syndrome (OSA) has benefits in improving sleep quality, but its effect on polysomnography (PSG) and 6-minute walk test (6MWT) parameters, including walking distance and cardiopulmonary performance, in patients with poor pre-operative cardiopulmonary performance remains understudied, which should be further investigated.
Methods: This prospective pilot study enrolled 27 consecutive OSA patients with poor pre-operative 6MWT results. All patients received multilevel OSA surgery, and the alterations of sleep parameters and 6MWT profiles were studied.
Caffeine Intake Alters Recovery Sleep after Sleep Deprivation.
Nutrients
October 2024
Ecole du Val de Grace, 75006 Paris, France.
Article Synopsis
- Caffeine can help mitigate the negative effects of sleep deprivation, but it may also reduce the quality and duration of recovery sleep.
- A study with 41 participants showed that after total sleep deprivation (38 hours of staying awake), those who took caffeine had less total sleep time and experienced more disturbances during recovery sleep compared to those who received a placebo.
- The effects of caffeine on recovery sleep varied depending on participants' regular caffeine consumption, suggesting that advice on caffeine intake may need to be tailored for individuals, especially night-shift workers.
Sleep is altered during menstruation but not inflammatory parameters: Results from polysomnography of EPISONO database.
J Sleep Res
October 2024
Department of Psychobiology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Article Synopsis
- Menstruation is linked to inflammation and can affect women's mental and physical health, highlighting the importance of assessing sleep quality.
- A study analyzed data from 232 women, comparing menstruating and non-menstruating groups in terms of sleep quality, inflammatory markers, fatigue, anxiety, and quality of life.
- Findings showed that menstruating women had lower sleep efficiency compared to non-menstruating women, suggesting that menstruation might negatively impact sleep, warranting further research on menstrual cycle phases and their effects.
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