The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S1806-37562016000000308 http://hdl.handle.net/11449/164329 |
Resumo: | Objective: To investigate whether the presence of obstructive sleep apnea syndrome (OSAS) alters the perception of respiratory symptoms and quality of life in COPD patients, by using specific questionnaires, as well as to determine whether scales for assessing daytime sleepiness and for screening for OSAS can be used in the triad of OSAS, COPD, and obesity. Methods: We included 66 patients diagnosed with mild-to-moderate or severe COPD and presenting with a body mass index > 27 kg/m(2). After polysomnography, patients completed the Epworth sleepiness scale (ESS), the Berlin questionnaire (BQ), the modified Medical Research Council (mMRC) scale, the Baseline Dyspnea Index (BDI), and the Saint George's Respiratory Questionnaire (SGRQ). Results: Patients were first divided into two groups: COPD + OSAS (n = 46); and COPD-only (n = 20). The COPD + OSAS group was subdivided into a COPD + mild-to-moderate OSAS group (n = 32) and a COPD + severe OSAS group (n = 14), all of which were compared with the COPD-only group. There was a significant difference in mean FEV1 (L) between the COPD + OSAS groups and the COPD-only group (p = 0.073). The presence of the triad did not lead to significantly higher ESS scores, and scores > 10 had a specificity of 0.58. The BQ did not identify high risk for OSAS in the presence of the triad (specificity of 0.31). There were no significant differences in domain or total scores of the SGRQ between the COPD + OSAS groups and the COPD-only group. Conclusions: The confounding factors present in the triad of OSAS, COPD, and obesity prevented the perception of increased daytime sleepiness and high risk for OSAS. We observed no worsening of dyspnea perception or quality of life. |
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The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnairesSleep apneaobstructivePulmonary diseasechronic obstructiveObesitySurveys and questionnairesObjective: To investigate whether the presence of obstructive sleep apnea syndrome (OSAS) alters the perception of respiratory symptoms and quality of life in COPD patients, by using specific questionnaires, as well as to determine whether scales for assessing daytime sleepiness and for screening for OSAS can be used in the triad of OSAS, COPD, and obesity. Methods: We included 66 patients diagnosed with mild-to-moderate or severe COPD and presenting with a body mass index > 27 kg/m(2). After polysomnography, patients completed the Epworth sleepiness scale (ESS), the Berlin questionnaire (BQ), the modified Medical Research Council (mMRC) scale, the Baseline Dyspnea Index (BDI), and the Saint George's Respiratory Questionnaire (SGRQ). Results: Patients were first divided into two groups: COPD + OSAS (n = 46); and COPD-only (n = 20). The COPD + OSAS group was subdivided into a COPD + mild-to-moderate OSAS group (n = 32) and a COPD + severe OSAS group (n = 14), all of which were compared with the COPD-only group. There was a significant difference in mean FEV1 (L) between the COPD + OSAS groups and the COPD-only group (p = 0.073). The presence of the triad did not lead to significantly higher ESS scores, and scores > 10 had a specificity of 0.58. The BQ did not identify high risk for OSAS in the presence of the triad (specificity of 0.31). There were no significant differences in domain or total scores of the SGRQ between the COPD + OSAS groups and the COPD-only group. Conclusions: The confounding factors present in the triad of OSAS, COPD, and obesity prevented the perception of increased daytime sleepiness and high risk for OSAS. We observed no worsening of dyspnea perception or quality of life.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Univ Oeste Paulista Unoeste, Presidente Prudente, SP, BrazilUniv Estadual Paulista, Hosp Clin, Fac Med Botucatu, Botucatu, SP, BrazilUniv Estadual Paulista, Hosp Clin, Fac Med Botucatu, Botucatu, SP, BrazilFAPESP: 2013/02091FAPESP: 201418965-5Soc Brasileira Pneumologia TisiologiaUniv Oeste Paulista UnoesteUniversidade Estadual Paulista (Unesp)Mungo Pissulin, Flavio DaniloPacagnelli, Francis LopesAlda, Maiara AlmeidaBeneti, RicardoBarros, Jefferson Luis de [UNESP]Minamoto, Suzana Tanni [UNESP]Thereza Weber, Silke Anna [UNESP]2018-11-26T17:52:09Z2018-11-26T17:52:09Z2018-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article202-206application/pdfhttp://dx.doi.org/10.1590/S1806-37562016000000308Jornal Brasileiro De Pneumologia. Brasilia Df: Soc Brasileira Pneumologia Tisiologia, v. 44, n. 3, p. 202-206, 2018.1806-3713http://hdl.handle.net/11449/16432910.1590/S1806-37562016000000308S1806-37132018000300202WOS:000435582000011S1806-37132018000300202.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Brasileiro De Pneumologia0,448info:eu-repo/semantics/openAccess2023-10-05T06:09:41Zoai:repositorio.unesp.br:11449/164329Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T14:07:20.587933Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
title |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
spellingShingle |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires Mungo Pissulin, Flavio Danilo Sleep apnea obstructive Pulmonary disease chronic obstructive Obesity Surveys and questionnaires |
title_short |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
title_full |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
title_fullStr |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
title_full_unstemmed |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
title_sort |
The triad of obstructive sleep apnea syndrome, COPD, and obesity: sensitivity of sleep scales and respiratory questionnaires |
author |
Mungo Pissulin, Flavio Danilo |
author_facet |
Mungo Pissulin, Flavio Danilo Pacagnelli, Francis Lopes Alda, Maiara Almeida Beneti, Ricardo Barros, Jefferson Luis de [UNESP] Minamoto, Suzana Tanni [UNESP] Thereza Weber, Silke Anna [UNESP] |
author_role |
author |
author2 |
Pacagnelli, Francis Lopes Alda, Maiara Almeida Beneti, Ricardo Barros, Jefferson Luis de [UNESP] Minamoto, Suzana Tanni [UNESP] Thereza Weber, Silke Anna [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Univ Oeste Paulista Unoeste Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Mungo Pissulin, Flavio Danilo Pacagnelli, Francis Lopes Alda, Maiara Almeida Beneti, Ricardo Barros, Jefferson Luis de [UNESP] Minamoto, Suzana Tanni [UNESP] Thereza Weber, Silke Anna [UNESP] |
dc.subject.por.fl_str_mv |
Sleep apnea obstructive Pulmonary disease chronic obstructive Obesity Surveys and questionnaires |
topic |
Sleep apnea obstructive Pulmonary disease chronic obstructive Obesity Surveys and questionnaires |
description |
Objective: To investigate whether the presence of obstructive sleep apnea syndrome (OSAS) alters the perception of respiratory symptoms and quality of life in COPD patients, by using specific questionnaires, as well as to determine whether scales for assessing daytime sleepiness and for screening for OSAS can be used in the triad of OSAS, COPD, and obesity. Methods: We included 66 patients diagnosed with mild-to-moderate or severe COPD and presenting with a body mass index > 27 kg/m(2). After polysomnography, patients completed the Epworth sleepiness scale (ESS), the Berlin questionnaire (BQ), the modified Medical Research Council (mMRC) scale, the Baseline Dyspnea Index (BDI), and the Saint George's Respiratory Questionnaire (SGRQ). Results: Patients were first divided into two groups: COPD + OSAS (n = 46); and COPD-only (n = 20). The COPD + OSAS group was subdivided into a COPD + mild-to-moderate OSAS group (n = 32) and a COPD + severe OSAS group (n = 14), all of which were compared with the COPD-only group. There was a significant difference in mean FEV1 (L) between the COPD + OSAS groups and the COPD-only group (p = 0.073). The presence of the triad did not lead to significantly higher ESS scores, and scores > 10 had a specificity of 0.58. The BQ did not identify high risk for OSAS in the presence of the triad (specificity of 0.31). There were no significant differences in domain or total scores of the SGRQ between the COPD + OSAS groups and the COPD-only group. Conclusions: The confounding factors present in the triad of OSAS, COPD, and obesity prevented the perception of increased daytime sleepiness and high risk for OSAS. We observed no worsening of dyspnea perception or quality of life. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-26T17:52:09Z 2018-11-26T17:52:09Z 2018-05-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1806-37562016000000308 Jornal Brasileiro De Pneumologia. Brasilia Df: Soc Brasileira Pneumologia Tisiologia, v. 44, n. 3, p. 202-206, 2018. 1806-3713 http://hdl.handle.net/11449/164329 10.1590/S1806-37562016000000308 S1806-37132018000300202 WOS:000435582000011 S1806-37132018000300202.pdf |
url |
http://dx.doi.org/10.1590/S1806-37562016000000308 http://hdl.handle.net/11449/164329 |
identifier_str_mv |
Jornal Brasileiro De Pneumologia. Brasilia Df: Soc Brasileira Pneumologia Tisiologia, v. 44, n. 3, p. 202-206, 2018. 1806-3713 10.1590/S1806-37562016000000308 S1806-37132018000300202 WOS:000435582000011 S1806-37132018000300202.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Jornal Brasileiro De Pneumologia 0,448 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
202-206 application/pdf |
dc.publisher.none.fl_str_mv |
Soc Brasileira Pneumologia Tisiologia |
publisher.none.fl_str_mv |
Soc Brasileira Pneumologia Tisiologia |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128318263787520 |