Quality of life in moderate to severe obstructive sleep apnea individuals before and after continuous positive airway pressure treatment

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Paulo Roberto Ramos Alves
Fernando Arruda Ramos
Thaise Brighente Volpato

Abstract

Introduction: Obstructive sleep apnea (OSA) is characterized by recurrent episodes of partial or total obstruction of the upper airway, lasting at least ten seconds each in a frequency greater than five episodes per hour during sleep. Objective: To analyze the quality of life of individuals with OSA after treatment with continuous positive airway pressure (CPAP). Methods: Twenty individuals with OSA and apnea-hypopnea index (AHI) greater than 15, identified by polysomnography (PSG), were submitted to two quality of life questionnaires before and after CPAP treatment. Results: Twenty subjects completed the protocol. Mean age was 57±10 years, mean body mass index (BMI) was 31.6±4.5 kg/m2 and neck circumference (NC) average was 38.7±2.8 cm. We noted an average loss of 6.6±4.6 points in the Epworth scale and 6.6±1.5 points on the Stanford scale, besides gains ranging from 5 to 100 points on the scale of quality of life. Conclusion: CPAP improves quality of life in moderate to severe OSA individuals.

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How to Cite
Alves, P. R. R., Ramos, F. A., & Volpato, T. B. (2016). Quality of life in moderate to severe obstructive sleep apnea individuals before and after continuous positive airway pressure treatment. ABCS Health Sciences, 41(3). https://doi.org/10.7322/abcshs.v41i3.903
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Original Articles

References

Lorenzi Filho G. Apneia obstrutiva do sono: um grave problema de saúde pública. Pneumol Paulista. 2008;21(3):5.

Chaves Junior CM, Dal-Fabbro C, Bruin VMS, Tufik S, Bittencourt LRA. Consenso brasileiro de ronco e apneia do sono: aspectos de interesse aos ortodontistas. Dental Press J Orthod. 2011;16(1):34.e1-10. http://dx.doi.org/10.1590/S2176-94512011000100007

Campostrini DDA, Prado LBF, Prado GF. Síndrome da apneia obstrutiva do sono e doenças cardiovasculares. Rev Neurocienc. 2014;22(1):102-12. http://dx.doi.org/10.4181/RNC.2014.22.930.11p

Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive sleep apnea syndrome in the São Paulo Epidemiologic Sleep Study. Sleep Med. 2010;11(5):441-6. http://dx.doi.org/10.1016/j.sleep.2009.10.005

Cintra FD, Poyares D, Guilleminault C, Carvalho AC, Tufik S, Paola AAV. Alterações cardiovasculares na síndrome da apneia obstrutiva do sono. Arq Bras Cardiol. 2006;86(6):399-407. http://dx.doi.org/10.1590/S0066-782X2006000600001

Berry RB, Brooks R, Gamaldo CE, Harding SM, Lloyd RM, Marcus CL, et al. The AASM Manual for the Scoring of Sleep and Associated Events: rules, terminology and technical specifications, version 2.2. Darien (IL): American Academy of Sleep Medicine; 2015.

Pereira GDP, Ramos FA, Fomin DS, Alóe F, Pinto JA. Ronco e apneia-hipopneia obstrutiva do sono: indicações da somnoplastia e da uvulopalatofaringoplastia com laser de CO2. Int Arch Otorhinolaryngol. 2001;5(4).

Lacerda VMA, Cunha ACR, Souza IR, Vasconcelos RS, Melo LTM, Abdon APV. Qualidade de vida (QV) e aspectos clínicos de pacientes com síndrome da apneia obstrutiva do sono (SAOS) em tratamento com pressão positiva contínua nas vias aéreas (CPAP). Rev Bras Qual Vida. 2013;5(1):22-30. http://dx.doi.org/10.3895/S2175-08582013000100003

Ito FA, Ito RT, Moraes NM, Sakima T, Bezerra MLS, Meirelles RC. Condutas terapêuticas para tratamento da síndrome da apnéia e hipopnéia obstrutiva do sono (SAHOS) e da síndrome da resistência das vias aéreas superiores (SRVAS) com enfoque no aparelho anti-ronco (AAR-ITO). Rev Dent Press Ortodon Ortop Facial. 2005;10(4):143-56. http://dx.doi.org/10.1590/S1415-54192005000400015

Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.

Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM, Johns MW. Validação da escala de sonolência de Epworth em português para uso no Brasil. J Bras Pneumol. 2009;35(9):877-83. http://dx.doi.org/10.1590/S1806-37132009000900009

Bixler EO, Vgontzas AN, Ten Have T, Tyson K, Kales A. Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med. 1998;157(1):144-8. http://dx.doi.org/10.1164/ajrccm.157.1.9706079

Soares MC, de Azeredo Bittencourt LR, Zonato AI, Gregório LC. Application of the Kushida morphometric model in patients with sleep-disordered breathing. Braz J Otorhinolaryngol. 2006;72(4):541-8. http://dx.doi.org/10.1590/S0034-72992006000400017

Pinto JA, Godoy LB, Marquis VW, Sonego TB, Leal C de F, Ártico MS. Medidas antropométricas preditoras da gravidade da apneia obstrutiva do sono. Braz J Otorhinolaryngol. 2011;77(4):516-21. http://dx.doi.org/10.1590/S1808-86942011000400017

Zancanella E, Haddad FM, Oliveira LA, Nakasato A, Duarte BB, Soares CF, et al. Obstructive sleep apnea and primary snoring: treatment. Braz J Otorhinolaryngol. 2014;80(1 Suppl 1):S17-28. http://dx.doi.org/10.5935/1808-8694.2014S002

Mediano O, Barceló A, de la Peña M, Gozal D, Agusti A, Barbé F. Hipersonolência diurna e variáveis polissonográficas em doentes com síndroma da apnéia do sono. Rev Port Pneumol. 2007;13(6):896-8. http://dx.doi.org/10.1016/S0873-2159(15)30387-1

McArdle N, Kingshott R, Engleman HM, Mackay TW, Douglas NJ. Partners of patients with sleep apnoea/hypopnoea syndrome: effect of CPAP treatment on sleep quality and quality of life. Thorax. 2001;56(7):513-8. http://dx.doi.org/10.1136/thorax.56.7.513

Silva RZM, Duarte RLM, Silveira FJM. Tratamento da apnéia obstrutiva do sono com pressão positiva contínua na via aérea. Pulmão RJ. 2010;19(3-4):83-7.