Sleep apnea and comorbid diseases - a review
DOI:
https://doi.org/10.12775/JEHS.2024.58.009Keywords
sleep apnea, positive airway pressure, cardiovascular complications, sleep-disordered breathingAbstract
Obstructive sleep apnea (OSA) is a common disease spreading around the world. It is unavoidably linked to the increasing rate of obesity, particularly in Western societies. Associated higher prevalence of sleep disordered breathing has also been observed. There are many diseases that can lead to OSA and many that are a result of untreated OSA. From the widely known cardiovascular complications to indirectly related diseases, such as insomnia, Alzeihmer’s disease or psoriasis. Overall, sleep-disordered breathing have been shown to negatively impact quality of life, including general health perception, physical functioning, social functioning, and vitality. That is why it is important to spread awareness about OSA, often asymptomatic, through medical staff and patients in the risk group. In this review we describe the illness, the ways to diagnose it and discuss comorbid diseases.
References
Ling V. Sleep Apnea Statistics and Facts You Should Know, National Council on Ageing, oct 2023; https://www.ncoa.org/adviser/sleep/sleep-apnea-statistics
Strollo PJ & Rogers RM. Obstructive Sleep Apnea. New England Journal of Medicine, 1996;334(2):99–104. https://doi.org/10.1056/NEJM199601113340207
Gottlieb DJ & Punjabi NM. Diagnosis and Management of Obstructive Sleep Apnea. JAMA, 2020;323(14):1389. https://doi.org/10.1001/jama.2020.3514
McNamara SG, Grunstein RR & Sullivan CE. Obstructive sleep apnoea. Thorax, 1993;48(7):754–764. https://doi.org/10.1136/thx.48.7.754
Chang JL, Goldberg AN, Alt JA, Mohammed A, et al. International Consensus Statement on Obstructive Sleep Apnea. International Forum of Allergy & [ology, 2023;13(7):1061–1482. https://doi.org/10.1002/alr.23079
Meurling IJ, Shea DO & Garvey JF. Obesity and sleep. Current Opinion in Pulmonary Medicine, 2023;25(6):602–608. https://doi.org/10.1097/MCP.0000000000000627
McNicholas WT & Pevernagie D. Obstructive sleep apnea: transition from pathophysiology to an integrative disease model. Journal of Sleep Research, 2022;31(4). https://doi.org/10.1111/jsr.13616
Halioua B, Chelli C, Misery L, Taieb J & Taieb C. Sleep Disorders and Psoriasis: An Update. Acta Dermato-Venereologica, 2022;102:00699. https://doi.org/10.2340/actadv.v102.1991
Bloomgarden Z. Obstructive sleep apnea and diabetes. Journal of Diabetes, 2023;15(11):916–919. https://doi.org/10.1111/1753-0407.13494
Janssen HCJP, Venekamp LN, Peeters GAM, Pijpers A & Pevernagie DAA. Management of insomnia in sleep disordered breathing. European Respiratory Review, 2019;28(153):190080. https://doi.org/10.1183/16000617.0080-2019
Bubu OM, Andrade AG, Umasabor-Bubu OQ, Hogan MM, Turner AD, de Leon MJ, Ogedegbe G, Ayappa I, Jean-Louis GG, Jackson ML, Varga AW & Osorio RS. Obstructive sleep apnea, cognition and Alzheimer’s disease: A systematic review integrating three decades of multidisciplinary research. Sleep Medicine Reviews, 202;50:101250. https://doi.org/10.1016/j.smrv.2019.101250
Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, Malhotra A, Martinez-Garcia MA, Mehra R, Pack AI, Polotsky VY, Redline S & Somers VK. Sleep Apnea. Journal of the American College of Cardiology, 2017;69(7):841–858. https://doi.org/10.1016/j.jacc.2016.11.069
Seravalle G & Grassi G. Sleep Apnea and Hypertension. High Blood Pressure & Cardiovascular Prevention, 2022;29(1):23–31. https://doi.org/10.1007/s40292-021-00484-4
Labarca G, Vena D, Hu W-H, Esmaeili N, Gell L, Yang HC, Wang T-Y, Messineo L, Taranto-Montemurro L, Sofer T, Barr RG, Stone KL, White DP, Wellman A, Sands S, Redline S & Azarbarzin A. Sleep Apnea Physiological Burdens and Cardiovascular Morbidity and Mortality. American Journal of Respiratory and Critical Care Medicine, 2023;208(7):802–813. https://doi.org/10.1164/rccm.202209-1808OC
Light M, McCowen K, Malhotra A & Mesarwi OA. Sleep apnea, metabolic disease, and the cutting edge of therapy. Metabolism, 2018;84:94–98. https://doi.org/10.1016/j.metabol.2017.09.004
Cao Y, Ning P, Li Q & Wu S. Cancer and obstructive sleep apnea. Medicine, 2022;101(10):e28930. https://doi.org/10.1097/MD.0000000000028930
Rouhi S, Topcu J, Egorova-Brumley N & Jordan AS. The impact of sleep disturbance on pain perception: A systematic review examining the moderating effect of sex and age. Sleep Medicine Reviews, 2023;71:101835. https://doi.org/10.1016/j.smrv.2023.101835
Wong PF, D’Cruz R & Hare A. Sleep disorders in pregnancy. Breathe, 2022;18(2):220004. https://doi.org/10.1183/20734735.0004-2022
Magliulo G, Iannella G, Ciofalo A, et al. Nasal pathologies in patients with obstructive sleep apnoea. Acta Otorhinolaryngol Ital. 2019;39(4):250-256.
Parati G, Lombardi C, Castagna F, Mattaliano P, Filardi PP & Agostoni, P. Heart failure and sleep disorders. Nature Reviews Cardiology, 2016;13(7):389–403. https://doi.org/10.1038/nrca
McDermott M & Brown DL. Sleep apnea and stroke. Current Opinion in Neurology, 2020; 33(1):4–9. https://doi.org/10.1097/WCO.0000000000000781
Pfeffer TJ, Berliner D & Bauersachs J. Correspondence. Deutsches Ärzteblatt International, 2022. https://doi.org/10.3238/arztebl.m2022.0031
Pase MP, Harrison S, Misialek JR, Kline CE, Cavuoto M, Baril A-A, Yiallourou S, Bisson A, Himali D, Leng Y, Yang Q, Seshadri S, Beiser A, Gottesman RF, Redline S, Lopez O, Lutsey PL, Yaffe K, Stone KL, … Himali JJ. Sleep Architecture, Obstructive Sleep Apnea, and Cognitive Function in Adults. JAMA Network Open, 2023;6(7):2325152. https://doi.org/10.1001/jamanetworkopen.2023.25152
Hedner J., Stenlöf K, Zou D, Hoff E, Hansen C, Kuhn K, Lennartz P & Grote, L. A Randomized Controlled Clinical Trial Exploring Safety and Tolerability of Sulthiame in Sleep Apnea. American Journal of Respiratory and Critical Care Medicine, 2022;205(12):1461–1469. https://doi.org/10.1164/rccm.202109-2043OC
Courtney R. Breathing retraining in sleep apnoea: a review of approaches and potential mechanisms. Sleep and Breathing, 2020;24(4):1315–1325. https://doi.org/10.1007/s11325-020-02013-4
Hein H. Correspondence. Deutsches Ärzteblatt International, 2022. https://doi.org/10.3238/arztebl.m2022.0032
Oliver C, Li H, Biswas B, Woodstoke D, Blackman J, Butters A, Drew C, Gabb V, Harding S, Hoyos CM, Kendrick A, Rudd S, Turner N & Coulthard, E. A systematic review on adherence to continuous positive airway pressure (CPAP) treatment for obstructive sleep apnoea (OSA) in individuals with mild cognitive impairment and Alzheimer’s disease dementia. Sleep Medicine Reviews, 2024;73:101869. https://doi.org/10.1016/j.smrv.2023.101869
Landry SA, Beatty C, Thomson LDJ, Wong A-M, Edwards BA, Hamilton GS & Joosten SA. A review of supine position related obstructive sleep apnea: Classification, epidemiology, pathogenesis and treatment. Sleep Medicine Reviews, 2023;72:101847. https://doi.org/10.1016/j.smrv.2023.101847
Lance CG. Positive airway pressure: Making an impact on sleep apnea. Cleveland Clinic Journal of Medicine, 2019;86(9 suppl 1):26–33. https://doi.org/10.3949/ccjm.86.s1.05
Lin J & Suurna M. Sleep Apnea and Sleep-Disordered Breathing. Otolaryngologic Clinics of North America, 2018;51(4):827–833. https://doi.org/10.1016/j.otc.2018.03.009
Labarca G, Vena D, Hu W-H, Esmaeili N, Gell L, Yang HC, Wang T-Y, Messineo L, Taranto-Montemurro L, Sofer T, Barr RG, Stone KL, White DP, Wellman A, Sands S, Redline S & Azarbarzin A. Sleep Apnea Physiological Burdens and Cardiovascular Morbidity and Mortality. American Journal of Respiratory and Critical Care Medicine, 2023;208(7):802–813. https://doi.org/10.1164/rccm.202209-1808OC
Maurer J. Update on surgical treatments for sleep apnea. Swiss Medical Weekly. 2009 https://doi.org/10.4414/smw.2009.12652
Martínez-García MÁ & Lévy P. Some forgotten issues in sleep apnoea. European Respiratory Journal, 2022;59(4):2101627. https://doi.org/10.1183/13993003.01627-2021
Alakörkkö I, Törmälehto S, Leppänen T, McNicholas WT, Arnardottir ES & Sund R. The economic cost of obstructive sleep apnea: A systematic review. Sleep Medicine Reviews, 2023;72:101854. https://doi.org/10.1016/j.smrv.2023.101854
Albdewi MA, Liistro G & el Tahry R. Sleep-disordered breathing in patients with neuromuscular disease. Sleep and Breathing, 2018;22(2):277–286. https://doi.org/10.1007/s11325-017-1538-x
Feltner C, Wallace IF, Aymes S, Cook Middleton J, Hicks KL, Schwimmer M, Baker C, Balio CP, Moore D, Voisin, CE & Jonas DE. Screening for Obstructive Sleep Apnea in Adults. JAMA. 2022;328(19):1951. https://doi.org/10.1001/jama.2022.18357
Gervès-Pinquié C, Bailly S, Goupil F, Pigeanne T, Launois S, Leclair-Visonneau L, Masson, P, Bizieux-Thaminy A, Blanchard M, Sabil A, Jaffuel D, Racineux J-L, Trzepizur W & Gagnadoux F. Positive Airway Pressure Adherence, Mortality, and Cardiovascular Events in Patients with Sleep Apnea. American Journal of Respiratory and Critical Care Medicine. 2022;206(11):1393–1404. https://doi.org/10.1164/rccm.202202-0366OC
Srijithesh PR, Aghoram R, Goel A & Dhanya J. Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews, 2019(11). https://doi.org/10.1002/14651858.CD010990.pub2
Gervès-Pinquié C, Bailly S, Goupil F, Pigeanne T, Launois S, Leclair-Visonneau L, Masson P, Bizieux-Thaminy A, Blanchard M, Sabil A, Jaffuel D, Racineux J-L, Trzepizur W & Gagnadoux F. Positive Airway Pressure Adherence, Mortality, and Cardiovascular Events in Patients with Sleep Apnea. American Journal of Respiratory and Critical Care Medicine, 2022;206(11):1393–1404. https://doi.org/10.1164/rccm.202202-0366OC
Suarez-Giron M, Bonsignore MR & Montserrat JM. New organisation for follow-up and assessment of treatment efficacy in sleep apnoea. European Respiratory Review. 2019; 28(153):190059. https://doi.org/10.1183/16000617.0059-2019
Stanek A, Brożyna-Tkaczyk K & Myśliński W. Oxidative Stress Markers among Obstructive Sleep Apnea Patients. Oxidative Medicine and Cellular Longevity. 2021:1–8. https://doi.org/10.1155/2021/9681595
Javaheri S & Javaheri S. Obstructive Sleep Apnea in Heart Failure: Current Knowledge and Future Directions. Journal of Clinical Medicine. 2022;11(12):3458. https://doi.org/10.3390/jcm11123458
Peng J, Yuan Y, Zhao Y & Ren H. Effects of Exercise on Patients with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2022;19(17):10845. https://doi.org/10.3390/ijerph191710845
Rueda J-R, Mugueta-Aguinaga I, Vilaró J & Rueda-Etxebarria M. Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. 2020(11). https://doi.org/10.1002/14651858.CD013449.pub2
Wang H, Goodman MO, Sofer T & Redline S. Cutting the fat: advances and challenges in sleep apnoea genetics. European Respiratory Journal. 2021;57(5):2004644. https://doi.org/10.1183/13993003.04644-2020
Carneiro-Barrera A, Amaro-Gahete FJ, Guillén-Riquelme A, Jurado-Fasoli L, Sáez-Roca G, Martín-Carrasco C, Buela-Casal G & Ruiz JR. Effect of an Interdisciplinary Weight Loss and Lifestyle Intervention on Obstructive Sleep Apnea Severity. JAMA Network Open 2022;5(4):e228212. https://doi.org/10.1001/jamanetworkopen.2022.8212
Levy J, Álvarez D, del Campo F & Behar JA. Deep learning for obstructive sleep apnea diagnosis based on single channel oximetry. Nature Communications. 2023;14(1): 4881. https://doi.org/10.1038/s41467-023-40604-3
Xu S, Faust O, Seoni S, Chakraborty S, Barua PD, Loh HW, Elphick H, Molinari F & Acharya UR. A review of automated sleep disorder detection. Computers in Biology and Medicine. 2022;150:106100. https://doi.org/10.1016/j.compbiomed.2022.106100
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Urszula Guderska, Agnieszka Urbanek, Jacek Kurzeja, Danuta Maciejewska, Adrianna Rasmus-Czternasta, Magdalena Bartczak, Filip Czternasty
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 323
Number of citations: 0
