Does REM Sleep-Dependent Obstructive Sleep Apnea Have Clinical Significance?open access
- Authors
- Lee, Seung Cheol; Kim, Doh-Eui; Hwangbo, Young; Song, Mei Ling; Yang, Kwang Ik; Cho, Yong Won
- Issue Date
- Nov-2022
- Publisher
- Multidisciplinary Digital Publishing Institute (MDPI)
- Keywords
- REM sleep; obstructive sleep apnea; polysomnography; Korea
- Citation
- International Journal of Environmental Research and Public Health, v.19, no.21
- Journal Title
- International Journal of Environmental Research and Public Health
- Volume
- 19
- Number
- 21
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21856
- DOI
- 10.3390/ijerph192114147
- ISSN
- 1661-7827
1660-4601
- Abstract
- (1) Background: The clinical significance of rapid eye movement (REM) sleep-dependent obstructive sleep apnea (OSA) remains controversial because various criteria have been used to describe it. This study determined the clinical significance of REM-OSA in Koreans using data from patients with sufficient total sleep time (TST) and REM sleep duration. (2) Methods: We investigated 1824 patients with OSA who were diagnosed by polysomnography (PSG). REM-OSA was defined as an overall apnea-hypopnea index (AHI) >= 5, NREM-AHI < 15, and REM-AHI/NREM-AHI >= 2. Demographic and medical data were collected from digital medical records and sleep questionnaires. We compared clinical and PSG data between REM-OSA and REM sleep-nondependent OSA (nREM-OSA). (3) Results: In total, 140 patients (20.2%) were categorized as REM-OSA. Those patients were predominantly female (53.6% vs. 21.7% of the overall cohort, p < 0.001). REM-OSA is frequent in the mild (69.3% vs. 18.8%) to moderate (30% vs. 27.9%) range of OSA (p < 0.001). (4) Conclusions: The prevalence of REM-OSA was similar to that in previous study findings: frequent in mild to moderate OSA and females, which is consistent with results in Western populations. Our findings suggest that REM-OSA does not have clinical significance as a subtype of OSA.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Neurology > 1. Journal Articles
- College of Medicine > Department of Preventive Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21856)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.