Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea

Background and Objective: Periodic limb movements of sleep (PLMS) and obstructive sleep apnea (OSA) are two common sleep disorders that frequently co-occur in one subject. In this study, we evaluated the polysomnographic (PSG) features of patients with OSA with and without PLMS. Materials and Me...

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Main Authors: Morteza Saeidi, Fariborz Rezaeitalab, Saeed Akhlaghi, Farnaz Kharaghani, Hussein Sharara, Mina Abbasi, Mahshid Mahyad
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-06-01
Series:Journal of Sleep Sciences
Subjects:
Online Access:https://jss.tums.ac.ir/index.php/jss/article/view/229
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author Morteza Saeidi
Fariborz Rezaeitalab
Saeed Akhlaghi
Farnaz Kharaghani
Hussein Sharara
Mina Abbasi
Mahshid Mahyad
author_facet Morteza Saeidi
Fariborz Rezaeitalab
Saeed Akhlaghi
Farnaz Kharaghani
Hussein Sharara
Mina Abbasi
Mahshid Mahyad
author_sort Morteza Saeidi
collection DOAJ
description Background and Objective: Periodic limb movements of sleep (PLMS) and obstructive sleep apnea (OSA) are two common sleep disorders that frequently co-occur in one subject. In this study, we evaluated the polysomnographic (PSG) features of patients with OSA with and without PLMS. Materials and Methods: Patients with OSA diagnosed by PSG who referred to our sleep clinic over 2 years were studied for PLMS during a standard diagnostic sleep study. PSG features including apnea-hypopnea index (AHI), oxygen desaturation index (ODI), and sleep quality were evaluated and compared between patients with OSA with and without PLMS. Results: We evaluated 122 patients with OSA, of whom 17 had comorbid PLMS. Mean sleep quality was significantly lower in patients with PLMS compared to those without PLMS (P < 0.05). There was no significant difference in terms of mean age, gender, arousal index (AI), ODI, and apnea/hypopnea between the two groups. Conclusion: Patients with OSA with PLMS comorbidity have remarkably lower sleep quality and this finding is independent of the severity of arousals or respiratory events. Proper evaluation, diagnosis, and treatment of PLMS comorbidity in patients with OSA might improve treatment response.    
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spelling doaj.art-06a7e19afae1441b8f9269c8530f9d8b2023-08-16T06:21:12ZengTehran University of Medical SciencesJournal of Sleep Sciences2476-29382476-29462023-06-0171-210.18502/jss.v7i(1-2).13210Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep ApneaMorteza Saeidi0Fariborz Rezaeitalab1Saeed Akhlaghi2Farnaz Kharaghani3Hussein Sharara4Mina Abbasi5Mahshid Mahyad6Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDivision of Sleep Medicine, Psychiatry and Behavioral Sciences Research Center, Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Radiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranStudent Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Background and Objective: Periodic limb movements of sleep (PLMS) and obstructive sleep apnea (OSA) are two common sleep disorders that frequently co-occur in one subject. In this study, we evaluated the polysomnographic (PSG) features of patients with OSA with and without PLMS. Materials and Methods: Patients with OSA diagnosed by PSG who referred to our sleep clinic over 2 years were studied for PLMS during a standard diagnostic sleep study. PSG features including apnea-hypopnea index (AHI), oxygen desaturation index (ODI), and sleep quality were evaluated and compared between patients with OSA with and without PLMS. Results: We evaluated 122 patients with OSA, of whom 17 had comorbid PLMS. Mean sleep quality was significantly lower in patients with PLMS compared to those without PLMS (P < 0.05). There was no significant difference in terms of mean age, gender, arousal index (AI), ODI, and apnea/hypopnea between the two groups. Conclusion: Patients with OSA with PLMS comorbidity have remarkably lower sleep quality and this finding is independent of the severity of arousals or respiratory events. Proper evaluation, diagnosis, and treatment of PLMS comorbidity in patients with OSA might improve treatment response.     https://jss.tums.ac.ir/index.php/jss/article/view/229Periodic limb movement disorder; Obstructive sleep apnea; Polysomnography; Sleep quality
spellingShingle Morteza Saeidi
Fariborz Rezaeitalab
Saeed Akhlaghi
Farnaz Kharaghani
Hussein Sharara
Mina Abbasi
Mahshid Mahyad
Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
Journal of Sleep Sciences
Periodic limb movement disorder; Obstructive sleep apnea; Polysomnography; Sleep quality
title Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
title_full Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
title_fullStr Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
title_full_unstemmed Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
title_short Periodic Limb Movements of Sleep: A Survey on Polysomnographic Characteristics of Patients with Obstructive Sleep Apnea
title_sort periodic limb movements of sleep a survey on polysomnographic characteristics of patients with obstructive sleep apnea
topic Periodic limb movement disorder; Obstructive sleep apnea; Polysomnography; Sleep quality
url https://jss.tums.ac.ir/index.php/jss/article/view/229
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