Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy

Abstract The aim of this study was to evaluate the association between obstructive sleep apnea and morning headache and to assess the improvement of morning headache following positive airway pressure therapy. One hundred and sixteen participants were enrolled in this study; all of them received pos...

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Main Authors: Min Young Seo, Min Kyu Lee, Mun Soo Han, Jun Yoo, Seung Hoon Lee
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-34896-0
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author Min Young Seo
Min Kyu Lee
Mun Soo Han
Jun Yoo
Seung Hoon Lee
author_facet Min Young Seo
Min Kyu Lee
Mun Soo Han
Jun Yoo
Seung Hoon Lee
author_sort Min Young Seo
collection DOAJ
description Abstract The aim of this study was to evaluate the association between obstructive sleep apnea and morning headache and to assess the improvement of morning headache following positive airway pressure therapy. One hundred and sixteen participants were enrolled in this study; all of them received positive airway pressure therapy for at least 3 months. We checked the differences in various sleep apnea-related parameters according to the presence of morning headache and evaluated the improvement of morning headache following positive airway pressure therapy. Among the 116 study participants, 103 were men, with a mean age and body mass index of 50.34 ± 10.23 years and 28.00 ± 4.21 kg/m2, respectively. The severity of morning headache was higher in the severe obstructive sleep apnea group than in the mild to moderate group (2.16 ± 1.70 vs. 1.50 ± 1.57, P = 0.027). However, the various polysomnographic parameters did not significantly differ according to the presence of headache. The Epworth sleepiness scale score was significantly higher in the morning headache presence group than in the absence group (10.90 ± 5.45 vs. 8.13 ± 4.27, P = 0.003). Furthermore, a notable correlation was observed between the reduction in daytime sleepiness and the improvement in morning headache following PAP treatment (r = 0.503, P < 0.001). Morning headache significantly improved following positive airway pressure therapy (prevalence: 53.4–16.4%; severity: 1.92 ± 1.67 vs. 0.86 ± 0.80, all P < 0.001), especially in the patients with morning headache before positive airway pressure therapy. Morning headache is significantly associated with daytime sleepiness and positive airway pressure therapy improves morning headache.
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spelling doaj.art-46489cc57a4d4917a369064254f7e9b82023-11-26T12:54:11ZengNature PortfolioScientific Reports2045-23222023-09-011311610.1038/s41598-023-34896-0Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapyMin Young Seo0Min Kyu Lee1Mun Soo Han2Jun Yoo3Seung Hoon Lee4Division of Rhinology and Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of MedicineDivision of Rhinology and Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of MedicineDivision of Rhinology and Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of MedicineDivision of Rhinology and Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of MedicineDivision of Rhinology and Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of MedicineAbstract The aim of this study was to evaluate the association between obstructive sleep apnea and morning headache and to assess the improvement of morning headache following positive airway pressure therapy. One hundred and sixteen participants were enrolled in this study; all of them received positive airway pressure therapy for at least 3 months. We checked the differences in various sleep apnea-related parameters according to the presence of morning headache and evaluated the improvement of morning headache following positive airway pressure therapy. Among the 116 study participants, 103 were men, with a mean age and body mass index of 50.34 ± 10.23 years and 28.00 ± 4.21 kg/m2, respectively. The severity of morning headache was higher in the severe obstructive sleep apnea group than in the mild to moderate group (2.16 ± 1.70 vs. 1.50 ± 1.57, P = 0.027). However, the various polysomnographic parameters did not significantly differ according to the presence of headache. The Epworth sleepiness scale score was significantly higher in the morning headache presence group than in the absence group (10.90 ± 5.45 vs. 8.13 ± 4.27, P = 0.003). Furthermore, a notable correlation was observed between the reduction in daytime sleepiness and the improvement in morning headache following PAP treatment (r = 0.503, P < 0.001). Morning headache significantly improved following positive airway pressure therapy (prevalence: 53.4–16.4%; severity: 1.92 ± 1.67 vs. 0.86 ± 0.80, all P < 0.001), especially in the patients with morning headache before positive airway pressure therapy. Morning headache is significantly associated with daytime sleepiness and positive airway pressure therapy improves morning headache.https://doi.org/10.1038/s41598-023-34896-0
spellingShingle Min Young Seo
Min Kyu Lee
Mun Soo Han
Jun Yoo
Seung Hoon Lee
Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
Scientific Reports
title Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
title_full Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
title_fullStr Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
title_full_unstemmed Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
title_short Improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
title_sort improvement of morning headache in adults with obstructive sleep apnea after positive airway pressure therapy
url https://doi.org/10.1038/s41598-023-34896-0
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