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Influence of Sleep Position on Snoring

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Positional Therapy in Obstructive Sleep Apnea

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Abstract

Snoring is an acoustic phenomenon that affects approximately 20–40 % of the general population [1]. It is caused by vibration of tissue structures in the upper airway during sleep [2, 3]. Non-apneic snoring has been shown to be associated with clinical conditions such as depression and excessive daytime sleepiness in adults and may also have clinical implications in the development of hypertension, ischemic heart disease, and cerebrovascular diseases [1, 4]. In this chapter, the prevalence of position dependency in non-apneic snorers and the influence of various factors such as BMI, neck circumference, age, gender, and sleep efficiency on sleeping position will be discussed.

This chapter is a modified version of the article “Evaluation of position dependency in non-apneic snorers” 2014. The final publication is available at link.springer.com.

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References

  1. Koutsourelakis I, Perraki E, Zakynthinos G, Minaritzoglou A, Vagiakis E, Zakynthinos S. Clinical and polysomnographic determinants of snoring. J Sleep Res. 2012;21(6):693–9.

    Article  PubMed  Google Scholar 

  2. Braver HM, Block AJ, Perri MG. Treatment for snoring. Combined weight loss, sleeping on side, and nasal spray. Chest. 1995;107(5):1283–8.

    Article  CAS  PubMed  Google Scholar 

  3. Wilson K, Stoohs RA, Mulrooney TF, Johnson LJ, Guilleminault C, Huang Z. The snoring spectrum: acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography. Chest. 1999;115(3):762–70.

    Article  CAS  PubMed  Google Scholar 

  4. American Academy of Sleep Medicine. International classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester, NY: American Academy of Sleep Medicine; 2005.

    Google Scholar 

  5. Nakano H, Ikeda T, Hayashi M, Ohshima E, Onizuka A. Effects of body position on snoring in apneic and nonapneic snorers. Sleep. 2003;26(2):169–72.

    PubMed  Google Scholar 

  6. Fiz JA, Jane R, Sola-Soler J, Abad J, Garcia MA, Morera J. Continuous analysis and monitoring of snores and their relationship to the apnea-hypopnea index. Laryngoscope. 2010;120(4):854–62.

    Article  PubMed  Google Scholar 

  7. Beninati W, Harris CD, Herold DL, Shepard Jr JW. The effect of snoring and obstructive sleep apnea on the sleep quality of bed partners. Mayo Clin Proc. 1999;74(10):955–8.

    Article  CAS  PubMed  Google Scholar 

  8. Armstrong MW, Wallace CL, Marais J. The effect of surgery upon the quality of life in snoring patients and their partners: a between-subjects case-controlled trial. Clin Otolaryngol Allied Sci. 1999;24(6):510–22.

    Article  CAS  PubMed  Google Scholar 

  9. Brockmann PE, Urschitz MS, Schlaud M, Poets CF. Primary snoring in school children: prevalence and neurocognitive impairments. Sleep Breath. 2012;16(1):23–9.

    Article  PubMed  Google Scholar 

  10. Cartwright RD, Diaz F, Lloyd S. The effects of sleep posture and sleep stage on apnea frequency. Sleep. 1991;14(4):351–3.

    CAS  PubMed  Google Scholar 

  11. Cartwright RD. Effect of sleep position on sleep apnea severity. Sleep. 1984;7(2):110–4.

    CAS  PubMed  Google Scholar 

  12. Hoffstein V. Snoring. Chest. 1996;109(1):201–22.

    Article  CAS  PubMed  Google Scholar 

  13. Mador MJ, Kufel TJ, Magalang UJ, Rajesh SK, Watwe V, Grant BJ. Prevalence of positional sleep apnea in patients undergoing polysomnography. Chest. 2005;128(4):2130–7.

    Article  PubMed  Google Scholar 

  14. Oksenberg A, Silverberg DS. The effect of body posture on sleep-related breathing disorders: facts and therapeutic implications. Sleep Med Rev. 1998;2(3):139–62.

    Article  CAS  PubMed  Google Scholar 

  15. Oksenberg A, Silverberg DS, Arons E, Radwan H. Positional vs nonpositional obstructive sleep apnea patients: anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest. 1997;112(3):629–39.

    Article  CAS  PubMed  Google Scholar 

  16. Richard W, Kox D, den Herder C, Laman M, van Tinteren H, de Vries N. The role of sleep position in obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol. 2006;263(10):946–50.

    Article  PubMed  Google Scholar 

  17. van Maanen JP, Richard W, Van Kesteren ER, et al. Evaluation of a new simple treatment for positional sleep apnoea patients. J Sleep Res. 2012;21(3):322–9.

    Article  PubMed  Google Scholar 

  18. Itasaka Y, Miyazaki S, Ishikawa K, Togawa K. The influence of sleep position and obesity on sleep apnea. Psychiatry Clin Neurosci. 2000;54(3):340–1.

    Article  CAS  PubMed  Google Scholar 

  19. Choi JH, Park YW, Hong JH, et al. Efficacy study of a vest-type device for positional therapy in position dependent snorers. Sleep Biol Rhythms. 2009;7:181–7.

    Article  Google Scholar 

  20. Ravesloot MJL, van Maanen JP, Dun L, de Vries N. The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature. Sleep Breath. 2013;17(1):39–49.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Cartwright RD, Lloyd S, Lilie J, Kravitz H. Sleep position training as treatment for sleep apnea syndrome: a preliminary study. Sleep. 1985;8(2):87–94.

    CAS  PubMed  Google Scholar 

  22. Maurer JT, Stuck BA, Hein G, Verse T, Hörmann K. Treatment of obstructive sleep apnea with a new vest preventing the supine position. Dtsch Med Wochenschr. 2003;128(3):71–5.

    Article  CAS  PubMed  Google Scholar 

  23. Wenzel S, Smith E, Leiacker R, Fischer Y. Efficacy and longterm compliance of the vest preventing the supine position in patients with obstructive sleep apnea. Laryngorhinootologie. 2007;86(8):579–83.

    Article  CAS  PubMed  Google Scholar 

  24. Cartwright R, Ristanovic R, Diaz F, Caldarelli D, Alder G. A comparative study of treatments for positional sleep apnea. Sleep. 1991;14(6):546–52.

    CAS  PubMed  Google Scholar 

  25. Jokic R, Klimaszewski A, Crossley M, Sridhar G, Fitzpatrick MF. Positional treatment vs continuous positive airway pressure in patients with positional obstructive sleep apnea syndrome. Chest. 1999;115(3):771–81.

    Article  CAS  PubMed  Google Scholar 

  26. Permut I, az-Abad M, Chatila W, et al. Comparison of positional therapy to CPAP in patients with positional obstructive sleep apnea. J Clin Sleep Med. 2010;6(3):238–43.

    PubMed Central  PubMed  Google Scholar 

  27. Skinner MA, Kingshott RN, Filsell S, Taylor DR. Efficacy of the ‘tennis ball technique’ versus nCPAP in the management of position-dependent obstructive sleep apnoea syndrome. Respirology. 2008;13(5):708–15.

    Article  PubMed  Google Scholar 

  28. Oksenberg A, Silverberg D, Offenbach D, Arons E. Positional therapy for obstructive sleep apnea patients: a 6-month follow-up study. Laryngoscope. 2006;116(11):1995–2000.

    Article  PubMed  Google Scholar 

  29. Bignold JJ, ans-Costi G, Goldsworthy MR, et al. Poor long-term patient compliance with the tennis ball technique for treating positional obstructive sleep apnea. J Clin Sleep Med. 2009;5(5):428–30.

    PubMed Central  PubMed  Google Scholar 

  30. van Maanen JP, Meester K, Dun L, et al. The sleep position trainer: a new treatment for positional obstructive sleep apnoea. Sleep Breath. 2013;17(2):771–9.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Ear Nose and Throat, Sint Lucas Andreas Ziekenhuis, Jan Tooropstraat 164, Amsterdam, 1061 AE, The Netherlands

    Linda B. L. Benoist M.D.

  2. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Sharon Morong M.D., M.Sc., F.R.C.S.C., J. Peter van Maanen M.D. & Nico de Vries M.D., Ph.D.

  3. Department of Neurology and Clinical Neurophysiology, St. Lucas Andreas Hospital, Amsterdam, The Netherlands

    Anthony A. J. Hilgevoord M.D., Ph.D.

  4. Department of Otolaryngology, University Hospital Antwerp, Antwerp, Belgium

    Nico de Vries M.D., Ph.D.

Authors
  1. Linda B. L. Benoist M.D.
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  2. Sharon Morong M.D., M.Sc., F.R.C.S.C.
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  3. J. Peter van Maanen M.D.
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  4. Anthony A. J. Hilgevoord M.D., Ph.D.
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  5. Nico de Vries M.D., Ph.D.
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Corresponding author

Correspondence to Linda B. L. Benoist M.D. .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Nico de Vries

  2. Department of Otorhinolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Madeline Ravesloot

  3. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    J. Peter van Maanen

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Benoist, L.B.L., Morong, S., van Maanen, J.P., Hilgevoord, A.A.J., de Vries, N. (2015). Influence of Sleep Position on Snoring. In: de Vries, N., Ravesloot, M., van Maanen, J. (eds) Positional Therapy in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-09626-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-09626-1_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09625-4

  • Online ISBN: 978-3-319-09626-1

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