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Self‐Reported Napping Behavior Change After Continuous Positive Airway Pressure Treatment in Older Adults with Obstructive Sleep Apnea
Author(s) -
Hsieh ChengFang,
Riha Renata L.,
Morrison Ian,
Hsu ChungYao
Publication year - 2016
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.14249
Subject(s) - medicine , nap , continuous positive airway pressure , obstructive sleep apnea , odds ratio , sleep apnea , evening , physical therapy , physics , astronomy , neuroscience , biology
Objectives To assess the effect of continuous positive airway pressure ( CPAP ) on napping behavior in adults aged 60 and older with obstructive sleep apnea–hypopnea syndrome ( OSAHS ). Design Retrospective cohort study using questionnaires. Setting Sleep center. Participants Individuals starting CPAP treatment between April 2010 and March 2012 (mean age 65.2 ± 4.7; M:F = 3.9:1; N = 107). Measurements All subjects underwent sleep studies, clinical reviews, and CPAP adherence checks and completed a questionnaire regarding CPAP adherence, current employment status, sleep patterns before and after CPAP , and factors affecting their current sleep patterns. Results CPAP treatment duration was 82.7 ± 30.0 weeks, and objective adherence was 5.4 ± 2.0 hours per night overall. Daytime nap frequency before CPAP treatment was higher in those with a history of stroke or cardiovascular disease. Both sexes had a significant reduction in daytime napping (men, P < .001; women, P = .008), evening napping (men, P < .001; women, P = .02), and daily nap duration (men, P < .001; women, P = .02). Logistic regression analysis showed that the reduction in self‐reported daily nap duration was associated with younger age (odds ratio ( OR ) = 0.86, P = .04), a decrease in ESS score ( OR = 1.20, P = .03), and longer self‐reported daily nap duration at baseline ( OR = 31.52, P < .001). Conclusion Long‐term CPAP treatment in older adults with OSAHS can play a significant role in reducing nap frequency and daily nap duration. Aging or shorter baseline daily nap duration may attenuate this effect.