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Abstract:
:In obstructive sleep apnea, patients' sleep is fragmented leading to excessive daytime sleepiness and co-morbidities like arterial hypertension. However, traditional metrics are not always directly correlated with daytime sleepiness, and the association between traditional sleep quality metrics like sleep duration and arterial hypertension is still ambiguous. In a development cohort, we analysed hypnograms from mild (n = 209), moderate (n = 222) and severe (n = 272) obstructive sleep apnea patients as well as healthy controls (n = 105) from the European Sleep Apnea Database. We assessed sleep by the analysis of two-step transitions depending on obstructive sleep apnea severity and anthropometric factors. Two-step transition patterns were examined for an association to arterial hypertension or daytime sleepiness. We also tested cumulative distributions of wake as well as sleep-states for power-laws (exponent α) and exponential distributions (decay time τ) in dependency on obstructive sleep apnea severity and potential confounders. Independent of obstructive sleep apnea severity and potential confounders, wake-state durations followed a power-law distribution, while sleep-state durations were characterized by an exponential distribution. Sleep-stage transitions are influenced by obstructive sleep apnea severity, age and gender. N2 → N3 → wake transitions were associated with high diastolic blood pressure. We observed higher frequencies of alternating (symmetric) patterns (e.g. N2 → N1 → N2, N2 → wake → N2) in sleepy patients both in the development cohort and in a validation cohort (n = 425). In conclusion, effects of obstructive sleep apnea severity and potential confounders on sleep architecture are small, but transition patterns still link sleep fragmentation directly to obstructive sleep apnea-related clinical outcomes like arterial hypertension and daytime sleepiness.
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最新影响因子:5.296 | 期刊ISSN:0962-1105 | CiteScore:3.36 |
出版周期:Quarterly | 是否OA:YES | 出版年份:1992 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291365-2869
自引率:3.90% | 研究方向:医学-临床神经学 |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Official Journal of the European Sleep Research Society. The Journal of Sleep Research is an international journal that encourages important research papers presenting new findings in the field of sleep and wakefulness (including biological rhythms and dreaming). The Journal reflects the progress in this rapidly expanding field, promoting the exchange of ideas between scientists at a global level.
欧洲睡眠研究学会官方期刊。《睡眠研究杂志》(Journal of Sleep Research)是一份国际期刊,鼓励发表有关睡眠和觉醒(包括生物节律和做梦)领域新发现的重要研究论文。该杂志反映了这一迅速扩大的领域的进展,促进了全球科学家之间的思想交流。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
CLINICAL NEUROLOGY (临床神经病学) 3区 NEUROSCIENCES (神经科学) 3区 |
60/197 100/261 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
100 | 97 | 3 |
引文计数(2018)
文献(2015-2017)
958次引用
285篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Neuroscience
小类(学科):Cognitive Neuroscience
|
#24/90
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2 |
大类(学科):Neuroscience
小类(学科):Behavioral Neuroscience
|
#8/68
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发表一篇学和医学成像类SCI论文
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