Aging effect on sleepiness and apneas severity in patients with obstructive sleep apnea syndrome: a meta-analysis study

Purpose Different authors have reported that aging could be associated with changes in obstructive sleep apnea (OSA) related parameters (apnea/hypopnea index, SpO 2 , reduction of daytime sleepiness, etc.), type of sleep and pattern of collapse. Regarding OSA severity in elderly patients, it is comm...

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Published in:European archives of oto-rhino-laryngology 2019-12, Vol.276 (12), p.3549-3556
Main Authors: Iannella, Giannicola, Vicini, Claudio, Colizza, Andrea, Meccariello, Giuseppe, Polimeni, Antonella, Greco, Antonio, de Vincentiis, Marco, de Vito, Andrea, Cammaroto, Giovanni, Gobbi, Riccardo, Bellini, Chiara, Firinu, Elisabetta, Pelucchi, Stefano, Gulotta, Giampiero, Visconti, Irene Claudia, di Luca, Milena, Magliulo, Giuseppe
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aging - physiology
Disorders of Excessive Somnolence - diagnosis
Disorders of Excessive Somnolence - etiology
Female
Head and Neck Surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Polysomnography - methods
Review Article
Sleep - physiology
Sleep Apnea Syndrome: From the pathogenesis to the last therapies
Sleep Apnea Syndromes - complications
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - physiopathology
Sleep Stages - physiology
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Summary:Purpose Different authors have reported that aging could be associated with changes in obstructive sleep apnea (OSA) related parameters (apnea/hypopnea index, SpO 2 , reduction of daytime sleepiness, etc.), type of sleep and pattern of collapse. Regarding OSA severity in elderly patients, it is commonly believed that the AHI score tends to increase with aging. Methods In this paper, we reviewed the literature regarding the studies which compared older (> 65 years old) and young ( 65 years old) showed less daytime sleepiness, showing a statistical difference in the meta-analysis of data ( p  = 0.004) Conclusion Although a direct correlation between aging and AHI values would seem to be present, no significant differences in baseline AHI between young ( 65-years-old) patients emerged in this meta-analysis study. The effects of OSAS on daytime sleepiness seem to be much more prominent in young or middle-aged patients than in elderly patients.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-019-05616-0