Obstructive sleep apnea and orofacial myofunctional aspects in obesity

dc.contributor.authorda Silva, Nathani Cristina [UNESP]
dc.contributor.authorda Silva, Giovanna Pietruci Junqueira Thomaz [UNESP]
dc.contributor.authorOnofri, Suely Mayumi Motonaga [UNESP]
dc.contributor.authorPinato, Luciana [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T15:13:59Z
dc.date.available2023-07-29T15:13:59Z
dc.date.issued2022-01-01
dc.description.abstractPurpose: This study aimed to evaluate the quality of sleep, presence of obstructive sleep apnea (OSA), and its relationship with the presence of snoring, cephalometric characteristics, degree of collapse of the upper airways, and orofacial myofunctional profile in obese and overweight individuals. Methods: All participants completed polysomnography, as well as sleep and snoring questionnaires. We further performed orofacial, otorhinolaryngological, and anthropometric evaluations on all participants. Results: A total of 102 adults, comprising 29 obese, 21 overweight, and 52 eutrophic individuals of both sexes participated in this study. We observed a high prevalence of snoring in both obese and overweight (100%), and in 65% of eutrophic individuals. Among the obese subjects 58% had a severe degree of OSA, whereas 4% of eutrophic subjects presented a risk for OSA development. Sleep quality was related to body mass index (BMI) and cervical and abdominal circumference. All obese and overweight individuals presented with orofacial myofunctional alterations such as facial asymmetry, alteration of the maxilla-jaw relationship, inadequate tongue posture, changes in masticatory pattern and swallowing, and inadequate general orofacial myofunctional condition. Airway obstructions at the retropalatal and retrolingual levels > 75% were observed in at least 48% of the individuals. Conclusion: Obese and overweight individuals presented a higher risk for the development of OSA compared with eutrophic patients, and obese individuals presented a greater severity of OSA. The higher the BMI and greater the cervical and abdominal circumferences, the higher the prevalence of OSA, worse the quality of sleep, and more serious orofacial myofunctional characteristics in this population.en
dc.description.affiliationDepartment of Speech Language and Hearing Sciences São Paulo State University (UNESP), SP
dc.description.affiliationUnespDepartment of Speech Language and Hearing Sciences São Paulo State University (UNESP), SP
dc.identifierhttp://dx.doi.org/10.1007/s11325-022-02738-4
dc.identifier.citationSleep and Breathing.
dc.identifier.doi10.1007/s11325-022-02738-4
dc.identifier.issn1522-1709
dc.identifier.issn1520-9512
dc.identifier.scopus2-s2.0-85141724659
dc.identifier.urihttp://hdl.handle.net/11449/249362
dc.language.isoeng
dc.relation.ispartofSleep and Breathing
dc.sourceScopus
dc.subjectObesity
dc.subjectObstructive sleep apnea
dc.subjectSnoring
dc.subjectSpeech-language and hearing sciences
dc.titleObstructive sleep apnea and orofacial myofunctional aspects in obesityen
dc.typeArtigo
unesp.author.orcid0000-0001-8828-9854[1]
unesp.author.orcid0000-0001-6949-0595[2]
unesp.author.orcid0000-0002-0983-0444[3]
unesp.author.orcid0000-0001-7788-9205[4]

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