列线图
医学
夜磨牙症
多导睡眠图
下巴
人口
睡眠呼吸暂停
阻塞性睡眠呼吸暂停
物理疗法
呼吸暂停
物理医学与康复
麻醉
内科学
肌电图
环境卫生
解剖
作者
Silvana Alkmim de Miranda Diniz,Maria Letícia de Barros Massahud,Ana Abreu,Regina de Magalhães Lopes,Luciana Macedo Guedes,Karolina Kristian de Aguilar Seraidarian,Vinícius de Magalhães Barros,Paulo Isaías Seraidarian
出处
期刊:Sleep
[Oxford University Press]
日期:2025-07-22
标识
DOI:10.1093/sleep/zsaf206
摘要
Abstract Study Objectives This cross-sectional study aimed to develop a tool to predict sleep bruxism (SB) and estimate the impacts of risk factors found for SB in a personalized manner for each apneic patient. Methods A total of 321 individuals with apnea underwent full-night type 1 polysomnography. SB was assessed using electrodes applied to the masseter and chin muscles. Data collected included the apnea and hypopnea index, sleep arousal index, total sleep time, sex, and commonly used medications. SB was defined as experiencing more than two rhythmic masticatory muscle activity events per hour of sleep. Statistical analysis identified variables associated with SB, leading to the creation of a nomogram. Results Risk factors for SB in this population included the non-use of thyroid medications, the use of antidepressants, male sex, sleep arousals, total sleep time, and the apnea-hypopnea index. The nomogram enables prediction of SB and assessment of individualized impacts of SB risk factors for each patient. Conclusions When SB treatment is required in apneic individuals, fill in the nomogram allows for the assessment of important SB risk factors impacts and the targeting of personalized intervention strategies. SB interventions should involve a multidisciplinary team due to potential connections with systemic disorders. Future studies with longitudinal designs or RCT are essential to validate the nomogram.
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