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sense_dimmed_sleep/s12931022021413_164_1.txt
81–8. https://doi.org/10.5664/jcsm.6394
sense_dimmed_sleep/s12931022021413_240_0.txt
Polysomnography
sense_dimmed_sleep/s41598023340024_151_2.txt
B6rnsd%C3%B3ttir%2CE&author=Janson%2CC&author=Sigurdsson%2CJF)
sense_dimmed_sleep/nonobesepatientswith_47_0.txt
State
sense_dimmed_sleep/s12931022021413_443_0.txt
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sense_dimmed_sleep/s12931022021413_119_0.txt
Subjects with POSA were less likely to feel sleepy and experience EDS, while the si-POSA (Table [ 1 ](/articles/10.1186/s12931-022-02141-3#Tab1) ) and APOC I (Table [ 2 ](/articles/10.1186/s12931-022-02141-3#Tab2) ) groups had low proportions of EDS. The POSA group had a lower BMI than the NPOSA group (26.47kg/m
sense_dimmed_sleep/s41598023340024_163_1.txt
scholar.google.com/scholar_lookup?&title=A%20new%20method%20for%20measuring%20daytime%20sleepiness%3A%20The%20Epworth%20sleepiness%20scale&journal=Sleep&doi=10.1093%2Fsleep%2F14.6.540&volume=14&issue=6&pages=540-545&publication_year=1991&author=Johns%2CMW)
sense_dimmed_sleep/nonobesepatientswith_73_0.txt
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sense_dimmed_sleep/s41598023340024_246_15.txt
4LTEuMzQtLjI1LS40MS0uMTYtLjc2LS40LTEuMDctLjctLjMxLS4zMS0uNTUtLjY5LS43Mi0xLjEzLS4xOC0uNDQtLjI2LS45NS0uMjYtMS41MnptNC42LS42MmMwLS41NS0uMTEtLjk4LS4zNC0xLjI4LS4yMy0
sense_dimmed_sleep/therelationshipbetwe_123_0.txt
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sense_dimmed_sleep/s12931022021413_221_0.txt
MAI:
sense_dimmed_sleep/s12931022021413_132_0.txt
## Discussion
sense_dimmed_sleep/s12931022021413_440_0.txt
**Open Access** This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons ...
sense_dimmed_sleep/s12931022021413_289_1.txt
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sense_dimmed_sleep/s12931022021413_265_0.txt
[ Article ](https://doi.org/10.1183%2F09031936.06.00107805) [ CAS ](/articles/cas-redirect/1:STN:280:DC%2BD28rit1WrtQ%3D%3D) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=16641120) [ Google Scholar ](
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sense_dimmed_sleep/s12931022021413_8_0.txt
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sense_dimmed_sleep/s41598023340024_262_0.txt
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sense_dimmed_sleep/s41598023340024_96_1.txt
low arousal threshold on treatment of obstructive sleep apnea in patients with post-traumatic stress disorder. Sleep Breath. 25\(2\), 597–604. https://doi.org/10.1007/s11325-020-02106-0
sense_dimmed_sleep/nonobesepatientswith_41_0.txt
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sense_dimmed_sleep/s12931022021413_281_0.txt
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sense_dimmed_sleep/s41598023340024_151_0.txt
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sense_dimmed_sleep/therelationshipbetwe_93_0.txt
o He/She may be seeking oral input
sense_dimmed_sleep/nonobesepatientswith_46_1.txt
Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Domi...
sense_dimmed_sleep/s12931022021413_2_1.txt
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sense_dimmed_sleep/s41598023340024_228_0.txt
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sense_dimmed_sleep/s12931022021413_443_1.txt
xlPSJldmVub2RkIj48cGF0aCBkPSJtMTcuMzUgMzUuNDUgMjEuMy0xNC4ydi0xNy4wM2gtMjEuMyIgZmlsbD0iIzk4OTg5OCIvPjxwYXRoIGQ9Im0zOC42NSAzNS40NS0yMS4zLTE0LjJ2LTE3LjAzaDIxL
sense_dimmed_sleep/s12931022021413_118_2.txt
10.1186/s12931-022-02141-3#Tab2) ).
sense_dimmed_sleep/s12931022021413_449_0.txt
* Published : 12 September 2022
sense_dimmed_sleep/nonobesepatientswith_32_0.txt
6\. Luyster FS, Kip KE, Aiyer AN, Reis SE, Strollo PJ. Relation of obstructive sleep apnea to coronary artery calcium in non-obese versus obese men and women aged 45–75 years. _Am J Cardiol_. 2014;114(11):1690-1694. [ doi: 10.1016/j.amjcard.2014.08.040 ](about:blank)
sense_dimmed_sleep/s12931022021413_130_0.txt
**Table 5 Adjusted ORs and 95% CIs for the Association Between AHI / Mean SaO2 and POSA according to CC and APOC**
sense_dimmed_sleep/therelationshipbetwe_52_0.txt
[ Scott Bryson ](/blogarchive?author=556a7fcce4b0e5c05574a6d9)
sense_dimmed_sleep/s41598023340024_14_0.txt
* Marcela Yanagimori 1 , * Mariana D. Fernandes 1 , * Michelle L. Garcia 1 , * Paula G. Scudeller 1 , * Carlos R. R. Carvalho 1 , * Bradley Edwards 2 , * Geraldo Lorenzi-Filho 1 & * … * Pedro R. Genta 1
sense_dimmed_sleep/s41598023340024_188_0.txt
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sense_dimmed_sleep/s41598023340024_296_0.txt
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sense_dimmed_sleep/s12931022021413_61_0.txt
Height (m), weight (kg), neck circumference (NC) (cm), waist circumference (WC) (cm), hip circumference (HC) (cm), and blood pressure (mmHg) were recorded as the mean values of two consecutive measurements before PSG. Body mass index (BMI) was calculated as weight divided by height squared (kg/m 2 ). Fasting blood sam...
sense_dimmed_sleep/s12931022021413_62_0.txt
https://doi.org/10.2337/diacare.23.1.57
sense_dimmed_sleep/s12931022021413_320_0.txt
32. Alberti KG, Zimmet P, Shaw J. The metabolic syndrome–a new worldwide definition. Lancet. 2005;366(9491):1059–62. [ https://doi.org/10.1016/s0140-6736(05)67402-8 ](https://doi.org/10.1016/s0140-6736\(05\)67402-8).
sense_dimmed_sleep/therelationshipbetwe_98_0.txt
· Looks around room when falling asleep
sense_dimmed_sleep/nonobesepatientswith_46_4.txt
Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Pala...
sense_dimmed_sleep/s12931022021413_349_0.txt
[ Article ](https://doi.org/10.1164%2Fajrccm%2F142.2.295) [ CAS ](/articles/cas-redirect/1:STN:280:DyaK3czktlWgtg%3D%3D) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=2382892) [ Google Scholar
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15. Garg H, Er XY, Howarth T, Heraganahally SS. Positional sleep apnea among regional and remote australian population and simulated positional treatment effects. Nat Sci Sleep. 2020;12:1123–35. [ https://doi.org/10.2147/nss.S286403 ](https://doi.org/10.2147/nss.S286403).
sense_dimmed_sleep/s41598023340024_307_0.txt
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sense_dimmed_sleep/therelationshipbetwe_135_0.txt
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sense_dimmed_sleep/s12931022021413_268_0.txt
6. Cartwright RD. Effect of sleep position on sleep apnea severity. Sleep. 1984;7(2):110–4. [ https://doi.org/10.1093/sleep/7.2.110 ](https://doi.org/10.1093/sleep/7.2.110).
sense_dimmed_sleep/s41598023340024_69_1.txt
the respiratory arousal threshold in patients with obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 190\(11\), 1293–1300.
sense_dimmed_sleep/therelationshipbetwe_75_0.txt
o He/She may be seeking or under-responsive to proprioceptive input
sense_dimmed_sleep/s12931022021413_443_35.txt
MS4xNi0uNDUuMzctLjgzLjY1LTEuMTQuMjctLjMuNTgtLjU0LjkzLS43MXMuNzEtLjI1IDEuMDgtLjI1Yy4zOSAwIC43My4wNyAxIC4yLjI3LjE0LjU0LjMyLjgxLjU1bC0uMDYtMS4xdi0yLjQ5aDEu
sense_dimmed_sleep/s41598023340024_2_0.txt
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sense_dimmed_sleep/s12931022021413_290_0.txt
17. Oksenberg A, Silverberg DS, Arons E, Radwan H. Positional vs nonpositional obstructive sleep apnea patients: anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest. 1997;112(3):629–39. [ https://doi.org/10.1378/chest.112.3.629 ](https://doi.org/10.1378/chest.112.3.629).
sense_dimmed_sleep/s41598023340024_54_1.txt
2021.101519
sense_dimmed_sleep/therelationshipbetwe_38_0.txt
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sense_dimmed_sleep/s41598023340024_288_0.txt
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sense_dimmed_sleep/s12931022021413_26_0.txt
### Results
sense_dimmed_sleep/s41598023340024_250_0.txt
* Received : 26 October 2022
sense_dimmed_sleep/s12931022021413_216_0.txt
Hip circumference
sense_dimmed_sleep/s41598023340024_175_1.txt
google.com/scholar_lookup?&title=Physiological%20traits%20and%20adherence%20to%20obstructive%20sleep%20apnea%20treatment%20in%20patients%20with%20stroke&journal=Am.%20J.%20Respir.%20Crit.%20Care%20Med.&doi=10.1164%2Frccm.201911-2203LE&volume=201&issue=12&pages=1568-1572&publication
sense_dimmed_sleep/therelationshipbetwe_116_0.txt
It’s important to make slow changes to the bedtime routine and to try each strategy for 1-2 weeks before giving up. Change is hard so it may be met with initial resistance. Try to get your child involved as much as possible in making decisions, such as picking the color of the lycra sheets or deciding where the nightli...
sense_dimmed_sleep/nonobesepatientswith_12_0.txt
* Anatomic, which can lead to greater collapse of the upper airways in **nonobese patients** * Instability of ventilatory control, also known as high loop gain * Neuromuscular inefficiency of the dilator muscles of the upper airways * Increased propensity for nocturnal awakenings due to respiratory stimuli or a reduced...
sense_dimmed_sleep/s41598023340024_235_0.txt
Correspondence to [ Marcela Yanagimori ](mailto:yanagimori.marcela@usp.br).
sense_dimmed_sleep/s12931022021413_44_1.txt
sleep.2018.02.011
sense_dimmed_sleep/s12931022021413_443_2.txt
jMiIGZpbGw9IiM3NDc0NzQiLz48cGF0aCBkPSJtMjggLjVjLTEyLjk4IDAtMjMuNSAxMC41Mi0yMy41IDIzLjVzMTAuNTIgMjMuNSAyMy41IDIzLjUgMjMuNS0xMC41MiAyMy41LTIzLjVjMC02LjIzLTIuNDgtMTIuM
sense_dimmed_sleep/s12931022021413_279_1.txt
non- positional%20obstructive%20sleep%20apnea%20using%20some%20clinical%20characteristics&journal=Sleep%20Breath&doi=10.1007%2Fs11325-017-1499-0&volume=21&issue=4&pages=877-884&publication_year=2017&author=Oulhaj%2CA&author=Al%20Dhaheri%2CS&author=Su%2CBB&author=Al- Houqani%2
sense_dimmed_sleep/s12931022021413_305_1.txt
20apnea%20in%20adults%3A%20pathogenesis%20and%20treatment&journal=Sleep%20Med%20Rev&doi=10.1016%2Fj.smrv.2013.01.005&volume=18&issue=1&pages=7-17&publication_year=2014&author=Joosten%2CSA&author=O%27Driscoll%2CDM&author=Berger%2CPJ&author=Hamilton%2CGS)
sense_dimmed_sleep/Parietal_lobe_4_0.txt
See also[edit] Lobes of the brain Temporoparietal junction
sense_dimmed_sleep/s12931022021413_355_2.txt
&author=Gray%2CEL&author=McKenzie%2CDK&author=Eckert%2CDJ)
sense_dimmed_sleep/s12931022021413_398_0.txt
You can also search for this author in [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Chong%20Xu) [ Google Scholar ](http://scholar.google.co.uk/scholar?as_q=&num=10&btnG=Search+Scholar&as_epq=&as_oq=&as_eq=&as_occt=any&as_sauthors=%22Chong%
sense_dimmed_sleep/s41598023340024_127_0.txt
We should point recognizable limitations of the present study. First, low AT determination was based on an algorithm and not based on the invasive quantitative assessment conducted in specialized physiologic laboratory. Second, the algorithm used for calculating the arousal threshold has been validated for OSA patients...
sense_dimmed_sleep/s12931022021413_30_0.txt
_Trial registration:_ Chinese Clinical Trial Registry; URL: [ http://www.chictr.org.cn ](http://www.chictr.org.cn) ; No. ChiCTR1900025714 (retrospectively registered).
sense_dimmed_sleep/s41598023340024_52_0.txt
Understanding the relationship between respiratory AT and arousability can shed light to the understanding of the pathophysiology implicated in COMISA and allow targeting more specific treatments. For instance, hypnotics are commonly used to treat insomnia [ 9 ](/articles/s41598-023-34002-4#ref-CR9 "Sateia, M., Buysse...
sense_dimmed_sleep/s12931022021413_376_0.txt
All of the authors are grateful to the staff in our sleep center and all of the subjects.
sense_dimmed_sleep/therelationshipbetwe_2_0.txt
[ Approach ](https://www.thecenterforconnection.org/approach)
sense_dimmed_sleep/s12931022021413_443_44.txt
0uMDMuMjQtLjA3LjM0LS4xMWwuMjggMS4xOWMtLjE5LjA2LS40LjEyLS42NC4xNy0uMjMuMDUtLjQ5LjA4LS43Ni4wOC0uNCAwLS43NC0uMDYtMS4wMi0uMTgtLjI3LS4xMy0uNDktLjMtLjY3LS41Mi0uMTctLj
sense_dimmed_sleep/s41598023340024_50_0.txt
\(2005\)."), [ 8 ](/articles/s41598-023-34002-4#ref-CR8 "Björnsdóttir, E. et al. Symptoms of insomnia among patients with obstructive sleep apnea before and after two years of positive airway pressure treatment. Sleep 36\(12\), 1901–1909. https://doi.org/10.5665/sleep.3226
sense_dimmed_sleep/therelationshipbetwe_15_0.txt
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sense_dimmed_sleep/s41598023340024_180_0.txt
23. Krieger, J., Kurtz, D., Petiau, C., Sforza, E. & Trautmann, D. Long-term compliance with CPAP therapy in obstructive sleep apnea patients and in snorers. _Sleep_ **19** (9 SUPPL.), 136–143. [ https://doi.org/10.1093/sleep/19.suppl_9.s136 ](https://doi.org/10.1093/sleep/19.suppl_9.s136) (1996).
sense_dimmed_sleep/s41598023340024_44_0.txt
\(1988\)."). Arousability in these patients can be defined as the physiological, cognitive, emotional, and behavioral responsiveness of individuals to particular variations in environmental stressful conditions [ 6 ](/articles/s41598-023-34002-4#ref-CR6 "Puzino, K. et al. Arousability as a trait predisposition to inso...
sense_dimmed_sleep/s41598023340024_54_0.txt
\(2017\)."). Hypnotics aiming to increase the arousal threshold have also been tried as a treatment for OSA, resulting in OSA improvement for some individuals 10 , 11 , [ 12 ](/articles/s41598-023-34002-4#ref-CR12 "Sweetman, A. et al. Bi-directional relationships between co-morbid insomnia and sleep apnea \(COMISA\)....
sense_dimmed_sleep/s12931022021413_43_0.txt
."), [ 8 ](/articles/10.1186/s12931-022-02141-3#ref-CR8 "Mador MJ, Kufel TJ, Magalang UJ, Rajesh SK, Watwe V, Grant BJ. Prevalence of positional sleep apnea in patients undergoing polysomnography. Chest. 2005;128\(4\):2130–7. https://doi.org/10.1378/chest.128.4.2130
sense_dimmed_sleep/s41598023340024_249_0.txt
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sense_dimmed_sleep/s12931022021413_91_3.txt
) criteria (40.21% and 46.52% in women vs. 36.13%, 42.18% in men, respectively). According to the CC and APOC criteria, the male to female ratios were 8.36:1 and 7.73:1 for extremely severe POSA, and 3.11:1 and 2.94:1 for mild OSA, respectively (Fig. [ 3 ](/articles/10.1186/s12931-022-02141-3#Fig3) ). The male to fema...
sense_dimmed_sleep/nonobesepatientswith_69_0.txt
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sense_dimmed_sleep/s41598023340024_302_0.txt
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sense_dimmed_sleep/s12931022021413_165_0.txt
."), [ 54 ](/articles/10.1186/s12931-022-02141-3#ref-CR54 "McNicholas WT, Bonsignore MR, Lévy P, Ryan S. Mild obstructive sleep apnoea: clinical relevance and approaches to management. Lancet Respir Med. 2016;4\(10\):826–34. https://doi.org/10.1016/s2213-2600\(16\)30146-1
sense_dimmed_sleep/s41598023340024_147_0.txt
[ Article ](https://doi.org/10.1016%2Fj.sleep.2021.02.033) [ PubMed ](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=33721601) [ Google Scholar ](http://scholar.google.com/scholar_lookup?&title=Arousability%20as%20a%20trait%20predisposition
sense_dimmed_sleep/s12931022021413_185_0.txt
More than 1/3 of our Chinese subjects with OSA had POSA, which was especially prevalent among those with mild OSA. The rate was lower than in Western studies because of the differences in anatomical and non-anatomical factors between Chinese and Western populations. A low ArTH is more common in patients with POSA compa...
sense_dimmed_sleep/s41598023340024_237_0.txt
### Competing interests
sense_dimmed_sleep/s41598023340024_308_0.txt
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sense_dimmed_sleep/s41598023340024_215_0.txt
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sense_dimmed_sleep/therelationshipbetwe_105_0.txt
Consider a child who chronically sleeps poorly. Her tiredness may manifest by constantly jumping or skipping around in an attempt to stay awake. He could “zone out”. Chewing on his sweatshirt or nails may help him focus. She might be more reactive towards peers. His frustration tolerance might be limited or he might gi...
sense_dimmed_sleep/s12931022021413_76_0.txt
.") ].
sense_dimmed_sleep/s12931022021413_241_0.txt
REM:
sense_dimmed_sleep/nonobesepatientswith_84_0.txt
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sense_dimmed_sleep/s12931022021413_299_2.txt
&author=Kassner%2CA&author=Katz%2CSL&author=Propst%2CEJ)
sense_dimmed_sleep/s12931022021413_289_2.txt
ation_year=2020&author=Sabil%2CA&author=Blanchard%2CM&author=Trzepizur%2CW&author=Goupil%2CF&author=Meslier%2CN&author=Paris%2CA)