Introduction
Methods
Participants
Procedure
Day 0 | Check in at the patient hotel |
Day 1 | Capillary blood gas (7.30 a.m.) |
Weight/height | |
Self-report instruments | |
Electrocardiography | |
Muscle ultrasound | |
Motor tests | |
Mounting of PSG (15 p.m.) | |
Day 2 | Detachment of PSG (7.30 a.m.) |
Pulmonary lab | |
Echocardiography | |
Clinical neurological examination | |
Cognitive test | |
Motor tests |
Self-report instruments
Pulmonary function tests (PFT)
The 32-item motor function measure (MFM32)
PSG study
Statistical analyses
Results
Participants
Sleep and HRQoL surveys
All n = 72–77 | No mask n = 50–53 | Mask n = 21–24 | |
---|---|---|---|
n (%) or M (IQR) | n (%) or M (IQR) | n (%) or M (IQR) | |
Females | 37 (48) | 22 (42) | 15 (62.5) |
Males | 40 (52) | 31 (58) | 9 (37.5) |
Age (years) | 47 (32–58) | 37 (27–54) | 56 (50–63) |
Daily smokers | 4 (5) | 3/53 (6) | 1 (4) |
COPD | 1 (1) | 1/53 (2) | 0 (0) |
W/C | 25 (33) | 9/52 (17) | 16 (67) |
ESS (0–24) | 4.0 (2.0–8.0) | 5.0 (2.0–8.0) | 3.5 (0.0–8.0) |
EDS (ESS > 10) | 7 (10) | 6 (12) | 1 (5) |
BIS (0–42) | 9 (4–16) | 9 (5–17) | 8 (4–15) |
Insomnia | 23 (32) | 16 (31) | 7 (32) |
SOLa | 20 (27) | 16 (31) | 4 (18) |
WASOa | 14 (19) | 6 (12) | 8 (36) |
Early awakeninga | 16 (22) | 11 (22) | 5 (23) |
Non-restorative sleepa | 35 (49) | 27 (53) | 8 (38) |
Dissatisfaction w/sleepa | 16 (22) | 11 (22) | 5 (23) |
Daytime tirednessa | 27 (37) | 19 (37) | 8 (36) |
Respiratory questionnaire | |||
Several awakeningsb | 31 (43) | 19 (38) | 12 (55) |
Morning headacheb | 7 (10) | 5 (10) | 2 (9) |
Refreshing sleepb | 46 (64) | 32 (64) | 14 (64) |
Daytime tirednessb | 29 (40) | 21 (42) | 8 (36) |
Nocturnal dyspneab | 2 (3) | 2 (4) | 0 (0) |
FSS (1–7) | 4.3 (3.6–5.7) | 4.2 (3.3–5.5) | 4.7 (3.9–6.2) |
Fatigue (FSS ≥ 5) | 29 (40) | 18 (36) | 11 (48) |
HRQOL Subscales | rs (n = 68–70) | 95% CI | p |
---|---|---|---|
SF-36 physical | 0.19 | − 0.06, 0.41 | 0.13 |
SF-36 role physical | − 0.20 | − 0.42, − 0.05 | 0.11 |
SF-36 bodily pain | − 0.41 | − 0.60, − 0.19 | 0.0004 |
SF-36 general health | − 0.22 | − 0.44, 0.03 | 0.07 |
SF-36 vitality | − 0.46 | − 0.64, − 0.25 | < 0.0001 |
SF-36 social | − 0.18 | − 0.40, 0.07 | 0.14 |
SF-36 role emotional | − 0.35 | − 0.55, − 0.11 | 0.003 |
SF-36 mental | − 0.38 | − 0.57, − 0.15 | 0.0012 |
INQoL muscle weakness | − 0.03 | − 0.27, 0.22 | 0.48 |
INQoL fatigue | 0.40 | 0.17, 0.58 | 0.0007 |
INQoL myalgia | 0.30 | 0.06, 0.50 | 0.01 |
INQoL activities | 0.02 | − 0.22, 0.26 | 0.86 |
INQoL independence | − 0.03 | − 0.27, 0.21 | 0.80 |
INQoL relationships | 0.006 | − 0.24, 0.25 | 0.96 |
INQoL emotions | 0.26 | 0.02–0.47 | 0.03 |
INQoL index | 0.09 | − 0.16, 0.32 | 0.48 |
PSG study and clinical study
Females (n = 8) n (%) or median | Males (n = 18) n (%) or median | All (n = 26) Range | |
---|---|---|---|
Characteristics | |||
Age (years) | 40 | 41 | 16–64 |
BMI (kg/m2) | 26.2 | 26.5 | 21.0–36.4 |
BMI > 30 kg/m2 | 1 (0) | 3 (17) | – |
Daily smokers | 1 (13) | 1 (6) N.D.: 1 | – |
W/C | 1 (13) | 1 (6) | – |
Self-report instruments | |||
FSS (1–7) | 4.4 | 4.1 | 2–6 |
Fatigue (FSS ≥ 5) | 3 (38) | 6 (33) | – |
Respiratory questionnaire | |||
Several awakeningsa | 2 (25) | 7 (41) | – |
Morning headachea | 1 (13) | 1 (6) | – |
Refreshing sleepa | 4 (50) | 10 (56) | – |
Daytime tirednessa | 6 (75) | 8 (44) | – |
Nocturnal dyspneaa | 0 (0) | 0 (0) | – |
Cardiac/pulmonary function | |||
FVC% | 72 | 89 | 60–111 |
FVC% sup | 63 N.D.:1 | 85 N.D.:4 | 32–103 |
∆FVC (%) | 22 N.D.:1 | 11 N.D.:4 | 4–33 |
MIP% | 62 | 81 N.D.:1 | 28–108 |
EF < 50% | 1 (13) | 7 (41) N.D.: 1 | – |
PSG study | |||
TST (hours:min) | 6:31 | 6:44 | 4:50–8:57 |
Sleep efficiency (%) | 92.0 | 90.2 | 63.0–97.6 |
Supine (%TST) | 65.1 | 45.6 | 3.3–100.0 |
REM sleep (hours:min) | 1:05 | 1:10 | 0:01–1:10 |
REM sleep (%TST) | 15.6 | 17.0 | 0.0–28.5 |
N3 sleep (hours:min) | 1:30 | 1:18 | 0:0–2:31 |
N3 sleep (%TST) | 22.6 | 21.2 | 0.0–36.9 |
ODI (n/hour) | 2.3 | 7.6 | 0.0–50.1 |
AHI (n/hour) | 6.6 | 10.2 | 0.2–63.6 |
AI (n/hour) | 1.8 | 3.6 | 0–42.4 |
oAI (n/hour) | 1.3 | 1.5 | 0–34.7 |
cAI (n/hour) | 0.0 | 0.3 | 0–7.3 |
AHI 5.0–14.9/hour | 2 (25) | 6 (33) | – |
AHI 15.0–29.9/hour | 2 (25) | 4 (22) | – |
AHI ≥ 30.0/hour | 0 (0) | 2 (11) | – |
MAI (n/hour) | 22.3 | 54.1 | 6.8–91.9 |
Mean SpO2 (%) | 97 | 96 | 93–98 |
Mean PtcCO2 (kPa) | 5.69 N.D.: 3 | 5.99 N.D.: 4 | 5.23–6.62 |
Max PtcCO2 (kPa) | 6.13 N.D.: 3 | 6.58 N.D.: 4 | 5.48–7.25 |
Subject no | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
---|---|---|---|---|---|---|---|---|---|
Age (years) | 62 | 55 | 46 | 51 | 59 | 57 | 44 | 49 | 31 |
Sex | M | M | M | F | M | F | M | M | M |
BMI (kg/m2) | 27.2 | 25.6 | 22.9 | 23.4 | 26.8 | 24.5 | 28.5 | 23.8 | 21.9 |
W/C | + | − | − | − | − | + | − | − | − |
COPD | + | − | − | − | − | − | − | − | − |
EF < 50% | + | +a | − | + | − | − | + | − | − (50%) |
Respiratory metrics | |||||||||
SA | + | + | + | + | + | + | + | + | − |
AHI n/hour | 43.3 | 63.6 | 21.6 | 21.4 | 20.7 | 20.6 | 16.3 | 16.9 | 1.4 |
AI n/hour | 3.9 | 42.4 | 9.4 | 3.8 | 18.0 | 11.0 | 11.4 | 13.7 | 1.1 |
oAI n/hour | 0.3 | 34.7 | 9.4 | 3.8 | 18.0 | 10.9 | 8.8 | 12.4 | 1.1 |
cAI n/hour | 0.3 | 7.3 | 0.0 | 0.0 | 0.0 | 0.2 | 1.7 | 1.2 | 0.0 |
ODI n/hour | 41.2 | 50.1 | 18.2 | 3.7 | 10.2 | 4.0 | 7.8 | 7.7 | 0.5 |
CSR | + | − | − | − | − | − | − | − | − |
SpO2 < 90% min (%TST) | 72 (16) | 15 (4) | 6 (1) | 3 (< 1) | 3 (1) | 1 (< 1) | 4 (1) | 1 (1) | 3 (< 1) |
HV | − | − | − | − | N.D | − | − | − | + |
FVC% | 42 | 85 | 107 | 88 | 88 | 75 | 100 | 115 | 104 |
FVC%sup | 32 | N.D | 99 | 63 | N.D | 73 | 87 | 103 | 88 |
∆FVC (%) | 25 | N.D | 8 | 28 | N.D | 4 | 13 | 10 | 16 |
MIP% | 54 | N.D | 107 | 59 | 94 | 81 | 92 | 81 | 65 |
Symptoms | |||||||||
Several awakeningsb | + | + | − | − | − | − | + | − | − |
Morning headacheb | + | − | − | − | − | − | − | − | − |
Refreshing sleepb | − | − | + | + | + | + | + | + | + |
Daytime tirednessb | − | + | − | + | + | + | − | − | + |
Nocturnal dyspneab | − | − | − | − | − | − | − | − | − |
FSS (1–7) | 4.1 | 5.9 | 1.9 | 4.4 | 4.1 | 3.7 | 1.8 | 2.3 | 4.2 |
Dependent variable: AHI (n = 24) | ||||||
---|---|---|---|---|---|---|
Model | R2/R2adj | Predictor | Beta | β | pa | 95% CI for beta |
1 | 0.544/0.453 | EF < 50% (vs ≥ 50%) | 13.25 | 0.43 | 0.019 (0.011) | 2.46, 24.03 |
BMI (kg/m2) | − 0.56 | − 0.14 | 0.399 (0.820) | − 1.90, − 0.79 | ||
Age (years) | 0.59 | 0.56 | 0.002 (< 0.001) | 0.24, 0.94 | ||
Male (vs female) | − 1.36 | − 0.04 | 0.789 (0.931) | − 11.77, 9.06 | ||
2 | 0.543/0.477 | EF < 50% (vs ≥ 50%) | 12.79 | 0.42 | 0.014 (0.007) | 2.84, 22.74 |
BMI (kg/m2) | − 0.51 | − 0.13 | 0.411 (0.828) | − 1.78, 0.76 | ||
Age (years) | 0.58 | 0.55 | 0.002 (< 0.001) | 0.25, 0.92 | ||
3 | 0.527/0.485 | EF < 50% (vs ≥ 50%) | 11.75 | 0.39 | 0.018 (0.005) | 2.23, 21.26 |
Age (years) | 0.56 | 0.54 | 0.002 (< 0.001) | 0.24, 0.90 |
No mask | Mask | |||
---|---|---|---|---|
All no mask n = 35 | PSG study n = 26 | SDBa n = 17 | n = 14 | |
Age (years), median | 38 | 41 | 47 | 56 |
BMI (kg/m2), median | 25.8 | 26.5 | 26.8 | 30.4 |
W/C, n (%) | 6 (17) | 2 (8) | 2 (12) | 10 (71) |
FSS, median | 4.3 | 4.2 | 4.1 | 4.6 |
FVC%, median | 88 | 89 | 93 | 59 N.D.: 1 |
FVC% - FSS, r | − 0.27, p = 0.12 | − 0.06, p = 0.78 | − 0.07, p = 0.79 | − 0.03, p = 0.93 |
FVC% sup, median | 74 N.D.: 9 | 77 N.D.: 5 | 85 N.D.: 5 | 40 N.D.: 3 |
FVC% sup - FSS, r | − 0.39, p = 0.046 | − 0.25, p = 0.27 | − 0.35, p = 0.27 | 0.11, p = 0.74 |
∆FVC (%), median | 12 N.D.: 9 | 11 N.D.: 5 | 11 N.D.: 5 | 19 N.D.: 3 |
∆FVC (%) - FSS, r | 0.20, p = 0.34 | 0.37, p = 0.10 | 0.59, p = 0.043 | − 0.53, p = 0.09 |
MIP% median | 68 N.D.: 2 | 78 N.D.: 1 | 80 N.D.: 1 | 54 N.D.: 1 |
MIP% - FSS, r | − 0.46, p = 0.008 | − 0.43, p = 0.030 | − 0.54, p = 0.031 | − 0.02, p = 0.94 |