Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome

Linda Lusic Kalcina, Ivana Pavlinac Dodig, Renata Pecotic, Maja Valic, Zoran Dogas Department of Neuroscience, Split Sleep Medicine Center, University of Split School of Medicine, Split, CroatiaCorrespondence: Zoran DogasDepartment of Neuroscience, Split Sleep Medicine Center, University of Split Sc...

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Autores principales:	Lusic Kalcina L, Pavlinac Dodig I, Pecotic R, Valic M, Dogas Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	obstructive sleep apnea syndrome overnight polysomnography psychomotor performance psychodiagnostic test daytime sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/168030832e404ae88bbdddf9a5819675
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spelling	oai:doaj.org-article:168030832e404ae88bbdddf9a58196752021-12-02T09:44:28ZPsychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome1179-1608https://doaj.org/article/168030832e404ae88bbdddf9a58196752020-03-01T00:00:00Zhttps://www.dovepress.com/psychomotor-performance-in-patients-with-obstructive-sleep-apnea-syndr-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Linda Lusic Kalcina, Ivana Pavlinac Dodig, Renata Pecotic, Maja Valic, Zoran Dogas Department of Neuroscience, Split Sleep Medicine Center, University of Split School of Medicine, Split, CroatiaCorrespondence: Zoran DogasDepartment of Neuroscience, Split Sleep Medicine Center, University of Split School of Medicine, Soltanska 2, Split 21000, CroatiaTel +38521557905Fax +38521557955Email zdogas@mefst.hrPurpose: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impairment seen in OSA patients. Additionally, this study aimed to assess the contribution of BMI, age, EDS assessed with Epworth sleepiness scale (ESS), and severity of OSA assessed with apnea-hypopnea index (AHI) to the reaction time on chronometric tests in OSA patients and controls. It is hypothesized that moderate and severe OSA have adverse effects on reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination assessed by chronometric psychodiagnostic test battery.Patients and Methods: This study was conducted on 206 male participants; 103 of them had moderate or severe OSA diagnosed by whole-night polysomnography/polygraphy. Control participants (N=103), matched to patients with OSA by age and BMI, had no reported OSA in their medical history, no increased risk for OSA, nor EDS. All participants were assessed with three chronometric psychodiagnostic tests, measuring the reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination.Results: Participants from the OSA group achieved impaired results compared to control participants in minimum single task solving time in speed of solving simple arithmetic operations (3± 0.9 and 2.6± 0.6, P< 0.001), and in minimum solving time of a single task in complex psychomotor limbs coordination (0.69± 0.2 and 0.61± 0.1, P=0.007). Regression analysis revealed no significant contribution of daytime sleepiness to the results achieved in each of the tests.Conclusion: It is concluded that severe OSA impaired speed of perception, convergent, and operative thinking. Moreover, it is suggested that EDS did not contribute to poor psychomotor outcome in patients with OSA in this study, when age was controlled for.Keywords: obstructive sleep apnea syndrome, overnight polysomnography, psychomotor performance, psychodiagnostic test, daytime sleepinessLusic Kalcina LPavlinac Dodig IPecotic RValic MDogas ZDove Medical Pressarticleobstructive sleep apnea syndromeovernight polysomnographypsychomotor performancepsychodiagnostic testdaytime sleepinessPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 183-195 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obstructive sleep apnea syndrome overnight polysomnography psychomotor performance psychodiagnostic test daytime sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	obstructive sleep apnea syndrome overnight polysomnography psychomotor performance psychodiagnostic test daytime sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Lusic Kalcina L Pavlinac Dodig I Pecotic R Valic M Dogas Z Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
description	Linda Lusic Kalcina, Ivana Pavlinac Dodig, Renata Pecotic, Maja Valic, Zoran Dogas Department of Neuroscience, Split Sleep Medicine Center, University of Split School of Medicine, Split, CroatiaCorrespondence: Zoran DogasDepartment of Neuroscience, Split Sleep Medicine Center, University of Split School of Medicine, Soltanska 2, Split 21000, CroatiaTel +38521557905Fax +38521557955Email zdogas@mefst.hrPurpose: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impairment seen in OSA patients. Additionally, this study aimed to assess the contribution of BMI, age, EDS assessed with Epworth sleepiness scale (ESS), and severity of OSA assessed with apnea-hypopnea index (AHI) to the reaction time on chronometric tests in OSA patients and controls. It is hypothesized that moderate and severe OSA have adverse effects on reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination assessed by chronometric psychodiagnostic test battery.Patients and Methods: This study was conducted on 206 male participants; 103 of them had moderate or severe OSA diagnosed by whole-night polysomnography/polygraphy. Control participants (N=103), matched to patients with OSA by age and BMI, had no reported OSA in their medical history, no increased risk for OSA, nor EDS. All participants were assessed with three chronometric psychodiagnostic tests, measuring the reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination.Results: Participants from the OSA group achieved impaired results compared to control participants in minimum single task solving time in speed of solving simple arithmetic operations (3± 0.9 and 2.6± 0.6, P< 0.001), and in minimum solving time of a single task in complex psychomotor limbs coordination (0.69± 0.2 and 0.61± 0.1, P=0.007). Regression analysis revealed no significant contribution of daytime sleepiness to the results achieved in each of the tests.Conclusion: It is concluded that severe OSA impaired speed of perception, convergent, and operative thinking. Moreover, it is suggested that EDS did not contribute to poor psychomotor outcome in patients with OSA in this study, when age was controlled for.Keywords: obstructive sleep apnea syndrome, overnight polysomnography, psychomotor performance, psychodiagnostic test, daytime sleepiness
format	article
author	Lusic Kalcina L Pavlinac Dodig I Pecotic R Valic M Dogas Z
author_facet	Lusic Kalcina L Pavlinac Dodig I Pecotic R Valic M Dogas Z
author_sort	Lusic Kalcina L
title	Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
title_short	Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
title_full	Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
title_fullStr	Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
title_full_unstemmed	Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome
title_sort	psychomotor performance in patients with obstructive sleep apnea syndrome
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/168030832e404ae88bbdddf9a5819675
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Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome

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