Defining obstructive sleep apnoea syndrome: a failure of semantic rules

Obstructive sleep apnoea syndrome (OSAS) is one of the most ubiquitous medical conditions in industrialised society. Since the recognition that symptoms of excessive daytime somnolence, problems with concentration, mood and cognitive impairment, as well as cardiometabolic abnormalities can arise as...

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Autor principal:	Renata L. Riha
Formato:	article
Lenguaje:	EN
Publicado:	European Respiratory Society 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/1c9adf38862240df8fc4d21a15f32e89
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spelling	oai:doaj.org-article:1c9adf38862240df8fc4d21a15f32e892021-11-24T07:45:28ZDefining obstructive sleep apnoea syndrome: a failure of semantic rules1810-68382073-473510.1183/20734735.0082-2021https://doaj.org/article/1c9adf38862240df8fc4d21a15f32e892021-09-01T00:00:00Zhttp://breathe.ersjournals.com/content/17/3/210082.fullhttps://doaj.org/toc/1810-6838https://doaj.org/toc/2073-4735Obstructive sleep apnoea syndrome (OSAS) is one of the most ubiquitous medical conditions in industrialised society. Since the recognition that symptoms of excessive daytime somnolence, problems with concentration, mood and cognitive impairment, as well as cardiometabolic abnormalities can arise as a consequence of obstructed breathing during sleep, it has been subject to variation in its definition. Over the past five decades, attempts have been made to standardise the definitions and scoring criteria used for apnoeas and hypopnoea, which are the hallmarks of obstructive sleep apnoea (OSA). However, applying these definitions in clinical and research practice has resulted in over- and under-estimation of the severity and prevalence of OSAS. Furthermore, the definitions may eventually become redundant in the context of rapid technological advances in breathing measurement and other signal acquisition. Increased efforts towards precision medicine have led to a focus on the pathophysiology of obstructed breathing during sleep. However, the same degree of effort has not been focused on how and why the latter does or does not result in diurnal symptoms, integral to the definition of OSAS. This review focuses on OSAS in adults and discusses some of the difficulties with current definitions and the possible reasons behind them.Renata L. RihaEuropean Respiratory SocietyarticleDiseases of the respiratory systemRC705-779ENBreathe, Vol 17, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Renata L. Riha Defining obstructive sleep apnoea syndrome: a failure of semantic rules
description	Obstructive sleep apnoea syndrome (OSAS) is one of the most ubiquitous medical conditions in industrialised society. Since the recognition that symptoms of excessive daytime somnolence, problems with concentration, mood and cognitive impairment, as well as cardiometabolic abnormalities can arise as a consequence of obstructed breathing during sleep, it has been subject to variation in its definition. Over the past five decades, attempts have been made to standardise the definitions and scoring criteria used for apnoeas and hypopnoea, which are the hallmarks of obstructive sleep apnoea (OSA). However, applying these definitions in clinical and research practice has resulted in over- and under-estimation of the severity and prevalence of OSAS. Furthermore, the definitions may eventually become redundant in the context of rapid technological advances in breathing measurement and other signal acquisition. Increased efforts towards precision medicine have led to a focus on the pathophysiology of obstructed breathing during sleep. However, the same degree of effort has not been focused on how and why the latter does or does not result in diurnal symptoms, integral to the definition of OSAS. This review focuses on OSAS in adults and discusses some of the difficulties with current definitions and the possible reasons behind them.
format	article
author	Renata L. Riha
author_facet	Renata L. Riha
author_sort	Renata L. Riha
title	Defining obstructive sleep apnoea syndrome: a failure of semantic rules
title_short	Defining obstructive sleep apnoea syndrome: a failure of semantic rules
title_full	Defining obstructive sleep apnoea syndrome: a failure of semantic rules
title_fullStr	Defining obstructive sleep apnoea syndrome: a failure of semantic rules
title_full_unstemmed	Defining obstructive sleep apnoea syndrome: a failure of semantic rules
title_sort	defining obstructive sleep apnoea syndrome: a failure of semantic rules
publisher	European Respiratory Society
publishDate	2021
url	https://doaj.org/article/1c9adf38862240df8fc4d21a15f32e89
work_keys_str_mv	AT renatalriha definingobstructivesleepapnoeasyndromeafailureofsemanticrules
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Defining obstructive sleep apnoea syndrome: a failure of semantic rules

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