Sleep and Breathing睡眠与呼吸
Sleep and Breathing(英文缩写 SLEEP BREATH),ISSN 1520-9512,eISSN 1522-1709,中文译名:睡眠与呼吸 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.655 | Q3 |
| 2022 | 2.500 | Q3 |
| 2023 | 2.100 | Q3 |
| 2024 | 2.000 | Q3 |
| 2025 | 2.400 | Q3 |
Sleep and Breathing 最新收录文献
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1. Effects of clear aligner-based expansion screw and nickel-titanium palatal expander on airway dimensions and sleep parameters in unilateral cleft lip and palate patients: a randomized clinical trial.
PMID:日期:2026-09-26This study compared the outcomes of clear aligner-based expansion screw (CAE) and nickel-titanium palatal expanders in mixed dentition patients with elevated sleep questionnaire scores. A randomized clinical trial was conducted on 24 UCLP patients presenting with transverse maxillary deficiency and elevated sleep questionnaire scores. Participants were allocated to treatment with either CAE or NiTi palatal expander. Cone-beam computed tomography (CBCT) and polysomnography (PSG) were performed before and after expansion. Changes in airway volume and sleep parameters were assessed. Correlation analyses were conducted to determine associations between expansion characteristics and airway or PSG outcomes. Pre- and post-expansion Cone-Beam Computed Tomography (CBCT) and polysomnography (PSG) showed that both modalities significantly improved pharyngeal airway volume and sleep parameters. Both groups demonstrated significant improvements in pharyngeal airway volume and PSG parameters. CBCT-based transverse measurements confirmed significant increases in intercanine width, intermolar width, basal bone width, and buccal tipping of molar in both groups, with group1 showing significantly greater gains in intercanine and intermolar width than group 2. Correlation analysis revealed statistically significant positive correlations between the change in intercanine width and increases in nasopharyngeal, oropharyngeal, and total pharyngeal airway volume, and between the change in intermolar width and oropharyngeal airway volume; no significant correlations were observed for J-J' width, basal bone width, or buccal tipping of molar with airway or PSG parameters. A statistically significant negative correlation was observed between skeletal expansion and Δ minimum SpO₂ in the NiTi group. Both CAE and NiTi palatal expanders significantly improved airway dimensions and sleep parameters in UCLP patients. Anterior transverse widening (intercanine and intermolar width) correlated positively with airway volume gains, whereas basal skeletal widening (J-J' width, basal bone width) and molar inclination did not, suggesting that the overall expansion effect rather than its mechanistic subtype may be the primary driver of functional benefit. Both appliances demonstrated comparable clinical effectiveness.
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2. Impact of maxillomandibular atresia on the response to mandibular advancement devices in obstructive sleep apnea: a scoping review.
PMID:日期:2026-09-25To map the existing evidence on the impact of transverse craniofacial alterations on mandibular advancement device treatment outcomes in adults with obstructive sleep apnea, with the objective of identifying knowledge gaps and informing future research and clinical decision-making. A systematic literature search was conducted in six databases. Additionally, gray literature sources were searched, and clinical trial registries, including ClinicalTrials.gov, were screened for RCT protocols. The reference lists of all included sources of evidence were also screened, and experts in the field were consulted. The literature search yielded a total of 1,508 references after duplicate removal. Nine studies and one conference report were found eligible for inclusion. The literature demonstrated heterogeneous associations between transverse craniofacial characteristics and mandibular advancement device treatment outcomes. Most studies (n = 7) did not identify significant associations between isolated transverse craniofacial measurements and treatment response. Greater mandibular transverse dimensions were associated with better therapeutic outcomes in two studies, whereas one study reported better treatment response in individuals with smaller mandibular transverse dimensions. Reduced maxillary width and unfavorable anatomical balance were more frequently associated with greater obstructive sleep apnea severity or poorer treatment outcomes. While some studies suggest that the response to mandibular advancement devices in obstructive sleep apnea is associated with transverse mandibular dimensions, most investigations have not identified this relationship. Future standardized and well-designed studies are needed to clarify the influence of this anatomical characteristic on the outcomes of this common treatment for obstructive sleep apnea.
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3. Prevalence and impact of sleep disorders in patients with hereditary angioedema: A multicenter cross-sectional study in Latin America.
PMID:日期:2026-09-25Hereditary angioedema (HAE) is a rare disease characterized by recurrent swelling episodes that may affect sleep and quality of life. Because data on sleep disorders in Latin American patients with HAE are limited, we assessed their prevalence and clinical correlates using structured sleep and HAE patient-reported outcome measures. To assess the prevalence/impact of sleep disorders in HAE patients using validated tools. This cross-sectional, multicenter online survey included adult patients (> = 18 years) with clinician-confirmed HAE from 13 reference centers in five Latin American countries. Data were collected between August and December 2023. Sleep was assessed using the Global Sleep Assessment Questionnaire (GSAQ), SATED scale, and STOP-Bang; HAE was assessed using the Hereditary Angioedema Activity Score (HAE-AS), Angioedema Control Test (AECT), and Angioedema Quality of Life questionnaire (AE-QoL). Logistic regression models were adjusted for age, sex, and BMI. The final analytic sample included 139 participants. Most patients had HAE-C1INH type 1 (64.0%) and were female (68.4%). Only 6.5% had good sleep health, and the mean SATED score was 5.46 (1.87). Insomnia was reported by 54.0% of participants, and 34.5% had STOP-Bang moderate-to-high OSA risk. In age-, sex-, and BMI-adjusted models, severe HAE activity was associated with higher odds of insomnia (OR = 2.62, 95% CI: 1.28-5.35, P = 0.008), RLS/PLMD (OR = 5.85, 95% CI: 1.59-21.62, P = 0.008), and STOP-Bang moderate-to-high OSA risk (OR = 2.37, 95% CI: 1.01-5.55, P = 0.047). Higher AE-QoL fatigue/mood and fears/shame scores were associated with several sleep outcomes. AECT control status did not show a consistent independent association after simultaneous adjustment. In this exploratory cross-sectional study, HAE activity and quality-of-life impairment were associated with several sleep outcomes. Targeted sleep screening may be useful in HAE care pathways if these associations are confirmed in prospective studies.
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4. Association between chronotype preference and sleep characteristics in insomnia patients.
PMID:日期:2026-09-23The relationship between chronotype preference and subjective sleep perception, objective sleep parameters, rest-activity rhythms (RAR), as well as light exposure rhythms (LER) in insomnia patients remains insufficiently clarified. This study aimed to explore the differences in nocturnal and diurnal sleep characteristics, RAR and LER between morning-type and intermediate-type insomnia patients, and to screen subjective and objective influencing factors associated with chronotype preference. A total of 62 enrolled insomnia patients were divided into morning-type and intermediate-type groups according to the Morningness-Eveningness Questionnaire (MEQ). All participants completed relevant subjective scales including the Sleep Hygiene Practice Scale (SHPS) and underwent 7-day continuous wrist actigraphy monitoring. RAR and LER non-parametric indicators were calculated via R software. Group differences in demographic data, subjective sleep scales, and actigraphy-derived nocturnal and diurnal variables were compared, and multivariate linear regression was performed to identify predictors of MEQ scores. Compared with intermediate-type patients, morning-type insomnia patients were significantly older, with poorer subjective sleep quality and more irrational sleep beliefs, and showed higher daytime rhythm stability and more regular activity patterns (all P < 0.05). No significant inter-group differences were observed in most objective sleep parameters. Multivariate linear regression analysis confirmed that SHPS score and the timing of the most active 10 h (M10) were independent influencing factors of chronotype preference. Chronotype preference is closely correlated with age, subjective sleep perception, sleep hygiene level and rest-activity rhythm characteristics. Attention should be paid to individual chronotype characteristics in clinical insomnia management, optimizing sleep hygiene and regulating daily activity rhythm patterns may help improve sleep status in insomnia patients.
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5. The impact of obstructive sleep apnea on skin wound healing - from preclinical perspective to clinical evidence: A narrative review.
PMID:日期:2026-09-23Adequate tissue oxygenation is essential for effective skin wound healing. Hypoxia contributes to impaired healing and chronic wound formation. Obstructive sleep apnea (OSA) affects nearly one billion adults worldwide, and up to 80% of cases remain undiagnosed. OSA causes intermittent hypoxia (IH), with repetitive cycles of oxygen desaturation and reoxygenation during sleep. The molecular pathways activated by IH differ from those induced by acute and chronic hypoxia. We propose that OSA may contribute to impaired wound healing in two ways. Indirectly, by promoting comorbidities such as diabetes, hypertension, and obesity. Directly, through IH and its effects at the cellular and tissue level. PubMed/MEDLINE, Scopus, and Web of Science were searched through August 2026 for preclinical and clinical studies on OSA, IH, and wound healing. To our knowledge, this is the first review to integrate cellular mechanisms, preclinical evidence, and clinical data on this topic. We describe the IH-driven mechanisms that may contribute to impaired wound healing, including reduced antioxidant capacity, sustained inflammation, sympathetic activation, and endothelial dysfunction. Preclinical evidence is limited and mostly derives from in vitro scratch assays. It shows that IH delays wound closure, downregulates HIF-2α and VEGF, and shifts macrophages toward a pro-inflammatory phenotype. Clinical data are also limited and heterogeneous. In diabetic foot ulcers, high OSA risk doubled the risk of poor healing. Improved ulcer healing after CPAP has been described only in a small case series. Given its high prevalence and underdiagnosis, OSA may be an overlooked and potentially modifiable factor in impaired wound healing.
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6. Hypoxic burden reduction after lateral pharyngoplasty in patients with obstructive sleep apnea: Beyond the apnea-hypopnea index.
PMID:日期:2026-09-22The apnea-hypopnea index (AHI), traditionally used to assess obstructive sleep apnea (OSA) severity and surgical outcomes, has limitations in reflecting cardiovascular risk and pathophysiological burden. Although lateral pharyngoplasty has demonstrated favorable outcomes regarding AHI reduction, its impact on hypoxic burden (HB) remains unknown. This study evaluated HB changes after lateral pharyngoplasty in patients with OSA, including those classified as surgical failures according to Sher's criteria. This observational, longitudinal study with a mixed retrospective and prospective design included 27 adults with OSA who underwent lateral pharyngoplasty (version 6) between 2016 and 2025, with complete preoperative and postoperative polysomnographic data for HB assessment. HB was calculated using validated commercial software. Nonparametric tests were used for intra- and intergroup comparisons. Surgical success was defined according to Sher's criteria. A significant reduction in HB was observed across all variants: total sleep time (median from 97.1%·min/h to 35.0%·min/h, p < 0.0001), REM sleep, NREM sleep, and supine and non-supine positions, with a significant reduction in median AHI (median from 33.8 to 12.3 events/h, p < 0.0001). Even among surgical failures according to Sher's criteria, HB decreased significantly (median from 102.5%·min/h to 67.3%·min/h, p = 0.0107), suggesting pathophysiological improvement not captured by AHI alone. HB is a potentially more sensitive metric to assess therapeutic response in OSA, incorporating multiple dimensions of nocturnal hypoxemia beyond AHI. Lateral pharyngoplasty promoted consistent HB reduction, including in surgical failures, supporting HB as a complementary tool for therapeutic evaluation, with potential applications in cardiovascular risk stratification.
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7. Inter-rater reliability in drug-induced sleep endoscopy: experience-driven interpretation, decision-making, and the emerging role of artificial intelligence.
PMID:日期:2026-09-21To evaluate the inter-rater reliability of DISE interpretation using the VOTE classification, assess variability in therapeutic decision-making, and explore the potential role of artificial intelligence (AI) in DISE evaluation. Twenty DISE recordings were retrospectively and independently evaluated by 12 raters (7 junior and 5 senior) and by a general-purpose AI model without task-specific training. Inter-rater agreement among human raters for obstruction grading and pattern classification was assessed using percentage agreement, Fleiss' kappa, and weighted kappa. Agreement with a reference standard (unanimous expert consensus) was analyzed. Treatment proposals were evaluated using exact match ratio and Jaccard similarity. At baseline, agreement among human raters ranged from 43.6% to 68.0% for obstruction grading (weighted κ, 0.255-0.425) and from 60.8% to 79.3% for collapse pattern (Fleiss' κ, 0.287-0.370). Senior raters showed higher baseline agreement than junior raters across all anatomical levels for collapse pattern and at three of four levels for obstruction grading. Agreement with the expert consensus ranged from 70.0% to 90.0% for senior raters and from 35.0% to 85.0% for AI in baseline grading, and from 75.0% to 95.0% and 50.0% to 80.0%, respectively, in baseline pattern classification. For therapeutic recommendations, exact agreement was 70.0% for senior raters, 55.0% for junior raters, and 50.0% for AI; mean Jaccard similarity was 0.867, 0.833, and 0.742, respectively. DISE interpretation remains complex and operator-dependent. Pattern classification appears more reproducible than grading. While a non-task-specific AI model captured clinically relevant patterns, it did not match expert performance in complex decision-making. AI may serve as a supportive tool, particularly for less experienced clinicians.
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8. Conceptual growth curves of oropharyngeal soft tissues and craniofacial skeletal structures: clinical implications for pediatric airway management.
PMID:日期:2026-09-19Pediatric obstructive sleep apnea (OSA) is closely linked to the growth and interaction of upper airway soft tissues. The relevance of Scammon's classical growth curves to site-specific oropharyngeal development has been called into question, despite the fact that they have long provided a fundamental framework for comprehending lymphoid tissue maturation. This narrative review synthesizes current imaging-based and morphometric evidence on the age-related growth of the adenoids, palatine tonsils, lingual tonsils, and tongue, within the context of craniofacial development. Adenoidal tissue undergoes rapid early growth, peaking between 6 and 8 years - earlier than predicted by Scammon's lymphoid curve. Palatine tonsils reach maximum dimensions between 8 and 10 years before gradual involution. Lingual tonsils lack normative developmental data in healthy children and appear largely absent on MRI in asymptomatic subjects, with hypertrophy representing a compensatory or condition-dependent response rather than normal development. The tongue follows a general-type growth trajectory with marked regional differences: the anterior two-thirds attains near-adult size by 8-10 years, while the posterior third continues enlarging into adolescence. These structure-specific trajectories interact with the differential maturation of craniofacial structures - the cranium, maxilla, and mandible - creating a transient "window of vulnerability" between approximately 5 and 10 years of age, during which soft tissue volume disproportionately narrows the upper airway. Oropharyngeal soft tissue growth is structure-specific and does not conform to a single generalized growth curve. A conceptual, site-specific clinical framework integrating the distinct growth trajectories of each tissue and their proportional relationship to craniofacial development is essential for orthodontic assessment, airway risk stratification, and timely intervention in children with or at risk for sleep-disordered breathing.
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10. Association of sleep efficiency with cardiac autonomic modulation in young and professional soccer players during pre-season.
PMID:日期:2026-09-18This study investigated the association between sleep efficiency and cardiac autonomic modulation in young and professional soccer players during pre-season. A cross-sectional quantitative study was conducted with 53 male soccer players divided into three categories: U-15 (n = 12), U-17 (n = 15), and professionals (n = 26). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), cardiac autonomic modulation via heart rate variability (HRV) recorded by a 10-lead electrocardiograph and analyzed with Kubios HRV 2.0, and cardiorespiratory capacity estimated through the Yo-Yo Intermittent Recovery Test. Body composition was assessed by tetrapolar electrical bioimpedance. Statistical analyses included one-way ANOVA, Welch's ANOVA, chi-square and Fisher's exact tests, Pearson correlation, and simple linear regression, with significance set at p < 0.05. Professional athletes demonstrated significantly higher VO₂max (50.5 ± 4.56 ml·kg⁻¹·min⁻¹; p < 0.001), lower resting heart rate (54.9 ± 8.65 bpm; p = 0.03), and greater parasympathetic modulation (RMSSD: 82.8 ± 17.5 ms; p < 0.001) compared to youth categories. Sleep efficiency was significantly higher in professionals (90.7 ± 6.13%; p = 0.01) and positively correlated with RMSSD. A significant association was found between RMSSD levels and global sleep quality (p = 0.004; X² = 0.50), as well as between RMSSD and VO₂max classification (p = 0.01; X² = 0.40). Sleep efficiency is positively associated with cardiac autonomic modulation and aerobic performance in soccer players. While the superior physiological profile of professionals reflects a synergy between training adaptations and biological maturation, HRV and PSQI constitute complementary monitoring tools for integrated athlete assessment across competitive categories.