Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with Obstructive sleep apnea syndrome (OSAS) are similar to those of patients with fibromyalgia syndrome (FMS). Patients with OSAS can also present FMS. STOP-Bang test is an effective scale which was developed to identify the patients with OSAS. The aim of this study was to evaluate the probable correlation between symptom severity of FMS and STOP-Bang test. Thirty one patients were included in the study. Demographic data including gender, age, body mass index and concomitant diseases are recorded. Musculoskeletal and neurologic examination, measurement of neck circumference and limitation of cervical range of motion were performed. Also MRI findings were recorded as decreased cervical lordosis, spondylosis and discopathy. STOP-Bang test was applied. Beside this test presence of snoring and fatigue were asked again separately. Fibromyalgia Impact Questionnaire (FIQ) was applied. Results of FIQ including total score, visual analog scale for pain (VAS pain) and fatigue (VAS fatigue) were recorded. Twenty five patients (80,6%) were female and 6 patients (19,4%) were male. Neck circumference of male patients was significantly higher than the females (p<0,05). All patients were complaining of fatigue, and 61,3% reported snoring. According to the STOP-Bang test high risk of OSAS was found in 54,8% of the patients (5 males and 12 females). There was significant and positive correlation between snoring and VAS pain, VAS fatigue, FIQ score and high risk of OSAS (p<0,01). Correlations between high risk of OSAS and VAS pain, VAS fatigue and FIQ score (p<0,01) were significant, as well as the correlations between high risk of OSAS and limitation of cervical rotation, and presence of cervical discopathy and decreased cervical lordosis (p<0,05). Although it does not imply a cause and effect relationship, the association between FMS and OSAS is clear. Physicians should keep in mind the presence of OSAS among patients with FMS, especially in male patients. STOP-Bang test is an effective co-examination to predict the risk level of OSAS which is correlated with snoring. Only asking presence of snoring can substitute for STOP-Bang test to refer these patients for the examination of upper airways.
| Published in | American Journal of Clinical and Experimental Medicine (Volume 4, Issue 1) |
| DOI | 10.11648/j.ajcem.20160401.11 |
| Page(s) | 1-6 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Fibromyalgia Syndrome, Obstructive Sleep Apnea Syndrome, STOP-Bang, Snoring
| [1] | Wolfe F, Smythe HA, Yunus MB et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 1990; 33 (2): 160-72. |
| [2] | Mease P. Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol 2005; 75: 6-21. |
| [3] | Ozgocmen S. New strategies in evaluation of therapeutic efficacy in fibromyalgia syndrome. Curr Pharm Des 2006; 12: 67-71. |
| [4] | Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskel Disord 2007; 8: 27. |
| [5] | Hamilton NA, Affleck G, Tennen H, Karlson C, Luxton D, Preacher KJ, et al. Fibromyalgia: The role of sleep in affect and in negative event reactivity and recovery. Health Psychol 2008; 27: 490-7. |
| [6] | Moldofsky H, Inhaber NH, Guinta DR, Alvarez-Horine SB. Effects of Sodium Oxybate on Sleep Physiology and Sleep/Wake-related Symptoms in Patients with Fibromyalgia Syndrome: A Double-blind, Randomized, Placebo-controlled Study. J Rheumatol 2010; 37: 2156-66. |
| [7] | Germanowicz D, Lumertz MS, Martinez D, Margarites AF. Sleep disordered breathing concomitant with fibromyalgia syndrome. J Bras Pneumol 2006; 32 (4): 333-8. |
| [8] | Caples SM, Gami AS, Somers VK. Obstructive sleep apnea. Ann Intern Med 2005; 142 (3): 187-97. |
| [9] | Kryger MH. Diagnosis and management of sleep apnea syndrome. Clin Cornerstone 2000; 2: 39-47. |
| [10] | Hui DSC, Ko FWS, Chu ASY, et al. Cephalometric assessment of craniofacial morphology in Chinese patients with obstructive sleep apnoea. Resp Med 2003; 97: 640-6. |
| [11] | Yucel A, Unlu M, Haktanir A, Acar M, Fidan F. Evaluation of the Upper Airway Cross-sectional Area Changes in Different Degrees of Severity of Obstructive Sleep Apnea Syndrome: Cephalometric and Dynamic CT Study. AJNR Am J Neuroradiol 2005; 26: 2624-9. |
| [12] | Battagel JM, Johal A. A cephalometric comparison of normal weight and obese subjects with obstructive sleep apnoea. Radiography 2000; 6: 283-92. |
| [13] | Suratt PM, Dee P, Atkinson RL, et al. Fluoroscopic and computed tomographic features of the pharyngeal airway in obstructive sleep apnea. Am Rev Respir Dis 1983; 127: 487-92. |
| [14] | Young T, Hutton R, Finn L, Badr S, Palta M. The gender bias in sleep apnea diagnosis: Are women missed because they have different symptoms? Arch Intern Med 1996; 156: 2445-51. |
| [15] | Whittle AT, Marshall I, Mortimore IL, Wraith PK, Sellar RJ, Douglas NJ. Neck soft tissue and fat distribution: comparison between normal men and women by magnetic resonance imaging. Thorax 1999; 54 (4): 323-8. |
| [16] | Frey WC, Pilcher J. Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery. Obes Surg 2003; 13: 676-83. |
| [17] | Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM. STOP Questionnaire A Tool to Screen Patients for Obstructive Sleep Apnea. Anesthesiology 2008; 108: 812-21. |
| [18] | Flemons WW. Obstructive sleep apnea. N Engl J Med 2002; 347 (7): 498-504. |
| [19] | Bao G, Guilleminault C. Upper airway resistance syndrome-one decade later. Curr Opin Pulm Med 2004; 10 (6): 461-7. |
| [20] | Turkington PM, Sircar M, Allgar V, Elliott MW. Relationship between obstructive sleep apnoea, driving simulator performance, and risk of road traffic accidents. Thorax 2001; 56: 800-5. |
| [21] | Shahar E, Whitney CW, Redline S, Lee ET, Newman AB, Javler F, George N, O’Connor T, Boland LL, Schwartz JE, Samet JM. Sleep-disordered breathing and cardiovascular disease: Cross-sectional results of the sleep heart health study. Am J Respir Crit Care Med 2001; 163: 19-25. |
| [22] | Jager L, Gunther E, Gauger J, Reiser M. Fluoroscopic MR of the Pharynx in Patients with Obstructive Sleep Apnea. AJNR Am J Neuroradiol 1998; 19: 1205–14. |
| [23] | Gold AR, Dipalo F, Gold MS, O´Hearn D. The symptoms and signs of upper airway resistance syndrome: a link to the functional somatic syndromes. Chest 2003; 123 (1): 87-95. |
| [24] | Rizzi M, Sarzi-Puttini P, Sergi M. Alterazioni del sonno in corso di síndrome fibromialgica. Progressi in Reumatologia 2001; 2 (1): 60-8. |
| [25] | Sepici V, Tosun A, Kokturk O. Obstructive sleep apnea syndrome as an uncommon cause of fibromyalgia: a case report. Rheumatol Int 2007; 28 (1): 69-71. |
| [26] | May KP, West SG, Baker MR, Everett DW. Sleep apnea in male patients with the fibromyalgia syndrome. Am J Med 1993; 94(5): 505-8. |
| [27] | Togo F, Natelson BH, Cherniack NS, FitzGibbons J, Garcon C, Rapoport DM. Sleep structure and sleepiness in chronic fatigue syndrome with or without coexisting fibromyalgia. Arthritis Research & Therapy 2008; 10 (3): R56. |
| [28] | Burckhardt CS, Clark SR, Bennett RM. The Fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991; 18: 728-33. |
| [29] | Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int 2000; 20: 9-12. |
| [30] | Abad V, Sarinas P, Guilleminault C. Sleep and rheumatologic disorders. Sleep Med Rev 2008; 12: 211-28. |
| [31] | Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995; 38 (1): 19-28. |
| [32] | White KP, Speechley M, Harth M, Ostbye T. The London Fibromyalgia epidemiology study: comparing the demographic and clinical characteristics in 100 random community cases of Fibromyalgia versus controls. J Rheumatol 1999; 26: 1577-85. |
| [33] | Alvarez Lario B, Teran J, Alonso JL, Alegre J, Arroyo I, Viejo JL. Lack of association between fibromyalgia and sleep apnea syndrome. Ann Rheum Dis 1992; 51(1): 108-11. |
| [34] | Plantamura A, Steinbauer J, Eisinger J. Sleep apnea and fibromyalgia: the absence of correlation does not indicate an exclusive central hypothesis. Rev Med Interne 1995; 16 (9): 662-5. |
| [35] | Donald F, Esdaile JM, Kimoff JR, Fitzcharles MA. Musculoskeletal complaints and fibromyalgia in patients attending a respiratory sleep disorders clinic. J Rheumatol 1996; 23 (9): 1612-6. |
| [36] | Sergi M, Rizzi M, Braghiroli A, Puttini PS, Greco M, Cazzola M et al. Periodic breathing during sleep in patients affected by fibromyalgia syndrome. Eur Respir J 1999; 14 (1): 203-8. |
| [37] | Gold AR, Dipalo F, Gold MS, Broderick J. Inspiratory airflow dynamics during sleep in women with fibromyalgia. Sleep 2004; 27 (3): 459-66. |
| [38] | Molony RR, MacPeek DM, Schiffman PL, Frank M, Neubauer JA, Schwartzberg M et al. Sleep, sleep apnea and the fibromyalgia syndrome. J Rheumatol 1986; 13 (4): 797-800. |
| [39] | Guilleminault C, Li KK, Philip P, Kushida CA. Anterior cervical spine fusion and sleep disordered breathing. Neurology 2003; 61 (1): 97-9. |
| [40] | Goh HK, Li YH. Non-traumatic acute paraplegia caused by cervical disc herniation in a patient with sleep apnoea. Singapore Med J 2004; 45 (5): 235-8. |
APA Style
Ilker Ilhanli, Necip Guder, Canan Celik. (2015). STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients. American Journal of Clinical and Experimental Medicine, 4(1), 1-6. https://doi.org/10.11648/j.ajcem.20160401.11
ACS Style
Ilker Ilhanli; Necip Guder; Canan Celik. STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients. Am. J. Clin. Exp. Med. 2015, 4(1), 1-6. doi: 10.11648/j.ajcem.20160401.11
AMA Style
Ilker Ilhanli, Necip Guder, Canan Celik. STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients. Am J Clin Exp Med. 2015;4(1):1-6. doi: 10.11648/j.ajcem.20160401.11
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Download@article{10.11648/j.ajcem.20160401.11,
author = {Ilker Ilhanli and Necip Guder and Canan Celik},
title = {STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients},
journal = {American Journal of Clinical and Experimental Medicine},
volume = {4},
number = {1},
pages = {1-6},
doi = {10.11648/j.ajcem.20160401.11},
url = {https://doi.org/10.11648/j.ajcem.20160401.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20160401.11},
abstract = {Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with Obstructive sleep apnea syndrome (OSAS) are similar to those of patients with fibromyalgia syndrome (FMS). Patients with OSAS can also present FMS. STOP-Bang test is an effective scale which was developed to identify the patients with OSAS. The aim of this study was to evaluate the probable correlation between symptom severity of FMS and STOP-Bang test. Thirty one patients were included in the study. Demographic data including gender, age, body mass index and concomitant diseases are recorded. Musculoskeletal and neurologic examination, measurement of neck circumference and limitation of cervical range of motion were performed. Also MRI findings were recorded as decreased cervical lordosis, spondylosis and discopathy. STOP-Bang test was applied. Beside this test presence of snoring and fatigue were asked again separately. Fibromyalgia Impact Questionnaire (FIQ) was applied. Results of FIQ including total score, visual analog scale for pain (VAS pain) and fatigue (VAS fatigue) were recorded. Twenty five patients (80,6%) were female and 6 patients (19,4%) were male. Neck circumference of male patients was significantly higher than the females (p<0,05). All patients were complaining of fatigue, and 61,3% reported snoring. According to the STOP-Bang test high risk of OSAS was found in 54,8% of the patients (5 males and 12 females). There was significant and positive correlation between snoring and VAS pain, VAS fatigue, FIQ score and high risk of OSAS (p<0,01). Correlations between high risk of OSAS and VAS pain, VAS fatigue and FIQ score (p<0,01) were significant, as well as the correlations between high risk of OSAS and limitation of cervical rotation, and presence of cervical discopathy and decreased cervical lordosis (p<0,05). Although it does not imply a cause and effect relationship, the association between FMS and OSAS is clear. Physicians should keep in mind the presence of OSAS among patients with FMS, especially in male patients. STOP-Bang test is an effective co-examination to predict the risk level of OSAS which is correlated with snoring. Only asking presence of snoring can substitute for STOP-Bang test to refer these patients for the examination of upper airways.},
year = {2015}
}
TY - JOUR T1 - STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients AU - Ilker Ilhanli AU - Necip Guder AU - Canan Celik Y1 - 2015/12/30 PY - 2015 N1 - https://doi.org/10.11648/j.ajcem.20160401.11 DO - 10.11648/j.ajcem.20160401.11 T2 - American Journal of Clinical and Experimental Medicine JF - American Journal of Clinical and Experimental Medicine JO - American Journal of Clinical and Experimental Medicine SP - 1 EP - 6 PB - Science Publishing Group SN - 2330-8133 UR - https://doi.org/10.11648/j.ajcem.20160401.11 AB - Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with Obstructive sleep apnea syndrome (OSAS) are similar to those of patients with fibromyalgia syndrome (FMS). Patients with OSAS can also present FMS. STOP-Bang test is an effective scale which was developed to identify the patients with OSAS. The aim of this study was to evaluate the probable correlation between symptom severity of FMS and STOP-Bang test. Thirty one patients were included in the study. Demographic data including gender, age, body mass index and concomitant diseases are recorded. Musculoskeletal and neurologic examination, measurement of neck circumference and limitation of cervical range of motion were performed. Also MRI findings were recorded as decreased cervical lordosis, spondylosis and discopathy. STOP-Bang test was applied. Beside this test presence of snoring and fatigue were asked again separately. Fibromyalgia Impact Questionnaire (FIQ) was applied. Results of FIQ including total score, visual analog scale for pain (VAS pain) and fatigue (VAS fatigue) were recorded. Twenty five patients (80,6%) were female and 6 patients (19,4%) were male. Neck circumference of male patients was significantly higher than the females (p<0,05). All patients were complaining of fatigue, and 61,3% reported snoring. According to the STOP-Bang test high risk of OSAS was found in 54,8% of the patients (5 males and 12 females). There was significant and positive correlation between snoring and VAS pain, VAS fatigue, FIQ score and high risk of OSAS (p<0,01). Correlations between high risk of OSAS and VAS pain, VAS fatigue and FIQ score (p<0,01) were significant, as well as the correlations between high risk of OSAS and limitation of cervical rotation, and presence of cervical discopathy and decreased cervical lordosis (p<0,05). Although it does not imply a cause and effect relationship, the association between FMS and OSAS is clear. Physicians should keep in mind the presence of OSAS among patients with FMS, especially in male patients. STOP-Bang test is an effective co-examination to predict the risk level of OSAS which is correlated with snoring. Only asking presence of snoring can substitute for STOP-Bang test to refer these patients for the examination of upper airways. VL - 4 IS - 1 ER -
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