The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis.
Identifieur interne : 000129 ( Main/Exploration ); précédent : 000128; suivant : 000130The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis.
Auteurs : Fawn N. Van Der Weijden [Pays-Bas] ; Frank Lobbezoo [Pays-Bas] ; Dagmar E. Slot [Pays-Bas]Source :
- Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [ 1550-9397 ] ; 2020.
Abstract
STUDY OBJECTIVES
To systematically survey the scientific literature concerning the effect of playing a wind instrument or singing on sleep, snoring, and/or obstructive sleep apnea.
METHODS
The PubMed, EMBASE, and Cochrane databases were searched up to December 2019. Observational studies and (Randomized) Controlled Clinical Trials that assessed sleep, snoring, or obstructive sleep apnea as clinical outcome or via a questionnaire were included. For the individual studies, the potential risk of bias was scored. Data between oral musicians and control participants were extracted. Descriptive analysis and meta-analysis were performed.
RESULTS
Six eligible studies (5 cross-sectional, 1 randomized controlled trial) were retrieved, with an estimated potential bias ranking from low to high. The sample sizes ranged from 25 to 1,105 participants. Descriptive analysis indicated that players of a double-reed instrument have a lower risk of obstructive sleep apnea and that singers snore less compared with control participants. Playing a didgeridoo showed a positive effect on apnea-hypopnea index, daytime sleepiness, and partner's rating for sleep disturbance. The descriptive analysis could not be substantiated in the meta-analysis. The magnitude of the effect was zero to small, and the generalizability was limited because of long (professional) rehearsal time or small sample size.
CONCLUSIONS
Playing a wind instrument and singing may have a small but positive effect on sleep disorders. Considering the practicality and investment of (rehearsal) time, didgeridoo and singing are the most promising interventions to reduce obstructive sleep apnea and snoring, respectively. However, the results of this review are based on few studies and the synthesis of the evidence is graded to have low certainty.
DOI: 10.5664/jcsm.8628
PubMed: 32536365
Affiliations:
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Van Der Weijden</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Slot, Dagmar E" sort="Slot, Dagmar E" uniqKey="Slot D" first="Dagmar E" last="Slot">Dagmar E. Slot</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32536365</idno><idno type="pmid">32536365</idno><idno type="doi">10.5664/jcsm.8628</idno><idno type="wicri:Area/Main/Corpus">000249</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000249</idno><idno type="wicri:Area/Main/Curation">000249</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000249</idno><idno type="wicri:Area/Main/Exploration">000249</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis.</title><author><name sortKey="Van Der Weijden, Fawn N" sort="Van Der Weijden, Fawn N" uniqKey="Van Der Weijden F" first="Fawn N" last="Van Der Weijden">Fawn N. Van Der Weijden</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Slot, Dagmar E" sort="Slot, Dagmar E" uniqKey="Slot D" first="Dagmar E" last="Slot">Dagmar E. Slot</name><affiliation wicri:level="3"><nlm:affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j">Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine</title><idno type="eISSN">1550-9397</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY OBJECTIVES</b></p><p>To systematically survey the scientific literature concerning the effect of playing a wind instrument or singing on sleep, snoring, and/or obstructive sleep apnea.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The PubMed, EMBASE, and Cochrane databases were searched up to December 2019. Observational studies and (Randomized) Controlled Clinical Trials that assessed sleep, snoring, or obstructive sleep apnea as clinical outcome or via a questionnaire were included. For the individual studies, the potential risk of bias was scored. Data between oral musicians and control participants were extracted. Descriptive analysis and meta-analysis were performed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Six eligible studies (5 cross-sectional, 1 randomized controlled trial) were retrieved, with an estimated potential bias ranking from low to high. The sample sizes ranged from 25 to 1,105 participants. Descriptive analysis indicated that players of a double-reed instrument have a lower risk of obstructive sleep apnea and that singers snore less compared with control participants. Playing a didgeridoo showed a positive effect on apnea-hypopnea index, daytime sleepiness, and partner's rating for sleep disturbance. The descriptive analysis could not be substantiated in the meta-analysis. The magnitude of the effect was zero to small, and the generalizability was limited because of long (professional) rehearsal time or small sample size.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Playing a wind instrument and singing may have a small but positive effect on sleep disorders. Considering the practicality and investment of (rehearsal) time, didgeridoo and singing are the most promising interventions to reduce obstructive sleep apnea and snoring, respectively. However, the results of this review are based on few studies and the synthesis of the evidence is graded to have low certainty.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">32536365</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1550-9397</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month><Day>15</Day></PubDate></JournalIssue><Title>Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine</Title><ISOAbbreviation>J Clin Sleep Med</ISOAbbreviation></Journal><ArticleTitle>The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis.</ArticleTitle><Pagination><MedlinePgn>1591-1601</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5664/jcsm.8628</ELocationID><Abstract><AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">To systematically survey the scientific literature concerning the effect of playing a wind instrument or singing on sleep, snoring, and/or obstructive sleep apnea.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The PubMed, EMBASE, and Cochrane databases were searched up to December 2019. Observational studies and (Randomized) Controlled Clinical Trials that assessed sleep, snoring, or obstructive sleep apnea as clinical outcome or via a questionnaire were included. For the individual studies, the potential risk of bias was scored. Data between oral musicians and control participants were extracted. Descriptive analysis and meta-analysis were performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Six eligible studies (5 cross-sectional, 1 randomized controlled trial) were retrieved, with an estimated potential bias ranking from low to high. The sample sizes ranged from 25 to 1,105 participants. Descriptive analysis indicated that players of a double-reed instrument have a lower risk of obstructive sleep apnea and that singers snore less compared with control participants. Playing a didgeridoo showed a positive effect on apnea-hypopnea index, daytime sleepiness, and partner's rating for sleep disturbance. The descriptive analysis could not be substantiated in the meta-analysis. The magnitude of the effect was zero to small, and the generalizability was limited because of long (professional) rehearsal time or small sample size.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Playing a wind instrument and singing may have a small but positive effect on sleep disorders. Considering the practicality and investment of (rehearsal) time, didgeridoo and singing are the most promising interventions to reduce obstructive sleep apnea and snoring, respectively. However, the results of this review are based on few studies and the synthesis of the evidence is graded to have low certainty.</AbstractText><CopyrightInformation>© 2020 American Academy of Sleep Medicine.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van der Weijden</LastName><ForeName>Fawn N</ForeName><Initials>FN</Initials><AffiliationInfo><Affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lobbezoo</LastName><ForeName>Frank</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Slot</LastName><ForeName>Dagmar E</ForeName><Initials>DE</Initials><AffiliationInfo><Affiliation>Academic Centre for Dentistry Amsterdam (ACTA), a joint venture between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Sleep Med</MedlineTA><NlmUniqueID>101231977</NlmUniqueID><ISSNLinking>1550-9389</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">OSA</Keyword><Keyword MajorTopicYN="N">singing</Keyword><Keyword MajorTopicYN="N">sleep</Keyword><Keyword MajorTopicYN="N">sleep apnea</Keyword><Keyword MajorTopicYN="N">snoring</Keyword><Keyword MajorTopicYN="N">wind instrument</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32536365</ArticleId><ArticleId IdType="doi">10.5664/jcsm.8628</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Van Der Weijden, Fawn N" sort="Van Der Weijden, Fawn N" uniqKey="Van Der Weijden F" first="Fawn N" last="Van Der Weijden">Fawn N. Van Der Weijden</name></region><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><name sortKey="Slot, Dagmar E" sort="Slot, Dagmar E" uniqKey="Slot D" first="Dagmar E" last="Slot">Dagmar E. Slot</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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