Walter T. McNicholas
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View article: Behavioral interventions as treatment for insomnia – A scoping review of randomized controlled trials
Behavioral interventions as treatment for insomnia – A scoping review of randomized controlled trials Open
Despite the ubiquity of advice to practice good sleep hygiene to improve sleep quality, these findings highlight the need for high-quality randomised trials examining which behavioural interventions lead to improved sleep, as many currentl…
View article: Implementation of European national driving regulations for obstructive sleep apnoea: challenges and recommendations
Implementation of European national driving regulations for obstructive sleep apnoea: challenges and recommendations Open
Background Obstructive sleep apnoea (OSA) carries an increased risk of motor vehicle accidents, which resulted in the European Commission introducing a legal directive (2014/85/EU) restricting driving in patients with moderate/severe OSA a…
View article: Occupational and Driving Challenges Within Sleep Medicine
Occupational and Driving Challenges Within Sleep Medicine Open
Shift work is a necessity for a society that requires 24/7 services. However, working around the clock can cause a misalignment with our sleep‐wake cycle, resulting in sleepiness, impaired cognition and poor health. Due to the prevalence o…
View article: Management of Adult Obstructive Sleep Apnoea: Many Questions, Not Enough Answers!
Management of Adult Obstructive Sleep Apnoea: Many Questions, Not Enough Answers! Open
Obstructive sleep apnoea (OSA) conveys a substantial global public burden due to its high prevalence and causative relationship with cardiometabolic diseases. The current diagnostic reliance on the apnoea/hypopnoea index (AHI) is insuffici…
View article: The future of education in sleep science and medicine in Europe: Report of an <scp>ESRS</scp> workshop
The future of education in sleep science and medicine in Europe: Report of an <span>ESRS</span> workshop Open
Summary The European Sleep Research Society (ESRS) is the leading voice for sleep medicine and research in Europe and includes in its mission the objective to promote and develop sleep education. As part of this objective, the Society esta…
View article: Driving restrictions in patients with obstructive sleep apnoea: who, how and are they effective?
Driving restrictions in patients with obstructive sleep apnoea: who, how and are they effective? Open
Effective treatment of OSA reduces driving accident risk https://bit.ly/3zzQUEN.
View article: Review and perspective on sleep-disordered breathing research and translation to clinics
Review and perspective on sleep-disordered breathing research and translation to clinics Open
Sleep-disordered breathing, ranging from habitual snoring to severe obstructive sleep apnea, is a prevalent public health issue. Despite rising interest in sleep and awareness of sleep disorders, sleep research and diagnostic practices sti…
View article: Blood pressure control in hypertensive sleep apnoea patients of the European Sleep Apnea Database cohort - effects of positive airway pressure and antihypertensive medication
Blood pressure control in hypertensive sleep apnoea patients of the European Sleep Apnea Database cohort - effects of positive airway pressure and antihypertensive medication Open
Aims We analysed longitudinal blood pressure (BP) data from hypertensive obstructive sleep apnoea (OSA) patients in the European Sleep Apnea Database cohort. The study investigated the interaction between positive airway pressure (PAP)-ind…
View article: The economic cost of obstructive sleep apnea: A systematic review
The economic cost of obstructive sleep apnea: A systematic review Open
Obstructive sleep apnea (OSA) is a common disease associated with a high prevalence of costly comorbidities and accidents that add to the disease's economic impact. Although more attention has been focused on OSA in recent years, no previo…
View article: Translation of obstructive sleep apnea pathophysiology and phenotypes to personalized treatment: a narrative review
Translation of obstructive sleep apnea pathophysiology and phenotypes to personalized treatment: a narrative review Open
Obstructive Sleep Apnea (OSA) arises due to periodic blockage of the upper airway (UA) during sleep, as negative pressure generated during inspiration overcomes the force exerted by the UA dilator muscles to maintain patency. This imbalanc…
View article: Sleep and cardiometabolic comorbidities in the obstructive sleep apnoea–COPD overlap syndrome: data from the European Sleep Apnoea Database
Sleep and cardiometabolic comorbidities in the obstructive sleep apnoea–COPD overlap syndrome: data from the European Sleep Apnoea Database Open
Aim The impact of obstructive sleep apnoea (OSA)–COPD overlap syndrome (OVS) on sleep quality and cardiovascular outcomes has not been fully explored. We aimed to compare clinical and polysomnographic characteristics of patients with OVS v…
View article: Consumer sleep technology for the screening of obstructive sleep apnea and snoring: current status and a protocol for a systematic review and meta‐analysis of diagnostic test accuracy
Consumer sleep technology for the screening of obstructive sleep apnea and snoring: current status and a protocol for a systematic review and meta‐analysis of diagnostic test accuracy Open
Summary There are concerns about the validation and accuracy of currently available consumer sleep technology for sleep‐disordered breathing. The present report provides a background review of existing consumer sleep technologies and discl…
View article: Baseline clusters and the response to positive airway pressure treatment in obstructive sleep apnoea patients: longitudinal data from the European Sleep Apnea Database cohort
Baseline clusters and the response to positive airway pressure treatment in obstructive sleep apnoea patients: longitudinal data from the European Sleep Apnea Database cohort Open
Introduction The European Sleep Apnea Database was used to identify distinguishable obstructive sleep apnoea (OSA) phenotypes and to investigate the clinical outcome during positive airway pressure (PAP) treatment. Method Prospective OSA p…
View article: Sleep medicine in Europe: 50 years of evolution
Sleep medicine in Europe: 50 years of evolution Open
The evolution of sleep medicine in Europe over the past 50 years https://bit.ly/3AVexV8.
View article: The Sleep Revolution project: the concept and objectives
The Sleep Revolution project: the concept and objectives Open
Summary Obstructive sleep apnea is linked to severe health consequences such as hypertension, daytime sleepiness, and cardiovascular disease. Nearly a billion people are estimated to have obstructive sleep apnea with a substantial economic…
View article: Obstructive sleep apnea: transition from pathophysiology to an integrative disease model
Obstructive sleep apnea: transition from pathophysiology to an integrative disease model Open
Summary Obstructive sleep apnea (OSA) is characterised by recurring episodes of upper airway obstruction during sleep and the fundamental abnormality reflects the inability of the upper airway dilating muscles to withstand the negative for…
View article: Bidirectional relationships of comorbidity with obstructive sleep apnoea
Bidirectional relationships of comorbidity with obstructive sleep apnoea Open
Obstructive sleep apnoea (OSA) is frequently associated with comorbidities that include metabolic, cardiovascular, renal, pulmonary and neuropsychiatric. There is considerable evidence that OSA is an independent risk factor for many of the…
View article: The European Sleep Research Society – past, present and future
The European Sleep Research Society – past, present and future Open
Summary It is 50 years ago, in 1972, that the founding conference of the European Sleep Research Society (ESRS) was organised in Basel. Since then the Society has had 13 presidents and a multitude of board members and has organised, among …
View article: European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea
European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea Open
Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS…
View article: Getting More from the Sleep Recording
Getting More from the Sleep Recording Open
Sleep studies have typically followed criteria established many decades ago, but emerging technologies allow signal analyses that go far beyond the scoring rules for manual analysis of sleep recordings. These technologies may apply to the …
View article: Excessive Daytime Sleepiness in Obstructive Sleep Apnea Patients Treated With Continuous Positive Airway Pressure: Data From the European Sleep Apnea Database
Excessive Daytime Sleepiness in Obstructive Sleep Apnea Patients Treated With Continuous Positive Airway Pressure: Data From the European Sleep Apnea Database Open
Excessive daytime sleepiness (EDS) is a symptom of obstructive sleep apnea (OSA) that resolves under treatment with continuous positive airway pressure (CPAP). In some patients, sleepiness persists despite CPAP treatment. We retrospectivel…
View article: Cardiovascular manifestations in obstructive sleep apnea: current evidence and potential mechanisms
Cardiovascular manifestations in obstructive sleep apnea: current evidence and potential mechanisms Open
Obstructive sleep apnea (OSA) is an increasingly prevalent health concern characterized by repeated episodes of pharyngeal collapse during sleep. It is frequently associated with daytime sleepiness and impaired functional capacity, but it …
View article: Non-dipping nocturnal blood pressure correlates with obstructive sleep apnoea severity in normotensive subjects and may reverse with therapy
Non-dipping nocturnal blood pressure correlates with obstructive sleep apnoea severity in normotensive subjects and may reverse with therapy Open
Background Obstructive sleep apnoea (OSA) is strongly associated with systemic hypertension, but there are limited data on the relationship with blood pressure (BP) in normotensive subjects. Here, we examined the relationship of OSA with n…
View article: Sleep medicine catalogue of knowledge and skills – Revision
Sleep medicine catalogue of knowledge and skills – Revision Open
The ‘catalogue of knowledge and skills’ for sleep medicine presents the blueprint for a curriculum, a textbook, and an examination on sleep medicine. The first catalogue of knowledge and skills was presented by the European Sleep Research …
View article: Positive airway pressure (PAP) treatment reduces glycated hemoglobin (HbA1c) levels in obstructive sleep apnea patients with concomitant weight loss: Longitudinal data from the ESADA
Positive airway pressure (PAP) treatment reduces glycated hemoglobin (HbA1c) levels in obstructive sleep apnea patients with concomitant weight loss: Longitudinal data from the ESADA Open
Summary Patients with obstructive sleep apnea (OSA) are at increased risk of developing metabolic disease such as diabetes. The effects of positive airway pressure on glycemic control are contradictory. We therefore evaluated the change in…