Assessment of self-reported and objective daytime sleepiness in adult-onset myotonic dystrophy type 1.

Epworth Sleepiness Scale Multiple Sleep Latency Test excessive daytime sleepiness myotonic dystrophy type 1 polysomnography

Journal

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977

Informations de publication

Date de publication:
01 12 2021
Historique:
pubmed: 26 6 2021
medline: 24 12 2021
entrez: 25 6 2021
Statut: ppublish

Résumé

Excessive daytime sleepiness (EDS) in myotonic dystrophy type 1 is mostly of central origin but it may coexist with sleep-related breathing disorders. However, there is no consensus on the sleep protocols to be used, assessments vary, and only a minority of patients are regularly tested or are on treatment for EDS. Our study presents data on self-reported and objective EDS in adult-onset myotonic dystrophy type 1. Sixty-three patients with adult-onset DM1 were subjected to EDS-sleep assessments (polysomnography, Multiple Sleep Latency Test, Epworth Sleepiness Scale). Correlation coefficients were computed to assess the relationship between sleep and sleepiness test results, fatigue, and quality of life. 33% and 48% of patients had EDS based, respectively, on the Epworth Sleepiness Scale and the Multiple Sleep Latency Test, with a low concordance between these tests (k = 0.19). Thirteen patients (20%) displayed 2 or more sleep-onset rapid eye movement periods on Multiple Sleep Latency Test. Patients having EDS by Multiple Sleep Latency Test had a shorter disease duration ( EDS test results are contradictory, making treatment options difficult. Combining quantitative tests and self-reported scales may facilitate physicians in planning EDS care with patients and families. Sansone VA, Proserpio P, Mauro L, et al. Assessment of self-reported and objective daytime sleepiness in adult-onset myotonic dystrophy type 1.

Identifiants

pubmed: 34170223
pii: jcsm.9438
doi: 10.5664/jcsm.9438
pmc: PMC8726376
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2383-2391

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2021 American Academy of Sleep Medicine.

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Auteurs

Valeria A Sansone (VA)

Neurorehabilitation Unit, University of Milan, Milan, Italy.
The NEMO Clinical Center, Milan, Italy.

Paola Proserpio (P)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Luca Mauro (L)

The NEMO Clinical Center, Milan, Italy.

Andrea Lizio Biostat (AL)

The NEMO Clinical Center, Milan, Italy.

Erica Frezza (E)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Andrea Lanza (A)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Paola Rogliani (P)

Department of Respiratory Diseases, Tor Vergata University of Rome, Rome, Italy.

Gabriella Pezzuto (G)

Department of Respiratory Diseases, Tor Vergata University of Rome, Rome, Italy.

Elisa Falcier (E)

The NEMO Clinical Center, Milan, Italy.

Carola Ferrari Aggradi (CF)

The NEMO Clinical Center, Milan, Italy.

Alice Pirola (A)

The NEMO Clinical Center, Milan, Italy.

Fabrizio Rao (F)

The NEMO Clinical Center, Milan, Italy.

Elisabetta Roma (E)

The NEMO Clinical Center, Milan, Italy.

Claudia Galluzzi (C)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Matteo Spanetta (M)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Federica Cattaneo (F)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Annalisa Rubino (A)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Elio Clemente Agostoni (EC)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Federica Amico (F)

Sleep Medicine Center, Dept. Neuroscience, Niguarda Hospital, Milan, Italy.

Alice Zanolini (A)

The NEMO Clinical Center, Milan, Italy.

Francesca Izzi (F)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Giulia Greco (G)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Andrea Romigi (A)

IRCCS Neuromed Istituto Neurologico Mediterraneo, Pozzilli (IS), Rome, Italy.

Claudio Liguori (C)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Lino Nobili (L)

Child Neuropsychiatry Unit, IRCCS Istituto G. Gaslini, Genoa, Italy.
Department of Neuroscience, DINOGMI, University of Genoa, Genoa, Italy.

Fabio Placidi (F)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

Roberto Massa (R)

Department of Neurology, Tor Vergata University of Rome, Rome, Italy.

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