The clinical characteristic of catathrenia: a new look at an old issue-a systematic review of existing literature.
NREM cycle
Nocturnal groaning
Nocturnal moaning
REM cycle
Sleep disorders
Sleep stages
Journal
Sleep & breathing = Schlaf & Atmung
ISSN: 1522-1709
Titre abrégé: Sleep Breath
Pays: Germany
ID NLM: 9804161
Informations de publication
Date de publication:
17 May 2024
17 May 2024
Historique:
received:
24
01
2024
accepted:
08
04
2024
revised:
25
03
2024
medline:
17
5
2024
pubmed:
17
5
2024
entrez:
16
5
2024
Statut:
aheadofprint
Résumé
The International Classification of Sleep Disorders categorized catathrenia as a respiratory disorder, but there are doubts whether episodes appear during rapid eye movement (REM) sleep or the non-rapid eye movement (NREM), their duration, and symptoms. The main objectives were to identify the most common features and relations of catathrenia. PubMed, Embase, and Web of Science were searched according to the PRISMA 2020 guidelines. The Joanna Briggs Institute and the ROBINS-I tools were chosen to assess the risk of bias. A total of 288 records were identified, 31 articles were included. The majority of the studies had a moderate risk of bias. 49.57% of episodes occurred during the NREM sleep, while 46% took place during REM. In 60.34% females, catathrenia was more common in the NREM, while in 59.26% of males was in REM sleep (p < 0.05). Females and obese individuals were found to have shorter episodes (p < 0.05). Age was inversely correlated with minimal episodes duration (r = - 0.34). The continuous positive airway pressure (CPAP) therapy was inversely correlated with the maximal episode duration (r = - 0.48). Catathrenia occurs with similar frequency in both genders. The most frequent symptoms embraced groaning, awareness of disturbing bedpartners, and daytime somnolence-not confirmed by the Epworth Sleepiness Scale. The episodes occur more frequently in NREM than in REM sleep. Catathrenia may be considered as a sex-specific condition. The effects of CPAP treatment leading to shortening episodes duration, which may indicate the respiratory origin of catathrenia.
Identifiants
pubmed: 38755507
doi: 10.1007/s11325-024-03033-0
pii: 10.1007/s11325-024-03033-0
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Huyett P, Siegel N, Bhattacharyya N (2021) Prevalence of sleep disorders and association with mortality: results from the NHANES 2009–2010. Laryngoscope 131:686–689. https://doi.org/10.1002/lary.28900
doi: 10.1002/lary.28900
pubmed: 32681735
McArdle N, Ward SV, Bucks RS, Maddison K, Smith A, Huang R-C et al (2020) The prevalence of common sleep disorders in young adults: a descriptive population-based study. Sleep 43:zsaa072. https://doi.org/10.1093/sleep/zsaa072
doi: 10.1093/sleep/zsaa072
pubmed: 32280974
Shi L, Chen S-J, Ma M-Y, Bao Y-P, Han Y, Wang Y-M et al (2018) Sleep disturbances increase the risk of dementia: a systematic review and meta-analysis. Sleep Med Rev 40:4–16. https://doi.org/10.1016/j.smrv.2017.06.010
doi: 10.1016/j.smrv.2017.06.010
pubmed: 28890168
Murphy MJ, Peterson MJ (2015) Sleep disturbances in depression. Sleep Med Clin 10:17–23. https://doi.org/10.1016/j.jsmc.2014.11.009
doi: 10.1016/j.jsmc.2014.11.009
pubmed: 26055669
McDermott M, Brown DL, Chervin RD (2018) Sleep disorders and the risk of stroke. Expert Rev Neurother 18:523–531. https://doi.org/10.1080/14737175.2018.1489239
doi: 10.1080/14737175.2018.1489239
pubmed: 29902391
pmcid: 6300163
Ferini-Strambi L, Galbiati A, Combi R (2019) Sleep disorder-related headaches. Neurol Sci 40:107–113. https://doi.org/10.1007/s10072-019-03837-z
doi: 10.1007/s10072-019-03837-z
pubmed: 30906963
Li C, Shang S (2021) Relationship between sleep and hypertension: findings from the NHANES (2007–2014). Int J Environ Res Public Health 18:7867. https://doi.org/10.3390/ijerph18157867
doi: 10.3390/ijerph18157867
pubmed: 34360157
pmcid: 8345503
von Schantz M, Ong JC, Knutson KL (2021) Associations between sleep disturbances, diabetes and mortality in the UK Biobank cohort: a prospective population-based study. J Sleep Res 30:e13392. https://doi.org/10.1111/jsr.13392
doi: 10.1111/jsr.13392
Ge X, Han F, Huang Y, Zhang Y, Yang T, Bai C et al (2013) Is obstructive sleep apnea associated with cardiovascular and all-cause mortality? PLoS ONE 8:e69432. https://doi.org/10.1371/journal.pone.0069432
doi: 10.1371/journal.pone.0069432
pubmed: 23936014
pmcid: 3723897
Sia C-H, Hong Y, Tan LWL, van Dam RM, Lee C-H, Tan A (2017) Awareness and knowledge of obstructive sleep apnea among the general population. Sleep Med 36:10–17. https://doi.org/10.1016/j.sleep.2017.03.030
doi: 10.1016/j.sleep.2017.03.030
pubmed: 28735905
Pérez-Carbonell L, Mignot E, Leschziner G, Dauvilliers Y (2022) Understanding and approaching excessive daytime sleepiness. Lancet 400:1033–1046. https://doi.org/10.1016/S0140-6736(22)01018-2
doi: 10.1016/S0140-6736(22)01018-2
pubmed: 36115367
Michalek-Zrabkowska M, Wieckiewicz M, Macek P, Gac P, Smardz J, Wojakowska A et al (2020) The relationship between simple snoring and sleep bruxism: a polysomnographic study. Int J Environ Res Public Health 17:8960. https://doi.org/10.3390/ijerph17238960
doi: 10.3390/ijerph17238960
pubmed: 33276496
pmcid: 7731201
Guilleminault C, Poyares D, da Rosa A, Kirisoglu C, Almeida T, Lopes MC (2006) Chronic fatigue, unrefreshing sleep and nocturnal polysomnography. Sleep Med 7:513–520. https://doi.org/10.1016/j.sleep.2006.03.016
doi: 10.1016/j.sleep.2006.03.016
pubmed: 16934523
Brownlow JA, Miller KE, Gehrman PR (2020) Insomnia and cognitive performance. Sleep Med Clin 15:71–76. https://doi.org/10.1016/j.jsmc.2019.10.002
doi: 10.1016/j.jsmc.2019.10.002
pubmed: 32005351
Porwal A, Yadav YC, Pathak K, Yadav R (2021) An update on assessment, therapeutic management, and patents on insomnia. Biomed Res Int 2021:6068952. https://doi.org/10.1155/2021/6068952
doi: 10.1155/2021/6068952
pubmed: 34708126
pmcid: 8545506
Alonso J, Camacho M, Chhetri DK, Guilleminault C, Zaghi S (2017) Catathrenia (nocturnal groaning): a social media survey and state-of-the-art review. J Clin Sleep Med 13:613–622. https://doi.org/10.5664/jcsm.6556
doi: 10.5664/jcsm.6556
pubmed: 28095968
pmcid: 5359339
Siddiqui F, Walters AS, Chokroverty S (2008) Catathrenia: a rare parasomnia which may mimic central sleep apnea on polysomnogram. Sleep Med 9:460–461. https://doi.org/10.1016/j.sleep.2007.10.012
doi: 10.1016/j.sleep.2007.10.012
pubmed: 18086548
Argollo NS, Parreira DR, Pereira LC (2021) The importance of audio-video documentation during polysomnography for diagnosis of catathrenia in a 6-year-old child: case report. Sleep Sci 14:390–393. https://doi.org/10.5935/1984-0063.20200122
doi: 10.5935/1984-0063.20200122
pubmed: 35087639
pmcid: 8776265
Yu M, Wen Y, Xu L, Han F, Gao X (2020) Polysomnographic characteristics and acoustic analysis of catathrenia (nocturnal groaning). Physiol Meas 41:125012. https://doi.org/10.1088/1361-6579/abd235
doi: 10.1088/1361-6579/abd235
pubmed: 33296889
Guilleminault C, Hagen CC, Khaja AM (2008) Catathrenia is not expiratory snoring. Sleep 31:774–775. https://doi.org/10.1093/sleep/31.6.774
doi: 10.1093/sleep/31.6.774
pubmed: 18548821
pmcid: 2442405
Drakatos P, Higgins S, Duncan I, Stevens S, Dastagir S, Birdseye A et al (2017) Catathrenia as a REM predominant disorder of arousal. Sleep Med 32:222–226. https://doi.org/10.1016/j.sleep.2016.06.010
doi: 10.1016/j.sleep.2016.06.010
pubmed: 27539028
Vetrugno R, Provini F, Plazzi G, Vignatelli L, Lugaresi E, Montagna P (2001) Catathrenia (nocturnal groaning): a new type of parasomnia. Neurology 56:681–683. https://doi.org/10.1212/wnl.56.5.681
doi: 10.1212/wnl.56.5.681
pubmed: 11245728
Katz ES, D’Ambrosio C (2023) Catathrenia in children: clinical presentation, polysomnographic features, natural history, and response to therapy. J Clin Sleep Med 19(8):1505–1511. https://doi.org/10.5664/jcsm.10582
doi: 10.5664/jcsm.10582
pubmed: 37066744
Iriarte J, Campo A, Alegre M, Fernández S, Urrestarazu E (2015) Catathrenia: respiratory disorder or parasomnia? Sleep Med 16:827–830. https://doi.org/10.1016/j.sleep.2014.12.026
doi: 10.1016/j.sleep.2014.12.026
pubmed: 26004681
Yu M, Hao Z, Xu L, Wen Y, Han F, Gao X (2021) Mandibular advancement device as treatment trial for catathrenia (nocturnal groaning). J Clin Sleep Med 17:1767–1776. https://doi.org/10.5664/jcsm.9290
doi: 10.5664/jcsm.9290
pubmed: 33843579
pmcid: 8636353
Poli F, Ricotta L, Vandi S, Franceschini C, Pizza F, Palaia V et al (2012) Catathrenia under sodium oxybate in narcolepsy with cataplexy. Sleep Breath 16:427–434. https://doi.org/10.1007/s11325-011-0520-2
doi: 10.1007/s11325-011-0520-2
pubmed: 21484510
Villafuerte-Trisolini B, Adrianzén-Álvarez F, Duque KR, Palacios-García J, Vizcarra-Escobar D (2017) Cyclic alternating pattern associated with catathrenia and bruxism in a 10-year-old patient. J Clin Sleep Med 13:511–512. https://doi.org/10.5664/jcsm.6510
doi: 10.5664/jcsm.6510
pubmed: 28095970
pmcid: 5337597
Bar C, Pedespan J-M, Ghorayeb I (2016) Catathrenia in a four-year-old boy: a first case report. Sleep Med 20:131–133. https://doi.org/10.1016/j.sleep.2015.12.014
doi: 10.1016/j.sleep.2015.12.014
pubmed: 26928180
Ott SR, Hamacher J, Seifert E (2011) Bringing light to the sirens of night: laryngoscopy in catathrenia during sleep. Eur Respir J 37:1288–1289. https://doi.org/10.1183/09031936.00083510
doi: 10.1183/09031936.00083510
pubmed: 21532020
Ramar K, Olson EJ, Morgenthaler TI (2008) Catathrenia. Sleep Med 9:457–459. https://doi.org/10.1016/j.sleep.2007.08.011
doi: 10.1016/j.sleep.2007.08.011
pubmed: 17923436
Abbasi AA, Morgenthaler TI, Slocumb NL, Tippmann-Peikert M, Olson EJ, Ramar K (2012) Nocturnal moaning and groaning-catathrenia or nocturnal vocalizations. Sleep Breath 16:367–373. https://doi.org/10.1007/s11325-011-0503-3
doi: 10.1007/s11325-011-0503-3
pubmed: 21380609
Romigi A, Vitrani G, D’Aniello A, Di Gennaro G (2014) Can nocturnal groaning be suspected by cardiorespiratory polygraphy? Sleep Med 15:1002–1004. https://doi.org/10.1016/j.sleep.2014.03.013
doi: 10.1016/j.sleep.2014.03.013
pubmed: 24916096
Songu M, Yilmaz H, Yuceturk AV, Gunhan K, Ince A, Bayturan O (2008) Effect of CPAP therapy on catathrenia and OSA: a case report and review of the literature. Sleep Breath 12:401–405. https://doi.org/10.1007/s11325-008-0194-6
doi: 10.1007/s11325-008-0194-6
pubmed: 18516633
Pevernagie DA, Boon PA, Mariman AN, Verhaeghen DB, Pauwels RA (2001) Vocalization during episodes of prolonged expiration: a parasomnia related to REM sleep. Sleep Med 2:19–30. https://doi.org/10.1016/s1389-9457(00)00039-3
doi: 10.1016/s1389-9457(00)00039-3
pubmed: 11152979
JBI Critical Appraisal Tools | JBI (n.d.). https://jbi.global/critical-appraisal-tools . Accessed 26 Jul 2023
Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 355:i4919. https://doi.org/10.1136/bmj.i4919
doi: 10.1136/bmj.i4919
pubmed: 27733354
pmcid: 5062054
Prihodova I, Sonka K, Kemlink D, Volna J, Nevsimalova S (2009) Arousals in nocturnal groaning. Sleep Med 10:1051–1055. https://doi.org/10.1016/j.sleep.2008.09.019
doi: 10.1016/j.sleep.2008.09.019
pubmed: 19345641
Oldani A, Manconi M, Zucconi M, Castronovo V, Ferini-Strambi L (2005) ‘Nocturnal groaning’: just a sound or parasomnia? J Sleep Res 14:305–310. https://doi.org/10.1111/j.1365-2869.2005.00460.x
doi: 10.1111/j.1365-2869.2005.00460.x
pubmed: 16120106
Vetrugno R, Lugaresi E, Plazzi G, Provini F, D’Angelo R, Montagna P (2007) Catathrenia (nocturnal groaning): an abnormal respiratory pattern during sleep. Eur J Neurol 14:1236–1243. https://doi.org/10.1111/j.1468-1331.2007.01954.x
doi: 10.1111/j.1468-1331.2007.01954.x
pubmed: 17877735
Guilleminault C, Hagen CC, Khaja AM (2008) Catathrenia: parasomnia or uncommon feature of sleep disordered breathing? Sleep 31:132–139. https://doi.org/10.1093/sleep/31.1.132
doi: 10.1093/sleep/31.1.132
pubmed: 18220087
pmcid: 2225555
Koo DL, Hong SB, Joo EY (2012) Acoustic characteristic of catathrenia and snoring: different subtypes of catathrenia. Sleep Med 13:961–964. https://doi.org/10.1016/j.sleep.2012.04.002
doi: 10.1016/j.sleep.2012.04.002
pubmed: 22613219
Overland B, Akre H, Berdal H, Skatvedt O (2012) Sleep-related groaning: prevalence and characteristics in a cohort of patients with suspected obstructive sleep apnea. Acta Otolaryngol 132:90–95. https://doi.org/10.3109/00016489.2011.624119
doi: 10.3109/00016489.2011.624119
pubmed: 22074488
Drakatos P, Higgins S, Duncan I, Stevens S, Dastagir S, Birdseye A et al (2017) Catathrenia, a REM predominant disorder of arousal? Sleep Med 32:222–226. https://doi.org/10.1016/j.sleep.2016.06.010
doi: 10.1016/j.sleep.2016.06.010
pubmed: 27539028
Pérez-Carbonell L, Muñoz-Lopetegi A, Sánchez-Valle R, Gelpi E, Farré R, Gaig C et al (2022) Sleep architecture and sleep-disordered breathing in fatal insomnia. Sleep Med 100:311–346. https://doi.org/10.1016/j.sleep.2022.08.027
doi: 10.1016/j.sleep.2022.08.027
pubmed: 36182725
Kazaglis L (2018) The value of a well-trained ear: incidental detection of catathrenia on home sleep apnea tests in patients with low probability for obstructive sleep apnea. J Clin Sleep Med 14:2083–2086. https://doi.org/10.5664/jcsm.7544
doi: 10.5664/jcsm.7544
pubmed: 30518453
pmcid: 6287729
Steinig J, Lanz M, Krügel R, Happe S (2008) Breath holding - a rapid eye movement (REM) sleep parasomnia (catathrenia or expiratory groaning). Sleep Med 9:455–456. https://doi.org/10.1016/j.sleep.2007.08.008
doi: 10.1016/j.sleep.2007.08.008
pubmed: 17923437
Tereshko Y, Lettieri C, Gigli GL, Nilo A, Garbo R, Valente M (2022) Turning off the siren of the night: botulinum toxin for the treatment of nocturnal groaning. A case series Sleep Med 92:15–18. https://doi.org/10.1016/j.sleep.2022.03.002
doi: 10.1016/j.sleep.2022.03.002
pubmed: 35325764
Iriarte J, Fernández S, Fernandez-Arrechea N, Urrestarazu E, Pagola I, Alegre M et al (2011) Sound analysis of catathrenia: a vocal expiratory sound. Sleep Breath 15:229–235. https://doi.org/10.1007/s11325-010-0420-x
doi: 10.1007/s11325-010-0420-x
pubmed: 20886300
Manconi M, Zucconi M, Carrot B, Ferri R, Oldani A, Ferini-Strambi L (2008) Association between bruxism and nocturnal groaning. Mov Disord 23:737–739. https://doi.org/10.1002/mds.21885
doi: 10.1002/mds.21885
pubmed: 18228567
Grigg-Damberger M, Brown LK, Casey KR (2006) A cry in the night: nocturnal moaning in a 12-year-old boy. Sleep-related groaning (Catahrenia). J Clin Sleep Med 2:354–7
pubmed: 17561551
Bansal R, Kodali L, Weingarten JA (2015) Nocturnal groaning: strange sounds in the night. Ann Am Thorac Soc 12:128–130. https://doi.org/10.1513/AnnalsATS.201407-316CC
doi: 10.1513/AnnalsATS.201407-316CC
pubmed: 25635660
Motojima T, Fujii K, Ohashi H, Arakawa H (2018) Catathrenia in Pitt-Hopkins syndrome associated with 18q interstitial deletion. Pediatr Int 60:479–481. https://doi.org/10.1111/ped.13514
doi: 10.1111/ped.13514
pubmed: 29633422
Gómez T, Casal A, De Miguel MDPC, Rodríguez PR, Acevedo MFT, De Blas FE (2020) Catathrenia resolved with the lowest CPAP pressure settings. Pulmonology 26:107–110. https://doi.org/10.1016/j.pulmoe.2019.07.010
doi: 10.1016/j.pulmoe.2019.07.010
pubmed: 32007489
Carbajal-Mamani S, Berry RB, Al Hourani L, Khatri A, Ryals S, Wagner MH (2021) Knuckle cracking at night associated with sodium oxybate treatment. J Clin Sleep Med 17:1121–1123. https://doi.org/10.5664/jcsm.9112
doi: 10.5664/jcsm.9112
pubmed: 33538690
pmcid: 8320495
Dhingra R, Vasan RS (2012) Age as a risk factor. Med Clin North Am 96:87–91. https://doi.org/10.1016/j.mcna.2011.11.003
doi: 10.1016/j.mcna.2011.11.003
pubmed: 22391253
Jura M, Kozak LP (2016) Obesity and related consequences to ageing. Age (Dordr) 38:23. https://doi.org/10.1007/s11357-016-9884-3
doi: 10.1007/s11357-016-9884-3
pubmed: 26846415
American Academy of Sleep Medicine (ed) (2014) International classification of sleep disorders, 3rd edn. American Academy of Sleep Medicine e11, p 303
Pengo MF, Won CH, Bourjeily G (2018) Sleep in women across the life span. Chest 154:196–206. https://doi.org/10.1016/j.chest.2018.04.005
doi: 10.1016/j.chest.2018.04.005
pubmed: 29679598
pmcid: 6045782
Cappadona R, De Giorgi A, Di Simone E, Zucchi B, Rodriguez-Borrego MA, Lopez-Soto PJ et al (2021) Sleep, dreams, nightmares, and sex-related differences: a narrative review. Eur Rev Med Pharmacol Sci 25:3054–65. https://doi.org/10.26355/eurrev_202104_25559
doi: 10.26355/eurrev_202104_25559
pubmed: 33877669
Hao Z, Xu L, Zhang J, Lan X, Gao X, Han F (2016) Anatomical characteristics of catathrenia (nocturnal groaning) in upper airway and orofacial structures. Sleep Breath 20:103–111. https://doi.org/10.1007/s11325-015-1191-1
doi: 10.1007/s11325-015-1191-1
pubmed: 26013634
Buyse B, Kalkanis A, Testelmans D (2023) Catathrenia in severe obstructive sleep apnea: a novel entity never described before. Sleep Med 112:239–245. https://doi.org/10.1016/j.sleep.2023.10.023
doi: 10.1016/j.sleep.2023.10.023
pubmed: 37925850
Nozawa S, Urushihata K, Machida R, Hanaoka M (2022) Sleep architecture of short sleep time in patients with obstructive sleep apnea: a retrospective single-facility study. Sleep Breath 26:1633–1640. https://doi.org/10.1007/s11325-021-02533-7
doi: 10.1007/s11325-021-02533-7
pubmed: 34807406
Avila C, Holloway AC, Hahn MK, Morrison KM, Restivo M, Anglin R et al (2015) An overview of links between obesity and mental health. Curr Obes Rep 4:303–310. https://doi.org/10.1007/s13679-015-0164-9
doi: 10.1007/s13679-015-0164-9
pubmed: 26627487
Gonçalves MT, Malafaia S, Moutinho Dos Santos J, Roth T, Marques DR (2023) Epworth sleepiness scale: a meta-analytic study on the internal consistency. Sleep Med 109:261–9. https://doi.org/10.1016/j.sleep.2023.07.008
doi: 10.1016/j.sleep.2023.07.008
pubmed: 37487279
Rosenberg R, Babson K, Menno D, Morris S, Baladi M, Hyman D et al (2022) Test–retest reliability of the Epworth Sleepiness Scale in clinical trial settings. J Sleep Res 31:e13476. https://doi.org/10.1111/jsr.13476
doi: 10.1111/jsr.13476
pubmed: 34545626
Oksenberg A, Froom P, Melamed S (2006) Dry mouth upon awakening in obstructive sleep apnea. J Sleep Res 15:317–320. https://doi.org/10.1111/j.1365-2869.2006.00527.x
doi: 10.1111/j.1365-2869.2006.00527.x
pubmed: 16911034
Ma X, Zhang C, Wang Y, Yu K, Jin Z, Zhang C et al (2024) Correlation of morning dry mouth with clinical features of OSA in a community population: a cross-sectional study. Postgrad Med 136:30–35. https://doi.org/10.1080/00325481.2024.2303972
doi: 10.1080/00325481.2024.2303972
pubmed: 38197225
Zhang C, Shen Y, Liping F, Ma J, Wang G-F (2021) The role of dry mouth in screening sleep apnea. Postgrad Med J 97:294–298. https://doi.org/10.1136/postgradmedj-2020-137619
doi: 10.1136/postgradmedj-2020-137619
pubmed: 32913036
Błaszczyk B, Martynowicz H, Więckiewicz M, Straburzyński M, Antolak M, Budrewicz S et al (2024) Prevalence of headaches and their relationship with obstructive sleep apnea (OSA) - systematic review and meta-analysis. Sleep Med Rev 73:101889. https://doi.org/10.1016/j.smrv.2023.101889
doi: 10.1016/j.smrv.2023.101889
pubmed: 38056382
Cao MT, Sternbach JM, Guilleminault C (2017) Continuous positive airway pressure therapy in obstuctive sleep apnea: benefits and alternatives. Expert Rev Respir Med 11:259–272. https://doi.org/10.1080/17476348.2017.1305893
doi: 10.1080/17476348.2017.1305893
pubmed: 28287009