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ESTABLISHMENT OF A NEW FUNDAMENTAL THERAPY FOR OBSTRUCTIVE SLEEP APNEA DURING WAKEFULLNESS: UTILITY OF AN EASY, NON-INVASIVE TRAINING OF ORBICULARIS ORIS MUSCLE.

Research Project

Project/Area Number 24591059
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionKyushu University

Principal Investigator

NISHIZAKA MARI  九州大学, 大学病院, 研究員 (00448424)

Co-Investigator(Kenkyū-buntansha) ANDO Shin-ichi  九州大学, 大学病院, 特任教授 (90575284)
Research Collaborator AKIHIRO Yoshiaki  日本大学, 松戸歯学部, 歯科医師
HASHIMOTO Sonomi  九州大学, 大学病院, 研究補助員
NAGAO Mitsunobu  九州大学, 大学病院, 特任准教授
CHISHAKI Akiko  九州大学, 医学研究院, 教授
SAWATARI Hiroyuki  九州大学, 大学院
RAHMAWATI Anita  九州大学, 大学院
ADACHI Kazuo  九州大学, 大学病院, 助教
ICHIKI Toshihiro  九州大学, 大学病院, 特任教授
IDE Tomomi  九州大学, 大学病院, 講師
YANAI Aika  九州大学, 大学病院, 生理検査技師
YOSHIMOTO Maiko  九州大学, 大学病院, 生理検査技師
MATSU-URA Youko  九州大学, 大学病院, 生理検査技師
KAWAHARA Gorou  九州大学, 大学病院, 生理検査技師
TADA Chie  九州大学, 大学病院, 生理検査技師
HORIKAWA Shiori  九州大学, 大学病院, 生理検査技師
SATOH Tasuku  九州大学, 大学病院, 生理検査技師
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords睡眠時無呼吸 / 血管内皮機能 / 治療学 / 心不全 / メタボリック症候群 / 高血圧 / 不整脈 / 水分貯留 / 国際情報交換
Outline of Final Research Achievements

Current study have shown beneficial effects of the 3 months’ training of orbicularis oris to treat mild-to-moderate obstructive sleep apnea. The training significantly improved the severity of sleep apnea by decreasing in ODI, decreased the subjective daytime sleepiness and improved the endothelial function indexed by flow mediated vasodilatation. Furthermore, it improved dyslipidemia, hyperuricemia, and left ventricular systolic function, though they do not reach statistical significance.
Similar evaluations were repeated in selected subjects who agreed to have a follow-up 3months after completion or termination of the protocol, to determine if the beneficial effects continue. The temporary results indicate that the continuation would provide better results on ODI and FMD, and that the beneficial effects continues partly, even in 3-months, but worse than continuous training group. In total, 35% of the enrolled dropped out, which suggests the continuation is not much easier than CPAP.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (25 results)

All 2015 2014 2013 2012

All Journal Article (4 results) (of which Peer Reviewed: 3 results,  Open Access: 2 results,  Acknowledgement Compliant: 2 results) Presentation (20 results) (of which Invited: 1 results) Book (1 results)

  • [Journal Article] nationwide cross-sectional study on congenital heart diseases and symptoms of sleep-disordered breathing among Japanese Down’s syndrome people.2015

    • Author(s)
      Sawatari H, Chishaki A, Nishizaka M, Matsuoka F, Yoshimura C, Kuroda H, Anita Rahmawati, Hashiguchi N, Miyazono M, Ono J, Ohkusa T, Ando S.
    • Journal Title

      Internal Medicine

      Volume: -

    • NAID

      130005068318

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical and Epidemiological Features of Obstructive Sleep Apnea in a Survey of Down Syndrome Subjects in Japan.2015

    • Author(s)
      Ono J, Chishaki A, Ohkusa T, Sawatari H, Nishizaka M, Ando S.
    • Journal Title

      Nursing & Health Sciences

      Volume: - Issue: 4 Pages: 420-425

    • DOI

      10.1111/nhs.12206

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Relationship between Sleep Postures and Sleep-Disordered Breathing Parameters in People with Down Syndrome in Japan.2015

    • Author(s)
      Rahmawati A, Chishaki A, Ohkusa T, Sawatari H, Hashiguchi N, Ono J, Kuroda H, Nishizaka MK, Ando S.
    • Journal Title

      Sleep and Biological Rhythms

      Volume: - Issue: 4 Pages: 323-331

    • DOI

      10.1111/sbr.12122

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 循環器疾患と睡眠呼吸障害:新たな治療戦略ASVの意義とは2012

    • Author(s)
      西坂麻里、安藤眞一
    • Journal Title

      循環制御

      Volume: 33 Pages: 150-163

    • Related Report
      2012 Research-status Report
  • [Presentation] A Study On The Meteological Analysis of Nocturnal Falls During Sleep In Hospital.2015

    • Author(s)
      Magota C, Ando S, Nishizaka M, Hashiguchi M, Ohkusa T, Chishaki A.
    • Organizer
      World Congress on Sleep Medicine 2015
    • Place of Presentation
      Souel, KOREA
    • Year and Date
      2015-03-21 – 2015-03-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] Accumulated nocturnal hypoxemia was a better predicting factor in vascular endothelial dysfunction in patients with chronic heart failure and sleep disordered breathing.2015

    • Author(s)
      Sawatari H, Ando S, Nishizaka M, Miyazono M, Sakamoto T, Chishaki H, Ohkusa T, Magota C, Sunagawa K, Chishaki A.
    • Organizer
      World Congress on Sleep Medicine 2015
    • Place of Presentation
      Souel, KOREA
    • Year and Date
      2015-03-21 – 2015-03-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] The Accumulation of Hypoxemia, A Newly Developed Index, Well Predicts Vascular Endothelial Dysfunction in Patients with Sleep Disordered Breathing.2014

    • Author(s)
      Sawatari H, Chishaki A, Nishizaka M, Tokunou T, Yoshimura C, Ohkusa T, Ando S.
    • Organizer
      22nd Congress of the European Sleep Research Society
    • Place of Presentation
      Talin, ESTONIA
    • Year and Date
      2014-09-16 – 2014-09-20
    • Related Report
      2014 Annual Research Report
  • [Presentation] Cardiac function and sleep quality in patients with chronic heart failure and sleep disordered breathing were improved by leg thermal therapy.2014

    • Author(s)
      Sawatari H, Hosokawa K, Nishizaka M, Miyazono M, Ando S, Takemoto M, Sakamoto T, Chishaki H, Sunagawa K, Chishaki A.
    • Organizer
      ESC Congress2014
    • Place of Presentation
      Barcelona, SPAIN
    • Year and Date
      2014-08-30 – 2014-09-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Sleep Quality and Cardiac Function in Patients with Heart Failure and Sleep-Disordered Breathing were Improved by Leg Thermal Therapy: A Novel Analysis Based on Polysomnography.2014

    • Author(s)
      Sawatari H, Hosokawa H, Ando S, Miyazono M, Nishizaka M, Takemoto M, Chishaki H, Rahmawati A, Sunagawa K, Chishaki A.
    • Organizer
      SLEEP2014
    • Place of Presentation
      Minneapolis, U.S.A
    • Year and Date
      2014-05-31 – 2014-06-04
    • Related Report
      2014 Annual Research Report
  • [Presentation] Magnetic resonance imaging study of peripharyngeal mucosal intensity in obstructive sleep apnea patients.2013

    • Author(s)
      Anita Rahamawati, Chishaki A, Nagao M, Adachi K, Nishizaka M, Ando S.
    • Organizer
      World Congress on Sleep Medicine
    • Place of Presentation
      Valencia, SPAIN
    • Related Report
      2013 Research-status Report
  • [Presentation] Leg thermal therapy improves sleep quality with amelioration of vascular endothelial function in patients with chronic heart failure.2013

    • Author(s)
      Sawatari H, Miyazono M, Hashiguchi N, Anita Rahamawati, Inoue S, Takemoto M, Nishizaka M, Ide T, Ando S, Chishaki H, Sunagawa K, Chishaki A.
    • Organizer
      The 77th Annual Scientific Meeting of the Japanene Circulation Society.
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] The first national survey of the relationship between sleep disordered breathing and heart diseases in Down syndrome.2013

    • Author(s)
      Sawatari H, Chishaki A, Kuroda H, Matsuoka F, Anita Rahamawati, Ono J, Hashiguchi N,Miyazono M, Nishizaka M, Ando S.
    • Organizer
      The 77th Annual Scientific Meeting of the Japanene Circulation Society.
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] ラウンドテーブルディスカッション10 循環器疾患に合併する睡眠時呼吸障害の機序と治療-新たな概念・新たな介入法2013

    • Author(s)
      西坂麻里、安藤眞一
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] ダウン症者における睡眠呼吸障害の実態-心疾患障害児支援に向けて-2013

    • Author(s)
      小野淳二、樗木晶子、澤渡浩之、アニタ・ラハマワティ、黒田裕美、松岡史生、宮園真美、
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] The abnormal sleep postures that are frequently observed in people with Down syndrome indicated high prevalence of the sleep disordered breathing in Japanese cross-sectional studies.2013

    • Author(s)
      Sawatari H, Chishaki A, Kuroda H, Matsuoka F, Anita Rahamawati, Ono J, Hashiguchi N, Miyazono M, Nishizaka M, Ando S.
    • Organizer
      27th annual meeting of the APSS
    • Place of Presentation
      Baltimore, U.S.A
    • Related Report
      2012 Research-status Report
  • [Presentation] 下肢加温療法は、慢性心不全患者の睡眠を改善する2013

    • Author(s)
      澤渡浩之, 宮園真美, 竹本真生, 井上修二朗, 坂本隆史, 西坂麻里, アニタ・ラハマワティ, 橋口暢子, 安藤眞一, 樗木浩朗, 砂川賢二, 樗木晶子
    • Organizer
      第38回日本睡眠学会定期学術集会
    • Place of Presentation
      秋田
    • Related Report
      2012 Research-status Report
  • [Presentation] Unusual Sleeping Position as a Protective Effort against Nocturnal Desaturation in Down Syndrome.2013

    • Author(s)
      Anita Rahamawati, Chishaki A, Sawatari H, Yanai A, Nishizaka M, Hashiguchi N, Ono J, Kuroda H, Miyazono M, Ando S.
    • Organizer
      第38回日本睡眠学会定期学術集会
    • Place of Presentation
      秋田
    • Related Report
      2012 Research-status Report
  • [Presentation] 睡眠時無呼吸症患者における昼間の眠気との関連と夜間尿回数上昇の原因の検討2013

    • Author(s)
      橋本そのみ、西坂麻里、船越公太、柳井愛香、梶原佑介、村上枝里、植柳泰、安藤眞一
    • Organizer
      第38回日本睡眠学会定期学術集会
    • Place of Presentation
      秋田
    • Related Report
      2012 Research-status Report
  • [Presentation] 心疾患患者での低呼吸の新ルール適用の影響についての考察2013

    • Author(s)
      村上枝里、梶原佑介、柳井愛香、植柳泰、西坂麻里、安藤眞一
    • Organizer
      第38回日本睡眠学会定期学術集会
    • Place of Presentation
      秋田
    • Related Report
      2012 Research-status Report
  • [Presentation] 睡眠時無呼吸症候群の継続率に影響を与えた因子の検討2013

    • Author(s)
      柳井愛香、梶原佑介、村上枝里、植柳泰、西坂麻里、安藤眞一
    • Organizer
      第38回日本睡眠学会定期学術集会
    • Place of Presentation
      秋田
    • Related Report
      2012 Research-status Report
  • [Presentation] Nation-wide surveillance about the relationship between sleeping posture and symptoms of sleep disordered breathing among the patients with Down syndrome.2012

    • Author(s)
      Sawatari H, Chishaki A, Anita Rahamawati, Hashiguchi N, Miyazono M, Ono J, Kuroda H, Nishizaka M, Ando S.
    • Organizer
      Xth World Congress on Sleep Apnea Sleep Respiratory Disorders and Snoring.
    • Place of Presentation
      Roma, Italy
    • Related Report
      2012 Research-status Report
  • [Presentation] Peculiar Sleep Position In Down Syndrome Patients As A Protective Mechanism Against Nocturnal Oxygen Desaturation.2012

    • Author(s)
      Anita Rahamawati, Chisaki A, Sawatari H, Hashiguchi N, Miyazono M, Ono J, Kuroda H, Nishizaka M, Ando S.
    • Organizer
      Xth World Congress on Sleep Apnea Sleep Respiratory Disorders and Snoring.
    • Place of Presentation
      Roma, Italy
    • Related Report
      2012 Research-status Report
  • [Presentation] Leg Thermal Therapy Could Improve Sleep Structure without Changing Sleep Disturbed Breathing in Patients with Chronic Heart Failure.2012

    • Author(s)
      Nishizaka M, Sawatari H, Anita Rahamawati, Yanai A, Eura E, Ide T, Inoue S, Takemoto M, Chishaki A, Ando S.
    • Organizer
      21st Congress of the European Sleep Research Society.
    • Place of Presentation
      Paris, France
    • Related Report
      2012 Research-status Report
  • [Presentation] Japan nation-wide survey on sleep disordered breathing and congenital heart diseases in Down’s syndrome patients.2012

    • Author(s)
      Sawatari H, Chishaki A, Kuroda H, Matsuoka F, Rahamawati A, Ono J, Hashiguchi N, Miyazono M, Nishizaka M, Ando S.
    • Organizer
      The 7th Asian Sleep Reaserch Society Congress.
    • Place of Presentation
      Taipei, Taiwan
    • Related Report
      2012 Research-status Report
  • [Book] 臨床検査:今月の特集2 知っておくべき睡眠呼吸障害のあれこれ 睡眠呼吸障害の治療2013

    • Author(s)
      西坂麻里、安藤眞一
    • Total Pages
      10
    • Publisher
      医学書院
    • Related Report
      2013 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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