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Updated: May 17, 2026
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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Sleep quality, short-term and long-term CPAP adherence
Manya Somiah1, Zachary Taxin, Joseph Keating
1NYU School of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, New York, NY, USA.
Summary
Continuous positive airway pressure (CPAP) adherence in obstructive sleep apnea/hypopnea syndrome (OSAHS) patients is often low. Sleep architecture during CPAP titration can predict adherence, suggesting interventions to improve sleep quality may enhance long-term CPAP use.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Pulmonology
Background:
- Low adherence to continuous positive airway pressure (CPAP) therapy is a significant challenge for patients with obstructive sleep apnea/hypopnea syndrome (OSAHS).
- Predicting and improving CPAP adherence is crucial for effective treatment outcomes in OSAHS management.
Purpose of the Study:
- To assess the predictive value of sleep architecture and continuity measures obtained during CPAP titration for both short-term and long-term CPAP adherence in OSAHS patients.
- To identify specific sleep parameters that correlate with successful CPAP use.
Main Methods:
- 93 OSAHS patients underwent diagnostic polysomnography, CPAP titration, and follow-up polysomnography.
- Objective monitoring of CPAP adherence was conducted for short-term (14 days) and long-term (approx. 2 months) periods.
- Sleep architecture, sleep disordered breathing indices, and daytime outcomes were compared between adherence groups.
Main Results:
- A strong correlation was found between short-term and long-term CPAP adherence (r = 0.81, p < 0.001).
- Higher CPAP adherence was associated with lower percentage of N2 sleep and greater percentage of REM sleep during titration.
- A predictive model combining changes in sleep efficiency and continuity explained 17% of the variance in long-term adherence.
Conclusions:
- Sleep architecture characteristics during CPAP titration can predict a portion of the variance in CPAP adherence.
- Improved sleep quality during the titration study is linked to better CPAP adherence.
- Interventions aimed at enhancing sleep quality during or before CPAP titration may serve as a therapeutic strategy to improve overall CPAP adherence.
Keywords:
CPAP adherenceCPAP therapyOSAHS treatmentobstructive sleep apneasleep disordered breathingsleep stagesMore Related Videos
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