Abstract
Purpose
The relationship between obstructive sleep apnea (OSA) and bladder pain syndrome/interstitial cystitis (BPS/IC) remains uncertain. Therefore, this study aimed to compare the frequency of BPS/IC seen in women diagnosed with OSA and in women without OSA.
Material and methods
The study included a patient group of women with OSA and a control group of women without OSA. All the study participants were administered the Berlin Questionnaire, Epworth Sleepiness Scale, Interstitial Cystitis Symptom Index (ICSI), and the Interstitial Cystitis Problem Index (ICPI). Differences between the women with OSA and the control group were examined.
Results
The study sample consisted of 46 women with OSA and 46 controls. No significant difference was determined between the OSA and control groups concerning age and body mass index (p = 0.810, p = 0.060, respectively). The ESS was greater in the OSA group than in the control group (p = 0.007). The median (IQR) ICSI was 8 (4–11.25) in women with OSA and 5 (1.75–7.15) in controls (p < 0.001). The median (IQR) ICPI was 7 (6.00–10.25) in women with OSA and 6 (1.75–8.00) in controls (p < 0.001).
Conclusions
The ICSI symptoms and subsequent problems in daily life caused by the symptoms (ICPI) were experienced at a higher rate in patients with OSA than in the control group. There is an association between BPS/IC and OSA.
Similar content being viewed by others
Data availability
Data will be made available on reasonable request.
References
Patil SP, Ayappa IA, Caples SM et al (2019) Treatment of adult obstructive sleep apnea with positive airway pressure: an American academy of sleep medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med 15(2):301–334. https://doi.org/10.5664/jcsm.7638
Lee W, Nagubadi S, Kryger MH, Mokhlesi B (2008) Epidemiology of obstructive sleep apnea: a population-based perspective.Expert Rev. Respir Med 2:349–364
Demir AU, Ardic S, Firat H et al (2015) Prevalence of sleep disorders in the Turkish adult population epidemiology of sleep study. Sleep Biol Rhythms 13:298–308
Peppard PE, Young T, Palta M, Dempsey J, Skatrud J (2000) Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 284(23):3015–3021. https://doi.org/10.1001/jama.284.23.3015
Von Kanel R, Dimsdale JE (2003) Hemostatic alterations in patients with obstructive sleep apnea and the implications for cardiovascular disease. Chest 124:1956–1967
Ryan S, Taylor CT, McNicholas WT (2005) Selective activation of inflammatory pathways by intermittent hypoxia in obstructive sleep apnea syndrome. Circulation 112:2660–2667
Budhiraja R, Parthasarathy S, Quan SF (2007) Endothelial dysfunction in obstructive sleep apnea. J Clin Sleep Med 3:409–415
Homma Y, Akiyama Y, Tomoe H, Furuta A, Ueda T, Maeda D, Lin AT et al (2020) Clinical guidelines for interstitial cystitis/bladder pain syndrome. Int J Urol 27:578–589. https://doi.org/10.1111/iju.14234
Ito T, Ueda T, Honma Y, Takei M (2007) Recent trends in patient characteristics and therapeutic choices for interstitial cystitis: analysis of 282 Japanese patients. Int J Urol 14(12):1068–1070
Akiyama Y, Luo Y, Hanno PM, Maeda D, Homma Y (2020) Interstitial cystitis/bladder pain syndrome: the evolving landscape, animal models and future perspectives. Int J Urol 27:491–503. https://doi.org/10.1111/iju.14229
Ciftci TU, Kokturk O, Bukan N, Bilgihan A (2004) The relationship between serum cytokine levels with obesity and obstructive sleep apnea syndrome. Cytokine 28(2):87–91
Hu Y, Mai L, Luo J, Shi W, Xiang H, Song S et al (2022) Peripheral blood oxidative stress markers for obstructive sleep apnea meta-analysis. Sleep Breath 26(4):2045–2057
Zong D, Liu X, Shen C, Liu T, Ouyang R (2022) Involvement of Galectin-3 in neurocognitive impairment in obstructive sleep apnea via regulating inflammation and oxidative stress through NLRP3. Sleep Med 101:1–10
Du Z, Sun H, Du Y, Li L, Lv Q, Yu H et al (2022) comprehensive metabolomics and machine learning identify profound oxidative stress and inflammation signatures in hypertensive patients with obstructive sleep apnea. Antioxidants 11(10):1946. https://doi.org/10.3390/antiox11101946
Myer Emily NB et al (2020) Prevalence of screening high risk of obstructive sleep apnea among urogynecology patients. Urogynecology 26(8):503–507
Chung S-D et al (2014) Obstructive sleep apnea increases the risk of bladder pain syndrome/interstitial cystitis: a population-based matched-cohort study. Neurourol Urodyn 33(3):278–282
Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I (2008) Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath 12:161–168
Chiu H-Y et al (2017) Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: a bivariate meta-analysis. Sleep Med Rev 36:57–70
O'Leary MP, Sant GR, Fowler FJ, Whitmore KE, Spolarich-Kroll J (1997) The interstitial cystitis symptom index and problem index. Urology 49:58–63
Esen B, Obaid K, Süer E et al (2020) Reliability and validity of Turkish versions of the interstitial cystitis symptom index and interstitial cystitis problem index. Neurourol Urodyn 39:2338–2343. https://doi.org/10.1002/nau.24492
Epstein MD, Segal LN, Ibrahim SM et al (2010) Snoring and the risk of obstructive sleep apnea in patients with pulmonary embolism. Sleep 33:1069–1074
Lippi G, Favaloro EJ, Franchini M (2011) Coagulopathies and thrombosis: usual and unusual causes and associations, Part IV. Semin Thromb Hemost 37:175–180
Glacet-Bernard A, les Jardins GL, Lasry S et al (2010) Obstructive sleep apnea among patients with retinal vein occlusion. Arch Ophthalmol 128:1533–1538
Wilcyznska M, Rice S, Davies G, Lewis KE (2014) Endothelial injury markers before and after nasal continuous positive airway pressure treatment for obstructive sleep apnoea hypopnea syndrome. Sleep Breath 18:599–607
Hajduk IA, Strollo PJ Jr, Jasani RR, Atwood CW Jr, Houck PR, Sanders MH (2003) Prevalence and predictors of nocturia in obstructive sleep apnea-hypopnea syndrome-a retrospective study. Sleep 26:61–64
Chen CY, Hsu CC, Pei YZ, Yu CC, Chen YZ, Chen CL (2011) Nocturia is an independent predictor of severe obstructive sleep apnea in patients with ischemic stroke. J Neurol 258(2):189–194
Romero E, Krakow K, Haynes P, Ulibarri V (2010) Nocturia and snoring: predictive symptoms for obstructive sleep apnea. Sleep Breath 14(4):337–343
Francesco Di B et al (2023) Nocturia and obstructive sleep apnea syndrome: a systematic review. Sleep Med Rev 69:101787. https://doi.org/10.1016/j.smrv.2023.101787
Niimi A, Suzuki M, Yamaguchi Y, Ishii M, Fujimura T, Nakagawa T et al (2016) Sleep apnea and circadian extracellular fluid change as independent factors for nocturnal polyuria. J Urol 196(4):1183–1189
Destors M, Tamisier R, Sapene M, Grillet Y, Baguet JP, Richard P et al (2015) Nocturia is an independent predictive factor of prevalent hypertension in obstructive sleep apnea patients. Sleep Med 16(5):652–658
Yue Z, Wang M, Xu W, Li H, Wang H (2009) Secretion of antidiuretic hormone in children with obstructive sleep apnea-hypopnea syndrome. Acta Otolaryngol 129(8):867–871
Umlauf MG, Chasens ER, Greevy RA, Arnold J, Burgio KL, Pillion DJ (2004) Obstructive sleep apnea, nocturia and polyuria in older adults. Sleep 27:139–144
Miyauchi Y, Okazoe H, Okujyo M et al (2015) Effect of the continuous positive airway pressure on the nocturnal urine volume or nighttime frequency in patients with obstructive sleep apnea syndrome. Urology 85:333–336
Author information
Authors and Affiliations
Contributions
İGÇ: designed research/study, performed research/study, contributed important reagents, collected data, wrote the paper
Corresponding author
Ethics declarations
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Ethics Committee of Afyonkarahisar Health Sciences University Medical Faculty (AFSU 2011-KAEK-2/2022/405) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The author declares no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Çoşğun, İ.G., Gürel, A. Obstructive sleep apnea and bladder pain syndrome/interstitial cystitis in women. Sleep Breath 28, 999–1003 (2024). https://doi.org/10.1007/s11325-023-02967-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11325-023-02967-1