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The effect of singing on snoring and daytime somnolence


The objective of the study is to compare the prevalence and severity of snoring and daytime somnolence amongst semiprofessional choir singers and non-singers. It is a cross-sectional comparative study and the setting is at a tertiary otorhinolaryngology referral centre. Adult singers were recruited from two mixed-gender choirs in London. The control group consisted of healthy volunteers who do not sing. The weight and height of all participants were measured by a single investigator. A questionnaire was completed by each subject, and the snoring habit section completed by their spouses or partners. The snoring scale score (SSS) and Epworth Sleepiness Scale (ESS) were utilised to assess the severity of snoring and daytime somnolence, respectively. The mean age of the singers was 46.3 years (20:32, males to females) and the control group 43.3 years (23:32, males to females). There was no difference in body mass index (BMI; p = 0.180) and ESS score (p = 0.770) between singers and non-singers. Regression analysis showed no significant relationship between the number of years of singing and ESS score (p = 0.390) although there was a linear relationship between age and SSS for both singers (R 2 = 0.11; p = 0.02) and non-singers (R 2 = 0.20; p = 0.01). Based on the general linear model, singers have significantly lower SSSs compared to non-singers when adjusted for age (p = 0.0147), BMI (p = 0.0389) and both age and BMI (p = 0.0153). Singing practice may have a role in the treatment of snoring but does not appear to influence daytime somnolence.

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  1. Lugaresi E, Cirignota F, Coccagna G, Pianna C (1980) Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 3:221–224

    PubMed  CAS  Google Scholar 

  2. Olson LG, King MT, Hensley MJ, Saunders NA (1995) A community study of snoring and sleep-disordered breathing. Health outcomes. Am J Respir Crit Care Med 152(2):717–720

    PubMed  CAS  Google Scholar 

  3. Marin JM, Carrizo SJ, Kogan I (1998) Obstructive sleep apnea and acute myocardial infarction: clinical implications of the association. Sleep 21:809–815

    PubMed  CAS  Google Scholar 

  4. Nieto FJ, Young TB, Lind BK, Shahar E, Samet JM, Redline S, D’Agostino RB, Newman AB, Lebowitz MD, Pickering TG (2000) Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study: Sleep Heart Health Study. JAMA 283:1829–1836

    Article  PubMed  CAS  Google Scholar 

  5. Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342:1378–1384

    Article  PubMed  CAS  Google Scholar 

  6. Al-Delaimy WK, Manson JE, Willett WC, Stampfer MJ, Hu FB (2002) Snoring as a risk factor for type II diabetes mellitus: a prospective study. Am J Epidemiol 155:387–393

    Article  PubMed  Google Scholar 

  7. Lyznicki JM, Doege TC, Davis RM, Williams MA (1998) Sleepiness, driving, and motor vehicle crashes. Council on Scientific Affairs, American Medical Association. JAMA 279:1908–1913

    Article  PubMed  CAS  Google Scholar 

  8. Netzer CN, Hoegel JJ, Loube D, Netzer CM, Hay B, Alvarez-Sala R, Strohl KP (2003) Prevalence of symptoms and risk of sleep apnea in primary care. Chest 124:1406–1414

    Article  PubMed  Google Scholar 

  9. Sher AE, Schechtman KB, Piccirillo JF (1996) The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 19:156–177

    PubMed  CAS  Google Scholar 

  10. Hicklin L, Tostevin P, Dasan S (2000) Retrospective survey of long-term results and patient satisfaction with uvulopalatopharyngoplasty for snoring. J Laryngol Otol 114:675–681

    Article  PubMed  Google Scholar 

  11. Ojay A, Ernst E (2002) Can singing exercises reduce snoring? A pilot study. Complement Ther Med 8:151–156

    Article  Google Scholar 

  12. Johns MW (1991) A new method for measuring daytime sleepiness: Epworth sleepiness score. Sleep 14:540–545

    PubMed  CAS  Google Scholar 

  13. Lim PVH, Curry AR (1999) A new method for evaluating and reporting the severity of snoring. J Laryngol Otol 113:336–340

    Article  PubMed  CAS  Google Scholar 

  14. Maasilta P, Bachour A, Teramo K, Polo O, Laitinen LA (2001) Sleep-related disordered breathing during pregnancy in obese women. Chest 120:1448–1454

    Article  PubMed  CAS  Google Scholar 

  15. Resta O, Foschino-Barbaro MP, Legari G, Talamo S, Bonfitto P, Palumbo A, Minenna A, Giorgino R, De Pergola G (2001) Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects. Int J Obes Relat Metab Disord 25:669–675

    Article  PubMed  CAS  Google Scholar 

  16. Unal M, Ozturk L, Kanik A (2002) The role of oxygen saturation measurement and body mass index in distinguishing between non-apnoeic snorers and patients with obstructive sleep apnoea syndrome. Clin Otolaryngol 27:344–346

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Irumee Pai.

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Pai, I., Lo, S., Wolf, D. et al. The effect of singing on snoring and daytime somnolence. Sleep Breath 12, 265–268 (2008).

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