Evidence map›Paper›PMID 41563629›Full record

ArticleSleep & breathing = Schlaf & Atmung2026

Glossopharyngeal airway collapse is the main factor leading REM-related oxygen desaturation in patients with obstructive sleep apnea: a pilot study.

Yingqian Zhou, Guoping Yin, Jinkun Xu, Xin Cao, Jingying Ye

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Article in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yingqian ZhouDepartment of Otolaryngology-Head Neck Surgery and the Sleep Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, 168 Litang Road, Changping District, Beijing, People's Republic of China.ORCID http://orcid.org/0000-0001-8076-3400
Guoping YinDepartment of Otolaryngology-Head Neck Surgery and the Sleep Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, 168 Litang Road, Changping District, Beijing, People's Republic of China.
Jinkun XuDepartment of Otolaryngology-Head Neck Surgery and the Sleep Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, 168 Litang Road, Changping District, Beijing, People's Republic of China.
Xin CaoDepartment of Otolaryngology-Head Neck Surgery and the Sleep Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, 168 Litang Road, Changping District, Beijing, People's Republic of China.
Jingying YeDepartment of Otolaryngology-Head Neck Surgery and the Sleep Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, 168 Litang Road, Changping District, Beijing, People's Republic of China. yejingying@vip.163.com.ORCID http://orcid.org/0000-0002-4022-6202

Funding

National Natural Science Foundation of China 82200104National Natural Science Foundation of China 82341247National Natural Science Foundation of China 82371132
6 · The paper itself

Abstract

objectiveThis study aimed to determine the factors underlying rapid eye movement (REM) sleep-related oxygen desaturation (OD) in patients with obstructive sleep apnea (OSA).

methodsAll subjects underwent overnight polysomnography with synchronous genioglossus electromyography using intraoral surface electrodes. For those subjects diagnosed with moderate or severe OSA (AHI > 15 events/h), we respectively calculated the average OD during rapid eye movement (REM-OD) and non-rapid eye movement sleep (NREM-OD). The ratio of REM-OD/NREM-OD ≥ 1.5 was defined as patients with REM-related OD. The upper airway anatomy was measured by three-dimensional computed tomography (3D-CT) in all subjects. The independent t test was used to analyze the difference between groups.

resultsThirty-three male OSA patients were recruited and divided into two groups, includingthe REM-related OD group (n = 15, AHI 68.01 ± 18.35 events/h) and the NREM-related OD group (n = 18, AHI 57.48 ± 28.81 events/h). The REM-related OD group had a more severe lowest oxygen saturation overnight (56.14 ± 7.06 vs. 70.92 ± 14.49, p = 0.009). GGEMG variables were similar between the two groups, except for apnea time in the REM period (p < 0.001). Parameters measured by 3D-CT of the UA showed that the REM-related OD group had a narrower glossopharyngeal airway, with a smaller minimal anteroposterior airway dimension (12.41 ± 2.99 vs. 17.58 ± 4.78, p = 0.020) and smaller minimal cross-sectional airway area (119.81 ± 30.94 vs. 199.78 ± 75.02, p = 0.005).

conclusionGlossopharyngeal airway narrowing is the leading factor of REM-related OD in paitients with moderate or severe OSA by the prolongation of apnea events during REM sleep.

Indexed as

OxygenOxygen SaturationSleep Apnea, ObstructiveSleep, REMAdultElectromyographyHumansMaleMiddle AgedPharynxPilot ProjectsPolysomnographyOxygenGenioglossusIntraoral electrodeObstructive sleep apneaOxygen saturation

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.