{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:01:59Z","timestamp":1771052519719,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study aimed to quantify how much snoring occurs in patients with supine\u2010predominant OSA and the comparative effectiveness of supine\u2010avoidance therapy versus CPAP to reduce objective measures of snoring. Participants had a 1\u2010week in\u2010home sleep posture assessment and a in\u2010home PSG study before being randomised to either CPAP or supine\u2010avoidance therapy for 6\u20138\u2009weeks, then switched treatments for another 6\u20138\u2009weeks. Snoring and treatment outcomes were examined in a subgroup of patients with supine dependent snoring. Baseline measurements showed snoring frequency was 48.9 [95% CI 16.7 to 188.7], 26.3 [95% CI 17.0 to 106.3], 57.5 [95% CI 16.8 to 190.7] snores\/h for the whole group, supine snorer and non\u2010supine snorers respectively. Supine sleep as a percentage of total sleep was almost completely abolished with supine\u2010avoidance treatment (Baseline\u2009=\u200930.7% [95% 15.4 to 46.4], supine\u2010avoidance\u2009=\u20090.2% [95% 0.0 to 15.7]). In the whole group, CPAP significantly reduced overall snoring frequency although residual snoring remained. However, no treatment effect was observed with supine\u2010avoidance therapy in reducing snoring frequency (frequency of snores \u2265\u200950 dBA; baseline\u2009=\u200948.9 [95% 16.7 to 188.7], supine\u2010avoidance\u2009=\u200936.8 [95% 6.3 to 233.7], CPAP\u2009=\u20094.2 [95% 2.1 to 29.5] snores\/h). In the sub\u2010group of supine\u2010predominant snorers, supine\u2010avoidance therapy was associated with reduced snoring frequency (Baseline\u2009=\u200926.3 [95% 17.0 to 106.3], supine\u2010avoidance\u2009=\u200914.3 [95% 3.0 to 18.1], CPAP\u2009=\u20094.6 [95% 2.6 to 8.9] snores\/h). Supine\u2010avoidance therapy may not necessarily lead to a systematic reduction of snoring frequency in patients with supine\u2010predominant OSA but appears effective in a subgroup of patients.<\/jats:p>","DOI":"10.1111\/jsr.70128","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T06:44:14Z","timestamp":1750833854000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Comparison of Snoring Changes With a Supine\u2010Avoidance Alarm Device Compared to Constant Positive Airway Pressure Treatment in Patients With Supine\u2010Predominant\n                    <scp>OSA<\/scp>"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7799-9348","authenticated-orcid":false,"given":"Matthew M.","family":"Rahimi","sequence":"first","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, (Formerly Adelaide Institute for Sleep Health), College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"},{"name":"Woolcock Institute of Medical Research  Macquarie Park New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3919-1313","authenticated-orcid":false,"given":"Andrew","family":"Vakulin","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, (Formerly Adelaide Institute for Sleep Health), College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8412-2202","authenticated-orcid":false,"given":"David","family":"Stevens","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, (Formerly Adelaide Institute for Sleep Health), College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter G.","family":"Catcheside","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, (Formerly Adelaide Institute for Sleep Health), College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2016.11.005"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2012.02987.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01439.2005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2172"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7868"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5664\/JCSM.1194"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00539.2013"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/8.2.87"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10058"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/19.7.531"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/143.6.1300"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6588"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2013.05.003"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/15.4.376"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/hosp.2000.61.5.1332"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/15.suppl_6.S42"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.1.204"},{"key":"e_1_2_9_19_1","first-page":"1207","article-title":"Heavy Snoring as a Cause of Carotid Artery Atherosclerosis","volume":"31","author":"Lee S. 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