Abstract

Snoring is common in people with obstructive sleep apnea (OSA). Although not every snorer has OSA or vice-versa, many studies attempt to use snoring sounds for classification of people into two groups of OSA and simple snorers. This paper discusses the relationship between snorers’ anthropometric parameters and statistical characteristics of snoring sound (SS) and also reports on classification accuracies of methods using SS features for screening OSA from simple snorers when anthropometric parameters are either matched or unmatched. Tracheal respiratory sounds were collected from 60 snorers simultaneously with full-night Polysomnography (PSG). Energy, formant frequency, Skewness and Kurtosis were calculated from the SS segments. We also defined and calculated two features: Median Bifrequency (MBF), and projected MBF (PMBF). The statistical relationship between the extracted features and anthropometric parameters such as height, Body Mass Index (BMI), age, gender, and Apnea-Hypopnea Index (AHI) were investigated. The results showed that the SS features were not only sensitive to AHI but also to height, BMI and gender. Next, we performed two experiments to classify patients with Obstructive Sleep Apnea (OSA) and simple snorers: Experiment A: a small group of participants (22 OSA and 6 simple snorers) with matched height, BMI, and gender were selected and classified using Na?ve Bayes classifier, and Experiment B: the same number of participants with unmatched height, BMI, and gender were chosen for classification. A sensitivity of 93.2% (87.5%) and specificity of 88.4% (86.3%) was achieved for the matched (unmatched) groups.

Highlights

  • Snoring is a very common disorder mostly associated with obstructive sleep apnea (OSA) syndrome

  • The relationship between anthropometric parameters of 60 snorers and the 3rd and 4th order statistical features derived from the snoring sound (SS) segments were investigated

  • An important contribution of the statistical investigation is on the application of snoring sound for OSA identification among snorers

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Summary

Introduction

Snoring is a very common disorder mostly associated with obstructive sleep apnea (OSA) syndrome. 20% - 40% of the general population snore during sleep [1]. By age of 60, snore prevalence increases to 60% in male and 40% in female gender [2]. Not every snorer may have OSA (the so-called “simple snorers”) and not everybody with OSA may snore, yet snoring is considered as a major sign of undiagnosed OSA [3]. Many studies attempt to use snoring sounds for classification of people into two groups of OSA and simple snorers. This paper discusses the relationship between snorers’ anthropometric parameters and statistical characteristics of snoring sound (SS), and reports on classification accuracies of methods using SS features for screening OSA from simple snorers when anthropometric parameters are either matched or unmatched

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