{"id":"https://openalex.org/W4416413005","doi":"https://doi.org/10.1016/j.sleep.2025.108665","title":"Active conservative interventions for obstructive sleep apnea: An umbrella review and meta-meta-analysis of systematic reviews","display_name":"Active conservative interventions for obstructive sleep apnea: An umbrella review and meta-meta-analysis of systematic reviews","publication_year":2025,"publication_date":"2025-11-20","ids":{"openalex":"https://openalex.org/W4416413005","doi":"https://doi.org/10.1016/j.sleep.2025.108665","pmid":"https://pubmed.ncbi.nlm.nih.gov/41275711"},"language":"en","primary_location":{"id":"doi:10.1016/j.sleep.2025.108665","doi":"https://doi.org/10.1016/j.sleep.2025.108665","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.sleep.2025.108665","pdf_url":null,"source":{"id":"https://openalex.org/S183718435","display_name":"Sleep Medicine","issn_l":"1389-9457","issn":["1389-9457","1878-5506"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sleep Medicine","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072583604","display_name":"Cristian Justrib\u00f3-Manion","orcid":"https://orcid.org/0000-0002-1336-0692","observed_orcids":["https://orcid.org/0000-0002-1336-0692"]},"institutions":[{"id":"https://openalex.org/I2801339427","display_name":"Universitat Abat Oliba CEU","ror":"https://ror.org/00vkhbp60","country_code":"ES","type":"education","lineage":["https://openalex.org/I2801318690","https://openalex.org/I2801339427"]},{"id":"https://openalex.org/I4210159638","display_name":"Hochschule Osnabr\u00fcck","ror":"https://ror.org/059vymd37","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210159638"]}],"countries":["DE","ES"],"is_corresponding":false,"raw_author_name":"Cristian Justrib\u00f3-Manion","raw_affiliation_strings":["Escuela Internacional de Doctorado (CEINDO), Universitat Abat Oliva CEU, CEU Universities, Bellesguard street 30, Barcelona, 08022, Spain; Faculty of Economics and Social Sciences, University of Applied Sciences Osnabr\u00fcck, Osnabr\u00fcck, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Escuela Internacional de Doctorado (CEINDO), Universitat Abat Oliva CEU, CEU Universities, Bellesguard street 30, Barcelona, 08022, Spain; Faculty of Economics and Social Sciences, University of Applied Sciences Osnabr\u00fcck, Osnabr\u00fcck, Germany","institution_ids":["https://openalex.org/I2801339427","https://openalex.org/I4210159638"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091645975","display_name":"Eleuterio A. S\u00e1nchez Romero","orcid":"https://orcid.org/0000-0003-0254-6501","observed_orcids":["https://orcid.org/0000-0003-0254-6501"]},"institutions":[{"id":"https://openalex.org/I2801014300","display_name":"Florida Gulf Coast University","ror":"https://ror.org/05tc5bm31","country_code":"US","type":"education","lineage":["https://openalex.org/I2801014300"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eleuterio A. S\u00e1nchez-Romero","raw_affiliation_strings":["Interdisciplinary Research Group on Musculoskeletal Disorders, Madrid, 28014, Spain; Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute-Segovia de Arana (IDIPHISA), Majadahonda, 28222, Spain; Department of Rehabilitation Sciences, Florida Gulf Coast University, Fort Myers, FL, 33965, USA; Physiotherapy and Orofacial Pain Working Group, Sociedad Espa\u00f1ola de Disfunci\u00f3n Craneomandibular y Dolor Orofacial (SEDCYDO), Madrid, Spain. Electronic address: esanchezromero@fgcu.edu"],"raw_orcid":"https://orcid.org/0000-0003-0254-6501","affiliations":[{"raw_affiliation_string":"Interdisciplinary Research Group on Musculoskeletal Disorders, Madrid, 28014, Spain; Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute-Segovia de Arana (IDIPHISA), Majadahonda, 28222, Spain; Department of Rehabilitation Sciences, Florida Gulf Coast University, Fort Myers, FL, 33965, USA; Physiotherapy and Orofacial Pain Working Group, Sociedad Espa\u00f1ola de Disfunci\u00f3n Craneomandibular y Dolor Orofacial (SEDCYDO), Madrid, Spain. Electronic address: esanchezromero@fgcu.edu","institution_ids":["https://openalex.org/I2801014300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057867648","display_name":"Juan-Nicol\u00e1s Cuenca-Zald\u00edvar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Juan-Nicol\u00e1s Cuenca-Zaldivar","raw_affiliation_strings":["Interdisciplinary Research Group on Musculoskeletal Disorders, Madrid, 28014, Spain; Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute-Segovia de Arana (IDIPHISA), Majadahonda, 28222, Spain; Physical Therapy Unit, Primary Health Care Center \u00ab El Abaj\u00f3n \u00bb, Las Rozas de Madrid, 28231, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Interdisciplinary Research Group on Musculoskeletal Disorders, Madrid, 28014, Spain; Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute-Segovia de Arana (IDIPHISA), Majadahonda, 28222, Spain; Physical Therapy Unit, Primary Health Care Center \u00ab El Abaj\u00f3n \u00bb, Las Rozas de Madrid, 28231, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120556951","display_name":"Arnau Cerd\u00e0-Rib\u00f3","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I115304662","display_name":"Universitat de Vic - Universitat Central de Catalunya","ror":"https://ror.org/006zjws59","country_code":"ES","type":"education","lineage":["https://openalex.org/I115304662"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Arnau Cerd\u00e0-Rib\u00f3","raw_affiliation_strings":["Department of Physiotherapy, University of Vic - Central University of Catalonia, Campus Manresa, 08242, Manresa, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physiotherapy, University of Vic - Central University of Catalonia, Campus Manresa, 08242, Manresa, Spain","institution_ids":["https://openalex.org/I115304662"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079894564","display_name":"Natalia Felipe-Spada","orcid":"https://orcid.org/0000-0002-7283-1386","observed_orcids":["https://orcid.org/0000-0002-7283-1386"]},"institutions":[{"id":"https://openalex.org/I3123915005","display_name":"Universitat Internacional de Catalunya","ror":"https://ror.org/00tse2b39","country_code":"ES","type":"education","lineage":["https://openalex.org/I3123915005"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Natalia Felipe-Spada","raw_affiliation_strings":["Department of Temporomandibular Disfunction, Universitat Internacional de Catalunya (UIC), Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Temporomandibular Disfunction, Universitat Internacional de Catalunya (UIC), Barcelona, Spain","institution_ids":["https://openalex.org/I3123915005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078232379","display_name":"Jordi Tom\u00e1s Aliberas","orcid":"https://orcid.org/0000-0002-5054-2719","observed_orcids":["https://orcid.org/0000-0002-5054-2719"]},"institutions":[{"id":"https://openalex.org/I3123915005","display_name":"Universitat Internacional de Catalunya","ror":"https://ror.org/00tse2b39","country_code":"ES","type":"education","lineage":["https://openalex.org/I3123915005"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jordi Tom\u00e0s-Aliberas","raw_affiliation_strings":["Department of Temporomandibular Disfunction, Universitat Internacional de Catalunya (UIC), Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Temporomandibular Disfunction, Universitat Internacional de Catalunya (UIC), Barcelona, Spain","institution_ids":["https://openalex.org/I3123915005"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034749969","display_name":"Jordi Padr\u00f3s-Aug\u00e9","orcid":"https://orcid.org/0000-0003-2957-4270","observed_orcids":["https://orcid.org/0000-0003-2957-4270"]},"institutions":[{"id":"https://openalex.org/I115304662","display_name":"Universitat de Vic - Universitat Central de Catalunya","ror":"https://ror.org/006zjws59","country_code":"ES","type":"education","lineage":["https://openalex.org/I115304662"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jordi Padr\u00f3s-Aug\u00e9","raw_affiliation_strings":["Department of Physiotherapy, University of Vic - Central University of Catalonia, Campus Manresa, 08242, Manresa, Spain; Sport, Exercise and Human Movement (SEaHM), University of Vic - Central University of Catalonia, 08500, Vic, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physiotherapy, University of Vic - Central University of Catalonia, Campus Manresa, 08242, Manresa, Spain; Sport, Exercise and Human Movement (SEaHM), University of Vic - Central University of Catalonia, 08500, Vic, Spain","institution_ids":["https://openalex.org/I115304662"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5091645975"],"corresponding_institution_ids":["https://openalex.org/I2801014300"],"apc_list":{"value":4350,"currency":"USD","value_usd":4350},"apc_paid":null,"fwci":1.1536,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.72678795,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"138","issue":null,"first_page":"108665","last_page":"108665"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10852","display_name":"Temporomandibular Joint Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstructive-sleep-apnea","display_name":"obstructive sleep apnea","score":1.0},{"id":"https://openalex.org/keywords/concurrent-exercise","display_name":"concurrent exercise","score":0.7450000047683716},{"id":"https://openalex.org/keywords/moderate-intensity-aerobic-exercise","display_name":"moderate-intensity aerobic exercise","score":0.8579999804496765},{"id":"https://openalex.org/keywords/respiratory-muscle-training","display_name":"respiratory muscle training","score":0.9150000214576721},{"id":"https://openalex.org/keywords/apnea-hypopnea-index","display_name":"apnea-hypopnea index","score":0.9110000133514404},{"id":"https://openalex.org/keywords/sleep-quality","display_name":"sleep quality","score":0.847000002861023},{"id":"https://openalex.org/keywords/daytime-sleepiness","display_name":"daytime sleepiness","score":0.9990000128746033},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.6840000152587891},{"id":"https://openalex.org/keywords/cpap-alternative","display_name":"CPAP alternative","score":0.4880000054836273},{"id":"https://openalex.org/keywords/quality-of-evidence","display_name":"quality of evidence","score":0.6000000238418579}],"concepts":[{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.8188999891281128},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.754800021648407},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7383000254631042},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5394999980926514},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4887000024318695},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.43860000371932983},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.38749998807907104},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.3734999895095825},{"id":"https://openalex.org/C2776006263","wikidata":"https://www.wikidata.org/wiki/Q16606552","display_name":"Obstructive sleep apnea","level":2,"score":0.3686999976634979},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.3312000036239624},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.320499986410141},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.31859999895095825},{"id":"https://openalex.org/C2993769353","wikidata":"https://www.wikidata.org/wiki/Q7598360","display_name":"Standard of care","level":2,"score":0.31610000133514404},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.30079999566078186},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.29269999265670776},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.29019999504089355}],"mesh":[{"descriptor_ui":"D000072700","descriptor_name":"Conservative Treatment","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D001945","descriptor_name":"Breathing Exercises","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D005081","descriptor_name":"Exercise Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020181","descriptor_name":"Sleep Apnea, Obstructive","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D020247","descriptor_name":"Myofunctional Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D045422","descriptor_name":"Continuous Positive Airway Pressure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.sleep.2025.108665","doi":"https://doi.org/10.1016/j.sleep.2025.108665","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.sleep.2025.108665","pdf_url":null,"source":{"id":"https://openalex.org/S183718435","display_name":"Sleep Medicine","issn_l":"1389-9457","issn":["1389-9457","1878-5506"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sleep Medicine","raw_type":"journal-article"},{"id":"pmid:41275711","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41275711","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sleep medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":66,"referenced_works":["https://openalex.org/W1492747692","https://openalex.org/W1824523855","https://openalex.org/W1906082462","https://openalex.org/W1972401688","https://openalex.org/W1995879342","https://openalex.org/W2001995533","https://openalex.org/W2003164015","https://openalex.org/W2042203720","https://openalex.org/W2048202418","https://openalex.org/W2049340111","https://openalex.org/W2052492956","https://openalex.org/W2065361154","https://openalex.org/W2067822015","https://openalex.org/W2090590132","https://openalex.org/W2100306160","https://openalex.org/W2112458829","https://openalex.org/W2128246772","https://openalex.org/W2139148584","https://openalex.org/W2150888222","https://openalex.org/W2165010366","https://openalex.org/W2171489490","https://openalex.org/W2171491091","https://openalex.org/W2173880251","https://openalex.org/W2332097250","https://openalex.org/W2341269853","https://openalex.org/W2483520518","https://openalex.org/W2520714999","https://openalex.org/W2538488284","https://openalex.org/W2558542576","https://openalex.org/W2560438049","https://openalex.org/W2594339144","https://openalex.org/W2612940703","https://openalex.org/W2783040364","https://openalex.org/W2791102933","https://openalex.org/W2889975364","https://openalex.org/W2893564064","https://openalex.org/W2897827304","https://openalex.org/W2897992329","https://openalex.org/W2898378098","https://openalex.org/W2901680791","https://openalex.org/W2906872072","https://openalex.org/W2912654414","https://openalex.org/W2943711408","https://openalex.org/W2945275117","https://openalex.org/W2952856789","https://openalex.org/W2959442417","https://openalex.org/W2997252746","https://openalex.org/W2999408732","https://openalex.org/W3005007310","https://openalex.org/W3006830700","https://openalex.org/W3014465550","https://openalex.org/W3048894036","https://openalex.org/W3082652073","https://openalex.org/W3083569479","https://openalex.org/W3106640820","https://openalex.org/W3118615836","https://openalex.org/W3198671555","https://openalex.org/W4223618976","https://openalex.org/W4294326168","https://openalex.org/W4310333862","https://openalex.org/W4315754627","https://openalex.org/W4317914418","https://openalex.org/W4320915200","https://openalex.org/W4378803946","https://openalex.org/W4402069365","https://openalex.org/W4408069931"],"related_works":["https://openalex.org/W4394988634","https://openalex.org/W4403911315","https://openalex.org/W7168243841","https://openalex.org/W7127953663","https://openalex.org/W4414979112","https://openalex.org/W7139022367","https://openalex.org/W4416637500","https://openalex.org/W4410107440","https://openalex.org/W2791568910","https://openalex.org/W3005007310"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":11}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-11-20T00:00:00"}