Table 4 Recommendations for clinical practice^a

1. Follow-up of adults with achondroplasia should include systematic assessment of symptoms and signs of OSA

2. OSA should be suspected in the presence of excessive daytime sleepiness in combination with at least one of the following

• Habitual, loud snoring (louder than talking)

• Observed nocturnal breathing stops, choking or gasping

• Diagnosed hypertension

• Body mass index > 30 kg/m²

3. If OSA is suspected, an overnight sleep registration should be performed, preferably by polysomnography, or with an adequate home-based portable sleep monitor

4. If a single home-based sleep test is negative in symptomatic individuals, polysomnography should be performed

5. Referral to a respiratory/sleep physician should be considered for appropriate management and follow-up of OSA if present