Major risk factors for obstructive sleep apnea monitored in the home. A cross-sectional study

Silva, Ricardo; Brito, Tharcisio Pereira; Neto, Antônio Cavalcanti Wanderley; Frota, Renata Botelho; Melo, João Cateb

doi:10.1590/1516-3180.2020.0689.r1.22042021

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Based on previous studies around the world, OSA is associated with the age ( 9 , 14 ), sex ( 10 , 15 , 16 ), neck circumference ( 1 , 10 , 14 , 17 ), body mass index ( 1 , 5 , 10 , 15 , 16 , 18 , 19 ), waist circumference ( 5 , 10 , 12 ), waist-to-hip circumference ratio ( 20 ), dyslipidemia ( 21 ), DM ( 9 ), Hypertension ( 1 , 3 , 15 , 16 ), physical activity ( 1 , 10 , 22 , 23 ), smoking status ( 14 ), and alcohol consumption ( 24 ) of study participants.…”

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confidence: 99%

Obstructive sleep apnea risk and determinant factors among type 2 diabetes mellitus patients at the chronic illness clinic of the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

et al. 2023

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IntroductionObstructive sleep apnea is a sleep complaint among type 2 diabetes mellitus patients that has a deleterious effect on health with immediate and long-term impacts. Despite its impacts, data on the magnitude and predictors of obstructive sleep apnea among type 2 diabetes mellitus patients in Ethiopia is still limited. Thus, this study was conducted to determine how common a high risk of obstructive sleep apnea is and its predictors among type 2 diabetes mellitus patients receiving follow-up care at the chronic illness follow-up clinic at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2022.MethodsAn institution-based cross-sectional study was conducted. Interviewer-administered questionnaires and physical measurements with standard instruments were used to collect the required data. The collected data were entered into EpiData 4.6 and exported into STATA 14. Both Bivariable and multivariable binary logistic regression analyses were done to identify factors associated with a high risk of obstructive sleep apnea. Variables with a p-value ≤0.05 in the multivariable logistic regression analysis were declared as significantly associated with a high risk of obstructive sleep apnea.ResultsA total of 319 type 2 diabetes mellitus patients with a median age of 58 years participated in our current study. The overall prevalence of a high risk of obstructive sleep apnea among the study participants was 31.97% (95%CI: 27.06, 37.32). On multivariable logistic analysis, a neck circumference of ≥40 cm (AOR=4.33, 95%CI 1.37, 13.72), physical inactivity (AOR=2.29, 95%CI 1.15, 4.53), comorbid hypertension (AOR=4.52, 95%CI 2.30, 9.18), and male sex (AOR=8.01, 95%CI 3.02, 21.24) were associated with a high risk of obstructive sleep apnea.Conclusion and recommendationThe prevalence of a high risk of obstructive sleep apnea among type 2 diabetes mellitus patients remains high. A neck circumference of ≥40 cm, physical inactivity, comorbid hypertension, and male sex were significantly associated with a high risk of obstructive sleep apnea among type 2 diabetes mellitus patients. Screening and evaluation of type 2 diabetes mellitus patients for obstructive sleep apnea are recommended to avoid the negative impacts.

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Section: Introductionmentioning

confidence: 99%

Obstructive sleep apnea risk and determinant factors among type 2 diabetes mellitus patients at the chronic illness clinic of the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

et al. 2023

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Does obstructive sleep apnea–induced intermittent hypoxia increase the incidence of solitary pulmonary nodules, thyroid nodules, and other disorders? A retrospective study based on 750 cardiovascular disease patients

Ding,

Mao,

et al. 2024

Sleep Breath

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Background Obstructive sleep apnea (OSA) has been shown to be an important risk factor for cardiovascular disease (CVD), and intermittent hypoxia is an important pathogenetic factor for it. In the clinic, it was found that most CVD patients combined with OSA were also combined with solitary pulmonary nodules (SPN) or thyroid nodules (TN). Are these disorders related to intermittent hypoxia? One study showed that intermittent hypoxia is a pathogenic factor for lung cancer in mice, but there have been no clinical reports. So we conducted a retrospective study to explore whether intermittent hypoxia caused by OSA increases the incidence of SPN, TN, and other disorders. Methods We selected 750 patients with cardiovascular disease (CVD), who were divided into the control group and the OSA group according to the result of portable sleep monitoring. Retrospectively analyzed the comorbidities that patients with OSA are prone to and explored the correlation between OSA and those comorbidities. Results The incidence of SPN, TN, cervical spondylosis, and carotid-artery plaques was higher in the OSA group than in the control group. These diseases are significantly associated with OSA (p < 0.05), and their incidence increased with an elevated apnea–hypopnea index. After excluding interference from age, gender, BMI, smoking history, history of lung disease, and history of tumors, OSA showed a significant correlation with SPN. After excluding age, gender, BMI, and thyroid disease, OSA was associated with TN. Patients with comorbidities have lower nocturnal oxygen saturation and more extended periods of apnea. Logistic multiple regression results revealed that male, advanced age, obesity, CS, and nasal septum deviation were independent risk factors for OSA. Conclusions Patients combined with OSA may further develop more comorbidities, such as SPN, TN, and carotid-artery plaques. It may be related to intermittent hypoxia caused by OSA.

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Investigating Snoring Patterns and Characteristics among Residents in the Qingpu District

Li,

Zhang,

Wang

et al. 2024

Preprint

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Objective: The primary objective of this research was to conduct polysomnography tests on individuals diagnosed with Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) in the Qingpu suburb of Shanghai, China. The study entailed the examination of diverse sleep monitoring parameters linked to age, gender, and disease severity to thoroughly investigate snoring patterns among residents of the Qingpu District. The resulting research outcomes are intended to offer significant insights for formulating successful clinical treatment plans and strategies. Methods: Polysomnography was conducted on 90 snoring patients, and parameters including Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), Snoring Index (SI), AGE, GENDER, and Body Mass Index (BMI) were statistically evaluated. Results: Average values of AHI, ODI, SI, and BMI across different age groups were relatively high without significant variations. When examining gender differences, it was found that both men and women exhibited higher average Apnea-Hypopnea Index (AHI) and Oxygen Desaturation Index (ODI), while notable discrepancies were not observed in Snore Index (SI), age, or Body Mass Index (BMI) between men and women.When stratified by the severity of OSAHS, box plots for AHI and ODI revealed a progressive rise in average values as OSAHS severity increased, culminating at severe stages. The correlation analyses indicated a robust positive relationship between AHI and ODI, with correlation coefficients r values of 0.30, 0.55, 0.77, and 0.84 for normal, mild, moderate, and severe OSAHS categories, respectively. Conclusion: Age did not significantly impact the mean values of AHI, ODI, SI, and BMI in residents of Qingpu, Shanghai. No substantial gender disparities were observed concerning snoring index, age of onset, and BMI. However, men exhibited a higher propensity for apnea and hypoxia compared to women, particularly in terms of AHI and ODI. The study highlighted a robust association between AHI and ODI, with the strength of this association increasing with OSAHS severity levels.

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Major risk factors for obstructive sleep apnea monitored in the home. A cross-sectional study

Cited by 4 publications

References 15 publications

Obstructive sleep apnea risk and determinant factors among type 2 diabetes mellitus patients at the chronic illness clinic of the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Obstructive sleep apnea risk and determinant factors among type 2 diabetes mellitus patients at the chronic illness clinic of the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Does obstructive sleep apnea–induced intermittent hypoxia increase the incidence of solitary pulmonary nodules, thyroid nodules, and other disorders? A retrospective study based on 750 cardiovascular disease patients

Investigating Snoring Patterns and Characteristics among Residents in the Qingpu District

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