Síndrome da apnéia e hipopnéia obstrutiva do sono: associação com obesidade, gênero e idade

Abstract

Obstructive sleep apnea and hypopnea syndrome (OSAHS) has been the focus of extensive research because of its association with neurocognitive and cardiovascular complications. The aim of this study was to evaluate the frequency and association between OSAHS and the class of obesity, gender and age in outpatients referred to a sleep laboratory. We selected 1,595 patients, 71.7% male. Mean +/- SD age was 46.7 +/- 11.7 years, BMI was 28.1 +/- 5.1 kg/m2 and AIH was 13.9 +/- 15.5 events/ hour of sleep. The patients were considered apneic when the apnea-hypopnea index (AHI) was > 5 events/hour of sleep; OSAHS was present in: (1) 71.1% of men and 50.3% of women (p < 0.001); (2) in 45.3% of patients with normal BMI, in 64.3% of those overweighed and in 80% of obese (p < 0.001). According to age, 61.2% with age < 55 were apneic, as well as 78% of those with age > 55 years old (p < 0.001). We concluded that OSAHS was directly and strongly associated to the male gender, obesity class and to aging.

Qualidade de sono de trabalhadores obesos de um hospital universitário: acupuntura como terapia complementar

“…Furthermore, the obstructive sleep apnea and hypopnea syndrome, a fairly common sleep disorder among obese individuals, is more prevalent and serious among menopausal women (19) , and 21 women in the present study are in this stage in life (56.76%).…”

Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

“…This can occur due to the distribution of fat in males, which implies an accumulation of fat tissue in the upper part of their body, thus favoring a greater collapse of the upper airways in males. [20][21][22][23] After evaluating Category 1 in the BQ, we found that 70% of the sample scored positively, which demonstrates that these individuals have snoring symptoms and witnessed apneas. Snoring and sleep apnea are both the progression of a single problem to OSAS.…”

Fonoaudiologia X ronco/apneia do sono

“…As consequências do ronco e SAOS são: acordar cansado, geralmente com cefaléia e mau humor, hipersonolência diurna, hipoventilação pulmonar e consequente redução de oxigenação do sangue ou hipóxia, durante os períodos de apneia, terminam por produzir hipertensão pulmonar, que acarreta sobrecarga cardíaca e hipertensão arterial, além de roncos altos, engasgos, pausas respiratórias, sono agitado, múltiplos despertares, boca seca, sudorese, necessidade de urinar várias vezes à noite, queda no rendimento intelectual, impotência sexual, dé cit de atenção, concentração e memória, de ciências neurocognitivas, alterações na personalidade, impacto social, pois a sonolên-cia excessiva pode causar problemas pro ssionais, assim como, acidentes automobilísticos e os roncos altos, causam desajustes conjugais 3,6,24,35 . Devido a esses fatores, esta síndrome é atualmente considerada um problema de saúde pública por causar aumento de acidentes de trânsito e trabalho, bem como, da morbi-mortalidade cardiovascular 18,19,36 .…”