Is Sleep Apnea Syndrome in the Elderly a Specific Entity?

Lévy, Patrick; Pépin, Jean‐Louis; Malauzat, D.; Emeriau, Jean‐Paul; Léger, J.-M.

doi:10.1093/sleep/19.suppl_3.s29

Cited by 35 publications

(11 citation statements)

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“…Older patients (>63 yrs) had larger upper airway than younger patients (<52 yrs) at all pharyngeal levels. This confirms the results previously found in OSA patients [25] and in normals [22], but does not support the protective effect of a larger upper airway in normal elderly subjects [22], a larger upper airway being observed both in OSA patients and snorers.…”

Section: Discussionsupporting

confidence: 68%

“…In addition, it has been suggested that upper airway morphology changes with age, as shown by an increase in the distance from the mandibular plane to the hyoid bone (MP-H) [2] in older controls, while the pharyngeal cross-sectional area has been described either as reduced [12,20] or enlarged [22,25] in elderly subjects. These conflicting results suggest that in apnoeics of different age [25] or weight, different anatomical or physiological mechanisms may play the major role in the propensity to apnoea.…”

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confidence: 99%

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Relationship between body mass index, age and upper airway measurements in snorers and sleep apnoea patients

Mayer¹,

Pépin²,

Bettega³

et al. 1996

Eur Respir J

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159

117

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R Re el la at ti io on ns sh hi ip p b be et tw we ee en n b bo od dy y m ma as ss s i in nd de ex x, , a ag ge e a an nd d u up pp pe er r a ai ir rw wa ay y m me ea as su ur re em me en nt ts s i in n s sn no or re er rs s a an nd d s sl le ee ep p a ap pn no oe ea a p pa at ti ie en nt ts s ABSTRACT: Anatomical pharyngeal and craniofacial abnormalities have been reported using upper airway imaging in snorers with or without obstructive sleep apnoea (OSA). However, the influences of the age and weight of the patient on these abnormalities remain to be established. The aim of this study was, therefore, to evaluate in a large population of snorers with or without OSA, the relationship between body mass index (BMI), age and upper airway morphology. One hundred and forty patients were referred for assessment of a possible sleeprelated breathing disorder and had complete polysomnography, cephalometry and upper airway computed tomography.For the whole population, OSA patients had more upper airway abnormalities than snorers. When subdivided for BMI and age, however, only lean or younger OSA patients were significantly different from snorers as regards their upper airway anatomy. The shape of the oropharynx and hypopharynx changed significantly with BMI both in OSA patients and snorers, being more spherical in the highest BMI group due mainly to a decrease in the transverse axis. On the other hand, older patients (>63 yrs), whether snorers or apnoeics, had larger upper airways at all pharyngeal levels than the youngest group of patients (<52 yrs). For the total group of patients, upper airway variables explained 26% of the variance in apnoea/hypopnoea index (AHI), whereas in lean (BMI <27 kg·m -2 ) or youngest (age <52 yrs) subjects upper airway variables explained, respectively 69 and 55% of the variance in AHI.In conclusion, in lean or young subjects, upper airway abnormalities explain a major part of the variance in apnoea/hypopnoea index and are likely to play an important physiopathogenic role. This study also suggests that the shape of the pharyngeal lumen in awake subjects is more dependent on body mass index than on the presence of obstructive sleep apnoea. Further investigation looking at upper airway imaging for surgical selection in obstructive sleep apnoea should focus on lean and young patients. Eur Respir J., 1996Respir J., , 9, 1801Respir J., -1809

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Section: Discussionsupporting

confidence: 68%

mentioning

confidence: 99%

Relationship between body mass index, age and upper airway measurements in snorers and sleep apnoea patients

Mayer¹,

Pépin²,

Bettega³

et al. 1996

Eur Respir J

Self Cite

159

117

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“…Age was also positively correlated with the respiratory disturbance indexes. This is easily explained by the increase in OSA severity with age which has been reported in many epidemiological studies [16,17].…”

Section: Discussionmentioning

confidence: 89%

Oximetry Alone Versus Portable Polygraphy for Sleep Apnea Screening Before Bariatric Surgery

et al. 2010

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“…Overall, with the remarkable exception of ischaemic heart disease, the typical morbidity associated with sleep apnoea in younger adults is found in the elderly. Regarding treatment, elderly symptomatic SDB patients tolerate CPAP no differently than younger patients, and should be effectively treated [185][186][187][188].…”

Section: Sleep Apnoea In Elderly Patientsmentioning

confidence: 99%