Prevalence of Sleep-disordered Breathing in Middle-aged Korean Men and Women

Kim, Jin Kwan; In, Kwang Ho; Kim, Je Hyeong; You, Se Hwa; Kang, Kyung Ho; Shim, Jae Jeong; Lee, Sang Yeub; Lee, Jung Bok; Lee, Seung Gwan; Park, Chan; Shin, Chol

doi:10.1164/rccm.200404-519oc

Cited by 421 publications

(277 citation statements)

References 48 publications

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“…These strongly positive associations of BMI and BMI changes since the age of 20 with SDB were consistent with the results of previous studies, but this study provided further evidence that long-term changes in BMI are associated with SDB. 10,[12][13][14] In our study, 55% of the men with RDI X10 had BMI X25, which is similar to findings for the USA, where 58% of Americans with AHI X15 had BMI X25. 1 A 10% increase in weight over 4 years was associated with a six times higher risk of AHI X15 3 and a weight gain of X5 kg over 5 years with a three times higher risk of AHI X15 18 in follow-up studies of Americans.…”

Section: Discussionsupporting

confidence: 88%

“…7 The prevalence of SDB (apnea-hypopnea index (AHI), X15) was 9-14% for western adult men [8][9][10] and 5-10% for their Asian counterparts. 11,12 We previously reported that SDB was positively associated with overweight and excessive daytime sleepiness among Japanese adults. 13,14 To date, however, no data have been available on the association of weight change with SDB and excessive daytime sleepiness for Asian populations.…”

Section: Introductionmentioning

confidence: 98%

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Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

et al. 2009

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Background: Limited evidence for association of weight gain with sleep-disordered breathing (SDB) has been produced for Asian populations whose body mass index (BMI) levels are lower than in western countries. Objective: The aim of this study was to examine weight change since 20 years of age and risk of SDB among Japanese. Design: Retrospective cohort study. Subjects: This study includes a large sample of 5320 male Japanese truck drivers aged 30-69 years. Measurements: The respiratory disturbance index (RDI) was selected as an indicator of SDB, and it was estimated with a onenight sleep test using an airflow monitor, and the Epworth Sleepiness Scale (ESS) was used to estimate excessive daytime sleepiness. Results: Respiratory disturbance and sleepiness were more prevalent among men with BMI of 25.0-29.9 and X30.0 kg/m 2 than among those with BMI of 18.5-24.9; multivariable odds ratios (ORs) were 1.8(1.5-2.0), Po0.001 and 4.4(3.5-5.5), Po0.001 for RDI X10, and 1.2(0.9-1.4), P ¼ 0.18 and 1.5(1.1-2.1), P ¼ 0.02 for ESS X11, respectively. Compared with men showing BMI changes within ± 1.0, the respective multivariable ORs for those with BMI changes of 3.0-4.9 and X5.0 were 1.4(1.2-1.6), Po0.001 and 2.4(2.0-2.9), Po0.001 for RDI X10, and 1.2(0.9-1.6), P ¼ 0.22 and 2.0(1.5-2.6), Po0.001 for ESS X11. The corresponding ORs for weight gain of X10.0 kg compared with weight change less than ± 5.0 kg were 2.0(1.7-2.4), Po0.001 for RDI X10 and 1.5(1.2-2.0), P ¼ 0.002 for ESS X11. Similar trends were observed for RDI X20. Conclusion: Our results suggest that an increase in BMI of X5 kg/m 2 or weight gain of X10 kg is a risk factor for SDB and excessive daytime sleepiness among Japanese truck drivers.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 98%

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

et al. 2009

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“…(10) The definition of OSAS is an apnea-hypopnea index (AHI) above five events per hour of sleep, together with excessive daytime sleepiness. (1)(2)(3)(4)(5)(6)(7)(8)(9)(10) A recent epidemiological study conducted in the city of São Paulo, Brazil, (11) showed a high prevalence of OSAS in the adult population (32.8%). (12) In that study, OSAS was defined according to the criteria of the most recent International Classification of Sleep Disorders, published by the American Academy of Sleep Medicine (AASM) in 2005, (13) which state that a diagnosis of OSAS can be confirmed if the subject has an AHI of 5.0-14.9 events per hour of sleep and presents with at least one of the following complaints: loud snoring, excessive daytime sleepiness, and fatigue.…”

Section: Introductionmentioning

confidence: 98%

“…Obstructive sleep apnea syndrome (OSAS) is a highly prevalent condition that is observed in 1.2% to 7.5% of the general population, (1)(2)(3)(4)(5)(6)(7)(8)(9) mostly in adults and primarily in obese males. (10) The definition of OSAS is an apnea-hypopnea index (AHI) above five events per hour of sleep, together with excessive daytime sleepiness.…”

Section: Introductionmentioning

confidence: 99%

Monitorização portátil no diagnóstico da apneia obstrutiva do sono: situação atual, vantagens e limitações

et al. 2010

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Recent years have seen a growing interest in the use of portable monitoring devices for the diagnosis of obstructive sleep apnea syndrome. These have the potential to be used in lieu of the more complicated and uncomfortable alternative, polysomnography, which has long been considered to be the gold standard for the diagnosis of this relatively prevalent condition. Following their approval in 2008 by the Center of Medicare and Medicaid Services, the federal agency which administers Medicare and Medicaid in the United States, there has been extensive discussion about the utility and validity of these devices for use in the diagnosis of obstructive sleep apnea syndrome. Although there are various models of portable monitoring devices, the literature contains little information regarding how each device should be used in specific age groups, patients presenting comorbidities, and asymptomatic patients. Additionally, studies about the cost-effectiveness of this diagnostic method are scarce and conflicting. Therefore, this objective of this study was to review what has been learned about portable monitoring devices over time, as well as to examine the recent progress, advantages, limitations, and applications of these devices in the diagnosis of obstructive sleep apnea syndrome in different groups of patients.Keywords: Sleep apnea, obstructive/diagnosis; Polysomnography; Diagnostic equipment; Monitoring, ambulatory. ResumoNos últimos anos, é crescente o interesse pela utilização de aparelhos de monitoramento portáteis para o diagnóstico da síndrome da apneia obstrutiva do sono, como uma alternativa mais simples e confortável à polissonografia, que é o exame considerado o padrão ouro para o diagnóstico dessa condição relativamente prevalente. A liberação do uso desses equipamentos pelo Center of Medicare and Medicaid Services, agência federal que administra os serviços médicos nos Estados Unidos da América, em 2008, resultou em ampla discussão sobre a utilidade e validade desses equipamentos para o diagnóstico de síndrome da apneia obstrutiva do sono. Apesar de haver vários modelos de equipamentos de monitorização portátil, há pouca informação na literatura a respeito de como cada equipamento deveria ser utilizado em grupos etários específicos, portadores de comorbidades e pacientes assintomáticos. Além disso, estudos de custo-efetividade desse método diagnóstico são escassos e conflitantes. Portanto, o objetivo do presente estudo foi revisar a evolução dos conhecimentos no uso de equipamentos de monitorização portátil, bem como examinar os avanços recentes, vantagens, limitações e aplicações desses equipamentos para o diagnóstico de apneia obstrutiva do sono em diferentes grupos de pacientes.Descritores: Apneia do sono tipo obstrutiva/diagnóstico; Polissonografia; Equipamentos para diagnóstico; Monitorização ambulatorial.

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“…Obstructive sleep apnea (OSA) is one of the most common sleep disturbances; it affects 3.2-20 % of the adult population [1,2] and has a negative impact on public health, increasing both morbidity and mortality [3]. Although continuous positive airway pressure (CPAP), oral appliances, and surgical modifications of the airway are considered parts of the routine management of patients with OSA, there remain many problems with these treatments in practice.…”

Section: Introductionmentioning

confidence: 99%

Effect of laparoscopic Roux-en-Y gastric bypass surgery on obstructive sleep apnea in a Chinese population with obesity and T2DM

Zhang

Yin

et al. 2015

Sleep Medicine

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Prevalence of Sleep-disordered Breathing in Middle-aged Korean Men and Women

Cited by 421 publications

References 48 publications

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

Monitorização portátil no diagnóstico da apneia obstrutiva do sono: situação atual, vantagens e limitações

Effect of laparoscopic Roux-en-Y gastric bypass surgery on obstructive sleep apnea in a Chinese population with obesity and T2DM

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