Undiagnosed Obstructive Sleep Apnea and Physical Activity in Older Manual Workers

Black, Julie K.; Whittaker, Anna C.; Balanos, George M.

doi:10.1123/japa.2018-0096

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…In addition, the OVS group had more o ce clerks or workers, which may correspond to more current smoking and alcohol consumption, higher BMI and larger neck circumference, which are established risk factors for OSA. 6,15,[20][21][22][23][24] Cigarette smoking was very popular in these COPD patients. There were fewer than 20% patients who never smoked, and the proportions of current smokers among OVS patients and COPD only patients were 56.3% and 48.0%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Bmis Have Different Effects on the Prevalence of OSA in Copd Patients: A Multicenter Cross-sectional Study

Xiong¹,

Zhao²,

Nie³

et al. 2021

Preprint

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BackgroundObstructive sleep apnea (OSA) is prevalent in chronic obstructive pulmonary disease (COPD). Underweight and overweight have paradoxical effect on COPD prognosis, while obesity is a risk factor for OSA. We aimed to examine the association between BMIs and OSA risk in COPD patients. MethodsThis cross-section study included 1637 COPD subjects in the final analysis. BMI was classified into different groups. OSA was defined as varying severity by AHI. The associations between BMIs and risks of diverse severity of OSA were examined. ResultsFor varying severity of OSA, obesity associated with higher risk, while normal weight group associated with lower risk; overweight had no differences and underweight group had lower risk of moderate-to-severe OSA. Compared with normal weight, for OSA, the overweight group showed a trend of high risk whereas the underweight group indicated a higher risk (OR 1.424, 95% CI 1.015-1.988) (multivariable adjusted). BMI exhibited a J-shaped association with OSA; the risk for OSA was relatively flat at BMIs of 20-24 kg/m2 and above or below the risk increased (P for non-linearity 0.0057); for severe OSA, the plot depicted a S-shaped relation, the risk reached the lowest around 24 kg/m2 and then increased thereafter (P for non-linearity 0.0200). ConclusionsIn COPD population, for various severity of OSA, obesity is a firmly risk factor, overweight not influence the risk, while normal weight associate with lower risk; compared with normal weight, underweight increased the risk for OSA; BMI had a J-shaped association with OSA and a S-shaped with severe OSA.

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Section: Discussionmentioning

confidence: 99%

Bmis Have Different Effects on the Prevalence of OSA in Copd Patients: A Multicenter Cross-sectional Study

Xiong¹,

Zhao²,

Nie³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Furthermore, it is a very important thoughtprovoking problem that delay in medical treatment of OSA patients. Finkel et al [3,4] pointed out that 82% of men and 93% of women in patients with moderate and severe OSA hadn't been diagnosed definitively due to that they were not aware of their snoring symptom at night and did not seek medical attention in time. Henry [5] conducted semi-structured interviews with 24 OSA patients and their families, and pointed out that the average delay in seeking medical treatment for OSA patients was (4.8 ± 5.8) years, (5.5 ± 8.7) years for male patients and (4.0 ± 3.4) years for female patients.…”

Section: Introductionmentioning

confidence: 99%

Influencing factors of delay in seeking medical attention of patients with obstructive sleep apnea based on the Model of Pathways to Treatment in China: a qualitative analysis

Shang,

Chen,

Deng

et al. 2024

Sleep Breath

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Background There is the highest estimated number of patients with obstructive sleep apnea (OSA) in China. Early treatment could lead to fewer complications associated with OSA. This study aimed to analyze the factors influencing help-seeking from the first symptom discovery to treatment in OSA. Methods Semi-structured interview outline was designed to conduct face-to-face interview based on the analyses of a great number of related literatures on the delay in seeking medical attention of patients with OSA. 15 patients diagnosed were interviewed between June 2021 to September 2022 in general hospital of Shenyang, Northeastern of China. Qualitative data was analyzed by content analysis using the Model of Pathways to Treatment. Results Analyses identified factors contributing to elapsed time from first symptom discovery to received treatment that are linked to disease characteristic, patients, health system organization. Appraisal interval is most obvious for patients with OSA, but it is difficult to pinpoint precisely because the patients didn’t remember exactly when the first symptom was detected. Conclusions Patients diagnosed with OSA didn’t initially interpret the snore as a warning sign and even thought it was a blessing. The findings provided guidance or avenues for reducing elapsed time between the first symptom and received treatment.

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OSA and CPAP in Older Patients—When to Treat?

Zuil

Barbé

Dalmases

2021

Curr Sleep Medicine Rep

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Undiagnosed Obstructive Sleep Apnea and Physical Activity in Older Manual Workers

Cited by 3 publications

References 47 publications

Bmis Have Different Effects on the Prevalence of OSA in Copd Patients: A Multicenter Cross-sectional Study

Bmis Have Different Effects on the Prevalence of OSA in Copd Patients: A Multicenter Cross-sectional Study

Influencing factors of delay in seeking medical attention of patients with obstructive sleep apnea based on the Model of Pathways to Treatment in China: a qualitative analysis

OSA and CPAP in Older Patients—When to Treat?

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