Document Detail


Sleep-disordered breathing in a middle-aged and older Polish urban population.
MedLine Citation:
PMID:  18275557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obstructive sleep apnoea syndrome (OSAS) is a frequent disorder; however, the prevalence of sleep-disordered breathing is not well known in many countries. The aim of our investigation was to assess the prevalence of sleep-disordered breathing (SDB) in a representative sample of the population of Warsaw. We studied 676 subjects (57.1% of the randomised cohort from the Monica II study). The sample comprised 356 males (52.7%) and 320 females (47.3%), whose mean age was 56.6 +/- 8.2 years (range 41-72 years). Mean number of apnoeas and hypopnoeas per hour of time in bed (AH) in males was 7 +/- 9.5 and in females 3.9 +/- 6.6 (P < 0.001). SDB (cut-off point AH > 5 or >10) was identified in 188 subjects (27.8%) and 97 subjects (14.3%), respectively. SDB was established twice as frequently in males as in females (respectively 36.5 versus 18.5%; P < 0.001 for AH > 5 and 19.8 versus 8.5%; P < 0.001 for AH > 10). A diagnosis of OSAS AH > 10 and Epworth Sleepiness Score > or =11 points was established in 51 subjects (7.5%). The prevalence of OSAS was nearly four times higher in males (40 subjects, 11.2%) than in females (11 subjects, 3.4%; P < 0.001). The severity of OSAS was similar in both sexes (AH: males 32.3 +/- 14.9 and females 31.4.1 +/- 15.4). Older age and male sex were predictors of SDB. SDB and OSAS were independent predictors of coronary artery disease after adjusting for age, sex, body mass index, neck circumference and smoking habit.
Authors:
Robert Pływaczewski; Michał Bednarek; Luiza Jonczak; Jan Zieliński
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of sleep research     Volume:  17     ISSN:  1365-2869     ISO Abbreviation:  J Sleep Res     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-15     Completed Date:  2008-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214441     Medline TA:  J Sleep Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  73-81     Citation Subset:  IM    
Affiliation:
2nd Department of Respiratory Medicine, National TB and Lung Diseases Research Institute, Warsaw, Poland. r.plywaczewski@igichp.edu.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cohort Studies
Disorders of Excessive Somnolence / diagnosis,  epidemiology
Female
Humans
Incidence
Male
Middle Aged
Poland / epidemiology
Prevalence
Questionnaires
Sleep Apnea Syndromes / epidemiology*
Urban Population / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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