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The prevalence of obstructive sleep apnea-hypopnea syndrome-related symptoms and their relation to airflow limitation in an elderly population receiving home care.

Kleisiaris CF, Kritsotakis EI, Daniil Z, Tzanakis N, Papaioannou A, Gourgoulianis KI - Int J Chron Obstruct Pulmon Dis (2014)

Bottom Line: The prevalence rates of frequent snoring, breathing pauses, and EDS were 28.1%, 12.9%, and 11.6%, respectively.Finally, frequent snoring was significantly more common in males than females.This study revealed decreased frequency of OSAHS-related symptoms in participants with airflow limitation suggesting that OSAHS-related symptoms and airflow limitation are not related in our elderly population.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, Technological Educational Institute of Crete, Heraklion, Greece.

ABSTRACT

Background: Both airflow limitation and obstructive sleep apnea-hypopnea syndrome (OSAHS)-related symptoms are most prevalent in the elderly population. Previous studies revealed significant associations between OSAHS-related symptoms and obstructive airway diseases in the general population. However, other studies showed that the frequency of OSAHS-related symptoms in patients with obstructive airway diseases decreases after the age of 60 and older.

Aims: To investigate the prevalence of OSAHS-related symptoms (snoring, breathing pauses, and excessive daytime sleepiness [EDS]) and their relations to airflow limitation, for people over 65 years old.

Methods: A full screening spirometry program was performed in a total of 490 aging participants (mean age 77.5 years - range 65-98) who were attending 16 home care settings in central Greece. Airflow limitation was assessed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) spirometric criteria (FEV1/FVC <70%). The Berlin Questionnaire and the Epworth Sleepiness Scale were used to screen individuals for OSAHS-related symptoms. Bivariate associations were described using odds ratio (OR) with 95% confidence intervals (CI).

Results: Airflow limitation prevalence was 17.1% (male 24.2% and female 9.9%) and was strongly related to male gender and smoking status. The prevalence rates of frequent snoring, breathing pauses, and EDS were 28.1%, 12.9%, and 11.6%, respectively. However, participants with airflow limitation were less likely to report breathing pauses, frequent snoring, EDS, and obesity. Finally, frequent snoring was significantly more common in males than females.

Conclusion: This study revealed decreased frequency of OSAHS-related symptoms in participants with airflow limitation suggesting that OSAHS-related symptoms and airflow limitation are not related in our elderly population.

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Related in: MedlinePlus

Comparisons between male and female patients with regard to OSAHS-related symptoms and obesity.Notes: An OR >1 indicates greater likelihood for males. Bars represent 95% (CI).Abbreviations: OSAHS, obstructive sleep apnea-hypopnea syndrome; CI, confidence interval; EDS, excessive daytime sleepiness; OR, odds ratio.
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f2-copd-9-1111: Comparisons between male and female patients with regard to OSAHS-related symptoms and obesity.Notes: An OR >1 indicates greater likelihood for males. Bars represent 95% (CI).Abbreviations: OSAHS, obstructive sleep apnea-hypopnea syndrome; CI, confidence interval; EDS, excessive daytime sleepiness; OR, odds ratio.

Mentions: EDS and frequent snoring were more frequent in males than females (OR =1.18; CI: 0.68–2.07, P=0.544 and OR =1.70; CI: 1.13–2.57, P=0.012, respectively) although this difference was significant only for frequent snoring. However, males were less likely to report breathing pauses than females (OR =0.9; CI: 0.44–1.88, P=0.798). These differences were observed despite the fact that males were less likely to be obese than females (OR =0.47; CI: 0.32–0.67, P<0.001) – Figure 2.


The prevalence of obstructive sleep apnea-hypopnea syndrome-related symptoms and their relation to airflow limitation in an elderly population receiving home care.

Kleisiaris CF, Kritsotakis EI, Daniil Z, Tzanakis N, Papaioannou A, Gourgoulianis KI - Int J Chron Obstruct Pulmon Dis (2014)

Comparisons between male and female patients with regard to OSAHS-related symptoms and obesity.Notes: An OR >1 indicates greater likelihood for males. Bars represent 95% (CI).Abbreviations: OSAHS, obstructive sleep apnea-hypopnea syndrome; CI, confidence interval; EDS, excessive daytime sleepiness; OR, odds ratio.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199847&req=5

f2-copd-9-1111: Comparisons between male and female patients with regard to OSAHS-related symptoms and obesity.Notes: An OR >1 indicates greater likelihood for males. Bars represent 95% (CI).Abbreviations: OSAHS, obstructive sleep apnea-hypopnea syndrome; CI, confidence interval; EDS, excessive daytime sleepiness; OR, odds ratio.
Mentions: EDS and frequent snoring were more frequent in males than females (OR =1.18; CI: 0.68–2.07, P=0.544 and OR =1.70; CI: 1.13–2.57, P=0.012, respectively) although this difference was significant only for frequent snoring. However, males were less likely to report breathing pauses than females (OR =0.9; CI: 0.44–1.88, P=0.798). These differences were observed despite the fact that males were less likely to be obese than females (OR =0.47; CI: 0.32–0.67, P<0.001) – Figure 2.

Bottom Line: The prevalence rates of frequent snoring, breathing pauses, and EDS were 28.1%, 12.9%, and 11.6%, respectively.Finally, frequent snoring was significantly more common in males than females.This study revealed decreased frequency of OSAHS-related symptoms in participants with airflow limitation suggesting that OSAHS-related symptoms and airflow limitation are not related in our elderly population.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, Technological Educational Institute of Crete, Heraklion, Greece.

ABSTRACT

Background: Both airflow limitation and obstructive sleep apnea-hypopnea syndrome (OSAHS)-related symptoms are most prevalent in the elderly population. Previous studies revealed significant associations between OSAHS-related symptoms and obstructive airway diseases in the general population. However, other studies showed that the frequency of OSAHS-related symptoms in patients with obstructive airway diseases decreases after the age of 60 and older.

Aims: To investigate the prevalence of OSAHS-related symptoms (snoring, breathing pauses, and excessive daytime sleepiness [EDS]) and their relations to airflow limitation, for people over 65 years old.

Methods: A full screening spirometry program was performed in a total of 490 aging participants (mean age 77.5 years - range 65-98) who were attending 16 home care settings in central Greece. Airflow limitation was assessed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) spirometric criteria (FEV1/FVC <70%). The Berlin Questionnaire and the Epworth Sleepiness Scale were used to screen individuals for OSAHS-related symptoms. Bivariate associations were described using odds ratio (OR) with 95% confidence intervals (CI).

Results: Airflow limitation prevalence was 17.1% (male 24.2% and female 9.9%) and was strongly related to male gender and smoking status. The prevalence rates of frequent snoring, breathing pauses, and EDS were 28.1%, 12.9%, and 11.6%, respectively. However, participants with airflow limitation were less likely to report breathing pauses, frequent snoring, EDS, and obesity. Finally, frequent snoring was significantly more common in males than females.

Conclusion: This study revealed decreased frequency of OSAHS-related symptoms in participants with airflow limitation suggesting that OSAHS-related symptoms and airflow limitation are not related in our elderly population.

Show MeSH
Related in: MedlinePlus