HALK SAĞLIĞI SORUNU OLARAK UYKU APNE SENDROMU

Uyku, her bireyin hayatının doğal bir parçası olan davranışsal bir durumdur. Uyku bozukluğu,motorlu araç kazaları, endüstriyel felaketler ve tıbbi ve diğer mesleki hatalarla bağlantılı olduğu için önemli halk sağlığı sorunudur. Uyku yetersizliği kronik uykusuzluk, huzursuz bacaklarsendromu, uyku apnesi veya narkolepsi gibi uyku bozukluklarından kaynaklanabilir. Uyku apnesendromu veya diğer adıyla obstrüktif uyku apne sendromu (OSAS) hastalığı en sık görülen aşırıuykululuk nedenidir. Bununla birlikte, epidemiyolojik gözlemler, klinik olarak anlamlı OSAS’asahip kişilerin yaklaşık % 90’ınında tanımlanmadığını ortaya koymaktadır.Sağlıklı uykunun tüm toplumlarda yaşam kalitesinin ayrılmaz bir parçası olması gerektiğininfarkındalığı artmakla birlikte, aşırı beslenme ve obezite oranlarının artmasıyla artan dünya sorunları nedeniyle ileride daha yüksek oranda uyku apne sendromu olguları beklenmektedir.Obstrüktif uyku apne sendromunun yaşam kalitesi ve süresini tehdit eden önemli bir halk sağlığı sorunudur. Gerek hasta gerek toplum sağlığı açısından uygun şekilde tanınması ve tedaviedilmesi gerekmektedir.

Sleep Apnea Syndrome as a Public Health Problem

Sleep is a behavioral condition that is a natural part of every person’s life. Sleep disturbance is increasingly recognized as major to public health, with sleep insufficiency linked to motor vehicle crashes, industrial disasters, and medical and other occupational errors. Sleep insufficiency can be caused by sleep disturbances such as chronic insomnia, restless legs syndrome, sleep apnea or narcolepsy. Sleep apnea syndrome or, in other words, obstructive sleep apnea syndrome (OSAS) is the most common cause of excessive sleepiness. However, epidemiological observations reveal that it is not identified in approximately 90 % of persons with clinically significant. There is a growing awareness that healthy sleep should be an integral part of the quality of life in all societies. Higher rates of sleep apnea syndrome are expected in the future due to increasing world problems due to increased nutrition and obesity rates. Obstructive sleep apnea syndrome is an important public health problem that threatens the quality and duration of life. It needs to be recognized and treated appropriately in terms of patient and community health.

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1. Institute of Medicine. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington, DC: The National Academies Press; 2006.
2. Ram S, Seirawan H, Kumar SK, Clark GT. Prevalence and impact of sleep disorders and sleep habits in the United States. Sleep Breath 2010; 14:63–70.
3. CDC. Public health surveillance for behavioral risk factors in a changing environment: recommendations from the Behavioral Risk Factor Surveillance Team. MMWR 2003; 52.
4. National Highway Traffic Safety Administration and National Center on Sleep Disorders Research. Drowsy driving and automobile crashes. Washington, DC: National Highway Traffic Safety Administration. https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/808707. pdf. Erişim: Haziran 25, 2017.
5. Todea D, Herescu A, Roşca L. Obstructive sleep apnea syndrome – a matter of public health. Transylvanian Review of Administrative Sciences 2012; 37E: 186-201.
6. Bixler EO, Vgontzas AN, Lin HM, Have TT, Rein J, Vela-Bueno A, Kales A. Prevalence of Sleep-disordered Breathing in Women Effects of Gender. Am J Respir Crit Care Med 2001;163: 608–613.
7. Ohayon MM, Guilleminault C, Priest RG, Caulet M. Snoring and breathing pauses during sleep: telephone interview survey of a United Kingdom population sample. BMJ 1997;314:860–863.
8. Lichtblau M, Bratton D, Giroud P, Weiler T, Bloch KE, Brack T. Risk of Sleepiness-Related Accidents in Switzerland: Results of an Online Sleep Apnea Risk Questionnaire and Awareness Campaigns. Front Med 12 April 2017 | https://doi.org/10.3389/fmed.2017.00034.
9. Soltani M, Haytabakhsh MR, Najman JM, Williams GM, O’Callaghan MJ, Bor W, Clavarino A. Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women. Arch Women’S Ment Health 2012;15(4):237–247.
10. Martins AJ, Vasconcelos SP, Skene DJ, Lowden A, Moreno CRC. Effects of physical activity at work and life-style on sleep in workers from an Amazonian Extractivist Reserve. Sleep Science 2016; 9:289–294.
11. Lallukka T, Sares-Jäske L, Kronholm E, Sääksjärvi K, Lundqvist A, Partonen T, Rahkonen O and Knekt P. Sociodemographic and socioeconomic differences in sleep duration and insomnia-related symptoms in Finnish adults. BMC Public Health 2012; 12:565
12. Matsui K, Sasai-Sakuma T, Ishigooka J, Inoue Y. Insufficient sleep rather than the apneaehypopnea index can be associated with sleepiness-related driving problems of Japanese obstructive sleep apnea syndrome patients residing in metropolitan areas. Sleep Medicine 2017; 33: 19-22. doi: 10.1016/j.sleep.2016.07.022.
13. Tregear S, Reston J, Schoelles K, Phillips B. Obstructive sleep apnea and risk of motor vehicle crash: systematic review and metaanalysis. J Clin Sleep Med 2009; 15;5(6):573-81.
14. Ursavaş A, Ege E. Uyku Apne Sendromu ve Trafik Kazaları. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2004; 30 (1) 37-41.
15. Ursavaş A, Ege E. Obstructive sleep apnea and cardiovascular diseases. Anadolu Kardiyol Derg 2003; 3:150-5.
16. Sariaydin M, Altin R. Uyku Apne Sendromu, Çalışma Hayatı ve Trafik Kazaları (Sleep Apnea Syndrome, Work Life and Traffic Accidents). Güncel Göğüs Hastalıkları Serisi 2014; 2 (2): 245-249
17. Fidan F, Unlu M, Sezer M, Kara Z. Relation between traffic accidents and sleep apnea syndrome in truck drivers. Tuberk Toraks 2007; 55(3):278-84.
18. Ozdemir L, Akkurt İ, Sümer H , Cetinkaya S, Gönlügür U, Ozşahin SL , Nur N, Doğan O. The Prevalence of Sleep Related Disorders in Sivas, Turkey. Tuberk Toraks 2005; 53 (1), 20-27.
19. Leger D. Special Report. The Cost of Sleep-Related Accidents: A Report for the National Commission on Sleep Disorders Research. Sleep 1994; 17{1):84-93.
20. Folkard S, Lombardi DA, Tucker PT. Shiftwork: safety, sleepiness and sleep. Ind Health 2005; 43(1):20-33.
21. Folkard S, Tucker PT. Shiftwork: safety, sleepiness and sleep. Shiftwork: safety, sleepiness and sleep. Occup Med 2003; 53: 95-101.