Study of the prevalence of sleep apnea syndrome's symptoms in a Moroccan population

Bir Fas popülasyonunda uyku apne sendromu prevalansı çalışmasıGiriş: Uyku apne sendromu genel popülasyonda gittikçe artan yaygın ve tanısız bir sendrom olup, Fası da içeren bazı po-pülasyonlarda spesifik prevalansıyla ilgili çalışma bulunmamaktadır.Materyal ve Metod: Bu çalışmanın amacı; 21-66 yaş aralığında, 288i erkek ve 215i kadından oluşan orta yaşlı bir Fas po-pülasyonunda epidemiyolojik araştırma ile horlama, tanıklı apne ve aşırı gündüz uykululuğu içeren uyku apne sendro-munun temel klinik semptomların prevalansını iki anket ile belirlemektir: uykuyu değerlendirmek için Berlin anketi vegündüz uykululuğunu değerlendirmek için Epworth skalası. Bulgular: Ortalama yaş 42.7 ± 14.3 yıldı. Epworth uykululuk skalası skoru ortalama 6.9 ± 3.4 (1-16) olarak bulundu veaşırı gündüz uykululuğu olanların %21.7sinde 10un üzerindeydi. Horlama ve apnenin genel popülasyonda prevalansı sı-rasıyla %54.7 ve %11.1, erkeklerde %63.9 ve %13.9, kadınlarda %42.3 ve %7.4tü. On üçü kadın, 35i erkek toplam 48 (%9.5)kişide uyku apne sendromunu düşündüren bu üç temel klinik bulgu mevcuttu. Bu subgrup genel popülasyona göre da-ha yaşlı (p= 0.04) ve daha kiloluydu (p= 0.03). Hipertansiyon varlığı bu subgrupta anlamlı olarak yüksek değildi.Sonuç: Çalışmamızda, uyku apne sendromunun temel semptomlarının prevalansı yüksekti (%9.5). Tanının konulması veFas popülasyonunda kesin prevalansın belirlenmesi için poligrafi veya polisomnografi gereklidir.

Bir Fas popülasyonunda uyku apne sendromu prevalansı çalışması

Introduction: Sleep apnea syndrome is increasingly common in the general population and is under-diagnosed but we lackstudies on the estimation of its specific prevalence in several populations including Morocco.Materials and Methods: The aim of the study is to determine the prevalence of the main clinical symptoms of sleep apneasyndrome including snoring, witnessed apnea and excessive daytime sleepiness in a middle aged Moroccan populationthrough an epidemiological investigation in 288 men and 215 women, aged between 21 to 66 years who completed twoself-questionnaires: the Berlin questionnaire to assess sleep and the Epworth scale to assess daytime sleepiness.Results:The mean age was 42.7 years ± 14.3. The Epworth Sleepiness Scale was on average 6.9 ± 3.4 (range: 1-16). It wasabove 10 in 21.7% in favor of excessive daytime sleepiness. The prevalence of snoring and apnea was respectively 54.7%and 11.1% in the general population, 63.9% and 13.9% in men, 42.3% and 7.4% in women. Forty eight subjects (9.5%) inc-luding 13 women and 35 men had the combination of these three main clinical signs suggestive of sleep apnea syndrome.This subpopulation was older (p= 0.04) and with more overweight (p= 0.03) than the general population. Hypertension ra-te was not statistically higher in this subgroup.Conclusion: Prevalence of the main symptoms of sleep apnea syndrome is high in our study (9.5%). Polygraphy or poly-somnography is warranted to diagnose and have an exact prevalence in the Moroccan population.

___

  • 1.Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230-5.
  • 2.Nieto FJ, Young TB, Lind BK, Shahar E, Samet JM, Redline S, et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study: Sleep Heart Health Study. JAMA 2000; 283: 1829-36.
  • 3.Peppard PE, Young T, Palta M, Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 2000; 342: 1378-84.
  • 4.Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med 2005; 353: 2034-41.
  • 5.McArdle N, Riha RL, Vennelle M, Coleman EL, Dennis MS, Warlow CP, et al. Sleep-disordered breathing as a risk factor for cerebrovascular disease: a case-control study in patients with transient ischemic attacks. Stroke 2003; 34: 2916-21.
  • 6.Peker Y, Carlson J, Hedner J. Increased incidence of coronary artery disease in sleep apnoea: a long-term follow-up. Eur Res- pir J 2006; 28: 596-602.
  • 7.Mooe T, Franklin KA, Holmstrom K, Rabben T, Wiklund U. Sle- ep disordered breathing and coronary artery disease: long- term prognosis. Am J Respir Crit Care Med 2001; 164: 1910-3.
  • 8.Logan AG, Perlikowski SM, Mente A, Tisler A, Tkacova R, Ni- roumand M, Leung RS, Bradley TD. High prevalence of unre- cognized sleep apnoea in drug-resistant hypertension. J Hypertens 2001; 19: 2271-7.
  • 9.Lavie P, Herer P, Hoffstein V. Obstructive sleep apnea syndro- me as a risk factor for hypertension: population study. BMJ 2000; 320: 479-82.
  • 10.Punjabi NM, Shahar E, Redline S, Gottlieb DJ, Givelber R, Res- nick HE; Sleep Heart Health Study Investigators. Sleep-disorde- red breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol 2004; 160: 521-30.
  • 11.Reichmuth KJ, Austin D, Skatrud JB, Young T. Association of sleep apnea and type II diabetes: a population-based study. Am J Respir Crit Care Med 2005; 172: 1590-5.
  • 12.Coughlin SR, Mawdsley L, Mugarza JA, Calverley PM, Wil- ding JP. Obstructive sleep apnoea is independently associated with an increased prevalence of metabolic syndrome. Eur He- art J 2004; 25: 735-41.
  • 13.Prévalence des symptômes du syndrome d’apnées du somme- il. Étude dans une population française d’âge moyen. N. Mes- lier1, S. Vol2, B. Balkau3, F. Gagnadoux1, M. Cailleau2, A. Pet- rella2, J.L. Racineux1, J. Tichet2, et le groupe d’étude DESIR. Rev Mal Respir 2007; 24: 305-13.
  • 14.Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructi- ve sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002; 165: 1217-39.
  • 15.Strohl KP, Redline S. Recognition of obstructive sleep apnea. Am J Respir Crit Care Med 1996; 154: 279-89.
  • 16.Vgontzas AN, Papanicolaou DA, Bixler Eo, Hopper K, Lotsikas A, lin HM, et al. Sleep apnea and daytime sleepiness and fati- gue: relation to visceral obesity, insulin resistance, and hypercytokinemia. J Clin Endocrinol Metab 2000; 85: 1151-8.
  • 17.Millman RP, Carlisle CC, McGarvey ST, Eveloff SE, Levinson PD. Body fat distribution and sleep apnea severity in women. Chest 1995; 107: 362-6.
  • 18.Dancey DR, Hanly PJ, Soong C, Lee B, Shepard J Jr, Hoffste- in V. Gender differences in sleep apnea: the role of neck cir- cumference. Chest 2003; 123: 1544-50.
  • 19.Ancoli-Israel S, Kripke D, Klauber M, Mason W, Fell R, Kaplan O. Sleep-disordered breathing in community-dwelling elderly. Sleep 1991; 14: 486-95.
  • 20.Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructi- ve sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002; 165: 1217-39.
  • 21.Young T, Peppard PE, Taheri S. Excess weight and sleep-disor- dered breathing. J Appl Physiol 2005; 99: 1592-9.
  • 22.Weitzenblum E, Chaouat A, Kessler R, Krieger J. Syndrome d’apnées obstructives du sommeil. Encyclopédie Médico-Chi- rurgicale 6-040-K-05, 2000; 13p.
  • 23.Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longi- tudinal study of moderate weight change and sleep-disorde- red breathing. JAMA 2000; 284: 3015-21.
  • 24.O’Keeffe T, Patterson EJ. Evidence supporting routine poly- somnography before bariatric surgery. Obes Surg 2004; 14: 23-6.
  • 25.van Kralingen KW, de Kanter W, de Groot GH, Venmans BJ, van Boxem T, van Keimpema AR, Postmus PE. Assessment of sleep complaints and sleep-disordered breathing in a consecu- tive series of obese patients. Respiration 1999; 66: 312-6.
  • 26.Rajala R, Partinen M, Sane T, Pelkonen R, Huikuri K, Seppala- inen AM. Obstructive sleep apnoea syndrome in morbidly obese patients. J Intern Med 1991; 230: 125-9.
  • 27.Akashiba T, Kawahara S, Akahoshi T, Omori C, Saito O, Ma- jima T, et al. Relationship between quality of life and mood or depression in patients with severe obstructive sleep apnea syndrome. Chest 2002; 122: 861-5.
  • 28.Engleman HM, Douglas NJ. Sleep. 4. Sleepiness, cognitive function, and quality of life in obstructive sleep apno- ea/hypopnoea syndrome. Thorax 2004; 59: 618-22.
  • 29.Jenkinson C, Stradling J, Petersen S. Comparison of three me- asures of quality of life outcome in the evaluation of continu- ous positive airway pressure therapy for sleep apnoea. J Sle- ep Res 1997; 6: 199-204.
  • 30.Roisman G, Ibrahima Escourroua P. Pourquoi et comment di- agnostiquer les troubles respiratoires du sommeil? Revue de Pneumologie Clinique 2009; 65: 203-13.
  • 31.Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14: 540-5.
  • 32.Deegan PC, McNicholas WT. Predictive value of clinical featu- res for the obstructive sleep apnoea syndrome. Eur Respir J 1996; 9: 117-24.
Tüberküloz ve Toraks-Cover
  • ISSN: 0494-1373
  • Yayın Aralığı: 4
  • Başlangıç: 1951
  • Yayıncı: Tuba Yıldırım
Sayıdaki Diğer Makaleler

Bir üniversite hastanesinde solunumsal maluliyet değerlendirme pratiği: 136 hastanın analizi

Sulhattin ARSLAN, Serdar BERK, Sefa Levent ÖZŞAHİN, Gülizar Canan ŞANLI, İbrahim AKKURT, Ömer Tamer DOĞAN

Postoperatif hastada gelişen solunum yetmezliğinde noninvaziv mekanik ventilasyonun yeri

Akın KAYA, Ezgi ÖZYILMAZ

Painless left hemorrhagic pleural effusion: An unusual presentation of leaking saccular aortic arch aneurysm

Mohammed Azfar SIDDIQUI, Jamal AKHTAR, Syed Wajahat Ali RIZVI, Syed Amjad Ali RIZVI, Ibne AHMAD, Ekramullah

Kronik obstrüktif akciğer hastalığında mortalite ve mortaliteyi etkileyen faktörler

Nuray KÖMÜS, Hülya ELLİDOKUZ, Arif Hikmet ÇIMRIN, Can SEVİNÇ, Kemal Can TERTEMİZ

A case of newborn with community acquired pneumonia caused by Cupriavidus pauculus

Ayşegül ZENCİROĞLU, Dilek DİLLİ, Banu AYDIN, Nurullah OKUMUŞ, Şengül ÖZKAN, Gönül TANIR

Pulmonary involvement in sea-blue histiocytosis

Ersin GÜNAY, Yetkin AĞAÇKIRAN, Selma GÜVEN FIRAT, Zafer AKTAŞ, Hakan ERTÜRK, Tuğrul ŞİPİT

Study of the prevalence of sleep apnea syndrome's symptoms in a Moroccan population

Asmaa JNIENE, Mustapha ELFTOUH, Mohamed Tawfik FIHRY ELFASSY

Small cell osteosarcoma of rib: Diagnosis and treatment of the rare case

Ersin GÜNAY, Yetkin AĞAÇKIRAN, Sadi KAYA, Koray AYDOĞDU, Ertan AYDIN, Göktürk FINDIK

Nanopartikül: Geleceğin korkulu rüyası

Serdar BERK, İbrahim AKKURT

A case with double vena cava superior discovered during the investigating of persistent cough

Burçak GÜMÜŞ, Mehmet Kutlu ÇELENK, Ali KÖKSAL, Emine ARGÜDER