scholarly journals Prevalence of Obstructive Sleep Apnea and Impact of Menopause on It among Women of Rural Area of Pakistan

2021 ◽  
Vol 3 (1) ◽  
pp. 99-102
Author(s):  
Sana Mansoor ◽  
Tayyab Mumtaz Khan ◽  
Maira Naseer ◽  
Sania Saher ◽  
Farwa Shabbir ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Postmenopausal Women ◽  
Rural Area ◽  
Premenopausal Women ◽  
Cross Sectional ◽  
Related Disorder ◽  
Menstrual Cycles ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is a common sleep related disorder, and it is affected by number of factors including age, gender, obesity, educational status and menopause. However, in the presence of conflicting findings regarding impact of menopause on OSA, our study was aimed to check the prevalence of OSA in women and impact on it of menopause. This descriptive cross-sectional study was conducted in around 3months from August 2020 to October 2020 in a rural area of Punjab, Pakistan. 205 participants were recruited according to set criteria of our study. Women with age from above 30 years to 60 years, who had regular menstrual cycles or had cessation of menses since at least one last year were enrolled in the study whereas women who had irregular menstrual cycles and were not willing to participate were excluded from the study. Data was collected by two questionnaires including self-structured proforma and STOP Questionnaire. Data analysis was done with the help of SPSS version 25. Different tests including Chi-square test and Independent Sample t-test were applied to evaluate the study variables. In general, current study indicates high prevalence (28.3%) of high risk of OSA among women, however, STOP score was higher among postmenopausal women (1.641 with SD±0.908) as compared to premenopausal women (1.073 SD±0.693)) which means that postmenopausal women had higher risk of development of OSA in comparison with premenopausal women. The association between OSA risk and menopause was statistically significant (p=0.001). The difference of score between premenopausal women and postmenopausal women was significant statistically (p=0.0001). In short, prevalence of OSA high risk is higher among postmenopausal women in comparison with premenopausal women and menopause affects OSA but the mechanism is still not clear.

scholarly journals FREQUENCY OF OBESE PEOPLE AT HIGH RISK FOR DEVELOPING OBSTRUCTIVE SLEEP APNEA; A CROSS-SECTIONAL SURVEY

2020 ◽  
Vol 11 (3) ◽  
pp. 39-45
Author(s):  
Komal Atta ◽  
Raza Ahmad ◽  
Ayesha Nawaz ◽  
Iqra Ishtiaq ◽  
Muhammad Farooq
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Age Groups ◽  
P Value ◽  
Cross Sectional Survey ◽  
Obese People ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Obstructive Sleep

ABSTRACT BACKGROUND & OBJECTIVE: Obstructive sleep apnea (OSA) leads to multiple complications which may be life-threatening. In this study we determined the frequency of obese individuals at high risk for developing (OSA). METHODOLOGY: It was a cross-sectional survey. The study was conducted in the Medicine department of Services hospital, Lahore from February 6, 2016 to August 5, 2016. A sample size of 300 healthy obese individuals (BMI ≥ 30kg/m2) aged between 18-60 years who were accompanying a patient or visiting someone admitted, were enrolled in our study. Informed Verbal consent was obtained before administering a structured, validated questionnaire to the significant obese population; Survey was translated into Urdu for ease. The data were stratified for age, gender and BMI of the patients to control the effect modifiers. Post-stratification Chi-square test was used. A p-value ≤ 0.05 was taken as significant. RESULTS: A total of 300 subjects were enrolled. Mean age was calculated as 41.81±11.98 years, while 161(53.7%) individuals were females and 139(46.3%) were males. The frequency of risk of OSA was low in 241(80.3%) and high in 59(19.7%) of the population. The relationships of OSA with age groups and BMI were insignificant with p-value being 0.867 and 0.790 respectively. CONCLUSION: In this study, a significant population of male obese individuals was found to be at high risk for obstructive sleep apnea.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RISIKO TINGGI OBSTRUCTIVE SLEEP APNEA PADA PASIEN FIBRILASI ATRIUM

2018 ◽  
Vol 35 (4) ◽  
Author(s):  
Nushrotul Lailiyya ◽  
Sobaryati Sobaryati ◽  
Novia Aiko ◽  
Chaerul Achmad
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Treatment Effectiveness ◽  
Neck Circumference ◽  
High Morbidity ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
The World

    FACTORS THAT INFLUENCE HIGH RISK FOR OBSTRUCTIVE SLEEP APNEA IN ATRIAL FIBRILLATION PATIENTSABSTRACTIntroduction: Atrial fibrillation (AF) is the most frequent cardiac arrhythmia in the world and associated with high morbidity and mortality. Obstructive sleep apnea (OSA) is strongly associated with AF and its prevalence is 32%-62%. Obstructive sleep apnea screening and its reduction are one approach to reduce the risk of and increasing the treatment effectiveness of AF.Aims: To determine factors that influence the high risk for OSA in AF patients.Methods: We performed a cross-sectional  analytical  and observational  study in AF patients at Hasan Sadikin Hospital, Salamun Hospital, and Ujung Berung Hospital, Bandung during period of November 2017 to January  2018. STOPBANG were used to screen OSA.Results: There were 100 subjects with age 62±12 years old, 43% male, 38% smoking, 14% obese, 16% had neck circumference ≥40cm, and majority had high risk of OSA (71%) and hypertension (74%). The factors that influence the high risk for OSA in the AF patients were hypertension, age, gender, neck circumference, and smoking.Discussion: Hypertension, age, gender, neck circumference, and smoking are related to the the high risk for OSA in AF patients.Keywords: Atrial fibrillation, obstructive sleep apnea, STOPBANGABSTRAKPendahuluan: Fibrilasi atrium (FA) merupakan gangguan irama jantung (aritmia) yang paling banyak ditemukan di dunia dan berkaitan dengan morbiditas dan mortalitas yang cukup tinggi. Obstructive sleep apnea (OSA) sangat berkaitan dengan FA dengan prevalensi 32%-62%. Skrining OSA dan berhasilnya terapi OSA pada pasien FA merupakan salah satu pendekatan untuk menurunkan risiko dan meningkatkan efektivitas tata laksana FA.Tujuan: Mengetahui faktor yang berhubungan dengan risiko tinggi OSA pada pasien FA.Metode: Penelitian analitik observasional dengan studi potong lintang pada pasien FA di Poliklinik Kardiologi RSUP Dr. Hasan Sadikin, RS Salamun, dan RS Ujung Berung, Bandung selama periode November 2017-Januari 2018. Skrining OSA menggunakan kuesioner STOPBANG.Hasil: Terdapat 100 orang subjek dengan rerata usia 62±12 tahun, 43% laki-laki, 38% merokok, 14% obesitas, 16% memiliki lingkar leher ≥40cm, serta mayoritas  berisiko tinggi OSA (71%) dan hipertensi (74%). Faktor-faktor yang memengaruhi risiko tinggi OSA penelitian secara berurutan adalah hipertensi, usia, jenis kelamin, lingkar leher, dan merokok.Diskusi: Hipertensi, usia, jenis kelamin, lingkar leher, dan merokok berpengaruh terhadap   risiko tinggi OSA pada pasien FA.Kata kunci: Fibrilasi atrium, obstructive sleep apnea, STOPBANG

scholarly journals The Relationship between High Risk for Obstructive Sleep Apnea and General and Central Obesity: Findings from a Sample of Chilean College Students

ISRN Obesity ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Adaeze C. Wosu ◽  
Juan Carlos Vélez ◽  
Clarita Barbosa ◽  
Asterio Andrade ◽  
Megan Frye ◽  
...  
Keyword(s):  
College Students ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Central Obesity ◽  
Positive Association ◽  
Berlin Questionnaire ◽  
General Obesity ◽  
Cross Sectional ◽  
Obstructive Sleep

This cross-sectional study evaluates the prevalence and extent to which high risk for obstructive sleep apnea (OSA) is associated with general obesity and central obesity among college students in Punta Arenas, Chile. Risk for OSA was assessed using the Berlin Questionnaire and trained research nurses measured anthropometric indices. Overweight was defined as body mass index (BMI) of 25–29.9 kg/m2 and general obesity was defined as BMI≥30 kg/m2. Central obesity was defined as waist circumference ≥90 centimeters (cm) for males and ≥80 cm for females. Multivariate logistic regression models were fit to obtain adjusted odds ratios (OR) and 95% confidence intervals (CI). Prevalence of high risk for OSA, general obesity, and central obesity were 7.8%, 12.8%, and 42.7%, respectively. Students at high risk for OSA had greater odds of general obesity (OR 9.96; 95% CI: 4.42–22.45) and central obesity (OR 2.78; 95% CI 1.43–5.40). Findings support a strong positive association of high risk for OSA with obesity.

scholarly journals Obstructive Sleep Apnea in General Surgery Patients: Is Screening Required Preoperatively?

2021 ◽  
Vol 5 (3) ◽  
pp. 94-98
Author(s):  
Osama Ahmed ◽  
◽  
Zahid Habib ◽  
Sheeraz Ur Rahman ◽  
Arshad Beg ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
General Surgery ◽  
Risk Group ◽  
Cross Sectional Study ◽  
High Risk Group ◽  
Low Risk ◽  
Cross Sectional ◽  
Obstructive Sleep

Abstract: Aim: To screen cases who are at high risk and low risk for obstructive sleep apnea in general surgery patients. Materials & Methods: It is a cross-sectional study. It was done in Liaquat National Hospital from January 2019 to June 2019. After institutional approval, 335 patients were included in this study, who presented to general surgery OPD. STOP-BANG questionnaire was used to screen cases who are at high risk and low risk for obstructive sleep apnea in general surgery patients. Results: 335 patients were screened and 38.5% of individuals in population had age of more than 50 years. In this population 149(44.5%) of patients were male. Out of 335 patients, 135(40.3%) of them were found to have high risk of obstructive sleep apnea while the remaining 199(59.7%) were classified in low risk group. All of the parameters of STOP-bang questionnaire including age (p<0.001), gender (p=0.026), BMI (p<0.001), snoring (p<0.001), tiredness (p<0.001), sleep apnea (p=0.001), diastolic blood pressure (p<0.001) and neck circumference (p<0.001) were significantly different between high risk and low risk patients. Conclusion: This study can provide a catalyst for more meticulous screening for OSA preoperatively to diagnose high risk group. Keywords: Sleep Apnea, Obstructive, Care, Preoperative, Surgery, General, Operative Procedures.

scholarly journals Prevalence of Obesity and Impact of Menopause on It among Women of Rural Area of Punjab, Pakistan

2021 ◽  
Vol 3 (1) ◽  
pp. 108-111
Author(s):  
Somia Bibi ◽  
Tayyab Mumtaz Khan ◽  
Waqas Mehmood Zafar ◽  
Muhmmad Junaid Umer ◽  
Umama Fatima Iqbal ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Rural Area ◽  
Weight Status ◽  
Statistical Tests ◽  
Premenopausal Women ◽  
Mean Value ◽  
Poor Mental Health ◽  
Cross Sectional ◽  
Menstrual Cycles ◽  
Prevalence Of Obesity

Obesity is one of the major health public problems and it not only leads to serious and chronic diseases but also causes poor mental health. Although it is affected by number of factors including food, gender, socioeconomic status, and genetics but menopause is important in postmenopausal women. Therefore, this study was set to assess the prevalence of obesity and impact of menopause on it among women. This cross-sectional descriptive study was completed in about 3 months from August 2020 to October 2020 in a rural area of Punjab, Pakistan. 189 women were enrolled in our study according to agreed criteria of exclusion and inclusion. Women whose age was above 28 years and up to 58 years and who either had regular menstrual cycles or had cessation of menses from at least one last year were selected for study while women who either had irregular menstrual cycles or who were not willing to participate were excluded from study. Collection of data was accomplished via one self-structured proforma and WHO Classification of Weight Status which is based on BMI was also applied. Data analysis was carried out by using SPSS version 25. Multiple statistical tests including Chi-square test, Independent Sample t-test, and One-Way ANOVA test were used to assess the study variables. Overall, our current study shows high prevalence (29.6%) of obesity among women, however, mean of BMI value was higher among postmenopausal women (27.53 SD of ±4.28) in comparison with premenopausal women (25.44 with SD of ±4.05) which means that postmenopausal women had higher risk of development of Obesity in comparison with premenopausal women. The association between obesity and menopause was statistically significant (p=0.0001). The difference of BMI mean value between premenopausal women and postmenopausal women was significant statistically (p=0.001). Significance difference was also noted in BMI mean value of across four grades of weight status (p=0.000). In a nutshell, overall prevalence of obesity is high among women and its even higher among postmenopausal women in comparison to premenopausal women which means menopause increases the obesity among women after menopause but process of development is so far vague.

scholarly journals Prevalence of Obstructive Sleep Apnea and Factors Affecting It among Old Age Population of Rural Area of Pakistan

2021 ◽  
Vol 3 (1) ◽  
pp. 95-98
Author(s):  
Tayyab Mumtaz Khan ◽  
Manahil Jamil ◽  
Ali Imran Dhillon ◽  
Muhammad Junaid Umer ◽  
Mian Muhammad Hassan Ahmed ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Rural Area ◽  
Age Groups ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Four Levels

Although Obstructive sleep apnea is now recognized as one of the major public health problems because of the improvement in standards of life, however, with increasing its prevalence, it adversely affects the quality of life. So, our study was set to assess the prevalence of OSA and the factors that affect it. This may make new opportunities available by which we could bring a decline in OSA incidence after measuring its prevalence and identification of factors that affect it. This cross-sectional study was conducted in a nearby rural area of (THQ) Tehsil Headquarter Hospital, Phalia, Punjab for around three months from August 2020 to October 2020. Data was collected with the help of two questionnaires including a self-structured proforma and STOP scale. People with age less than 51years and more than 60 years were excluded and only people with age above 50 years and below 61 years were included. Data analysis was accomplished with the help of SPSS version 25 and various tests including the Chi-square test, Independent Sample t-test, and One-Way ANOVA were applied to assess the study variables. Results of the study showed an overall high prevalence of OSA higher risk (41.7% participants had a higher risk of development of OSA) Association, between OSA risk and age groups (p=0.001) and between OSA risk and Educational status (0.000) was significant statistically, while it was not significant between OSA risk and gender (p=0.394). The difference in score on the STOP scale was significant, across gender (p=0.032), three age groups (p=0.002), and four levels of education (p=0.000). Our study indicates an increased prevalence of higher risk for OSA development particularly among men, higher age, and lower education. So, proper planning is required to deal with the increasing prevalence of obstructive sleep apnea.

Acromegaly and Obstructive Sleep Apnea: Identifying the High-Risk Group

2019 ◽  
Author(s):  
Xiaojun Zhan ◽  
Chandala Chitguppi ◽  
Ethan Berman ◽  
Gurston Nyquist ◽  
Tomas Garzon-Muvdi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Risk Group ◽  
High Risk Group ◽  
Obstructive Sleep

420 Evaluating the Rate of Referral for Obstructive Sleep Apnea in a Pre-Doctoral Dental Clinic Using the STOP-Bang Questionnaire

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A166-A166
Author(s):  
Nathan Guess ◽  
Henry Fischbach ◽  
Andy Ni ◽  
Allen Firestone
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Electronic Health Record ◽  
Health Record ◽  
Dental Clinic ◽  
Neck Size ◽  
Previous Diagnosis ◽  
Obstructive Sleep ◽  
Electronic Health

Abstract Introduction The STOP-Bang Questionnaire is a validated instrument to assess an individual’s risk for obstructive sleep apnea (OSA). The prevalence of OSA is estimated at 20% in the US with only 20% of those individuals properly diagnosed. Dentists are being asked to screen and refer patients at high risk for OSA for definitive diagnosis and treatment. The aim of this study was to determine whether patients in a dental school student clinic who were identified as high-risk for OSA, were referred for evaluation of OSA. Methods All new patients over the age of 18 admitted to The Ohio State University - College of Dentistry complete an “Adult Medical History Form”. Included in this study were 21,312 patients admitted between July 2017 and March 2020. Data were extracted from the history form to determine the STOP-Bang Score for all patients: age, sex, BMI, self-reported snoring-, stopped breathing/choking/gasping while sleeping-, high blood pressure-, neck size over 17” (males) or 16” (females)-, and tiredness. Each positive response is a point, for a maximum of 8 points possible. Additionally, any previous diagnosis of sleep apnea, and the patient’s history of referrals were extracted from the health record. According to clinic policy, if the patient did not have a previous diagnosis for OSA noted in the health history, and scored 5 or more on the STOP-Bang Questionnaire, they should receive a referral for an evaluation for OSA. Notes and referral forms were reviewed to determine if the appropriate referrals occurred for patients at high risk without a previous diagnosis. Results Of the 21,312 patients screened; 1098 (5.2%) screened high-risk for OSA, of which 398 had no previous diagnosis of OSA. Of these 398 patients, none (0%) had referrals for further evaluation for OSA. Conclusion The rate of appropriate referrals from a student dental clinic with an electronic health record was unacceptably low. Continued education and changes to the electronic health record are needed to ensure those at high-risk for OSA are appropriately referred and managed. Support (if any):

scholarly journals Inverse Cross-sectional and Longitudinal Relationships between Diabetic Retinopathy and Obstructive Sleep Apnea in Type 2 Diabetes

2021 ◽  
Vol 1 (1) ◽  
pp. 100011
Author(s):  
Jakob Grauslund ◽  
Lonny Stokholm ◽  
Anne S. Thykjær ◽  
Sören Möller ◽  
Caroline S. Laugesen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Obstructive Sleep Apnea ◽  
Diabetic Retinopathy ◽  
Sleep Apnea ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Longitudinal Relationships
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