In:
International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 22 ( 2021-11-16), p. 12032-
Abstract:
Obstructive sleep apnea (OSA) disrupts sleep. This study examined factors related to OSA severity. A cross-sectional, prospective, hospital-based study was conducted with 205 patients who underwent polysomnography (PSG). Demographic, anthropometric, clinical, PSG, and sleep quality assessment data were analyzed. Participants (N = 205) were classified into four groups based on apnea–hypopnea index (AHI); no OSA (AHI 〈 5/h; N = 14), mild (mOSA, 5 〈 AHI 〈 15/h; N = 50), moderate (modOSA, 15 〈 AHI 〈 30/h; N = 41), severe (sOSA, 30 〈 AHI 〈 60/h; N = 50), and very severe (vsOSA, AHI ≥ 60; N = 50). Men had more severe OSA than women (p 〈 0.001). Anthropometric characteristics differed with OSA severity (p 〈 0.001). OSA patients had decreased sleep quality and increased excessive daytime sleepiness (EDS). Body mass index (BMI), neck/waist circumference, and blood pressure (BP) differed between groups (p 〈 0.001). Patients with vsOSA had the highest Mallampati grades (p 〈 0.001). Multiple linear regression indicated that OSA severity was related to gender and sleep quality. PSG parameters (oxygen saturation, systolic BP, and arousal/respiratory arousal) were strongly related to OSA severity. In conclusion, about half of study-referred patients had severe/very severe OSA; these groups were predominantly obese men with high BP. OSA severity associated with high BP, BMI, waist circumference, and neck circumference.
Type of Medium:
Online Resource
ISSN:
1660-4601
DOI:
10.3390/ijerph182212032
Language:
English
Publisher:
MDPI AG
Publication Date:
2021
detail.hit.zdb_id:
2175195-X
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