Prevalence and Related Factors for High-Risk of Obstructive Sleep Apnea in a Large Korean Population: Results of a Questionnaire-Based Study
1
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Background and Purpose A population-based door-to-door study of cross-sectional methodsfor assessing the prevalence and factors related to a high risk of obstructive sleep apnea (OSA)was conducted using the Korean version of the Berlin Questionnaire (K-BQ). Methods Pooled data collected from Community Health Surveys by the Korea Center for Disease Control and Prevention were analyzed. Of 8,140 respondents from the population, 7,955were finally included in this study. Results Of the 7,955 included subjects, 15.7% of the men and 9.8% of the women were at highrisk of OSA. Significant differences were found in the following factors between the subjectswith a high risk of OSA: gender, age, marital status, educational level, occupation, and presenceof smoking, harmful alcohol use, and chronic diseases. Male sex, harmful alcohol use, and thepresence of chronic diseases were identified as factors independently associated with a high riskof OSA. Conclusions This is the first study to confirm the usefulness of the K-BQ to study the prevalence of OSA in the Korean general population. The findings demonstrate that harmful alcoholuse and chronic diseases are very common characteristics among those with a high risk of OSA.
Abstract
Background and Purpose A population-based door-to-door study of cross-sectional methodsfor assessing the prevalence and factors related to a high risk of obstructive sleep apnea (OSA)was conducted using the Korean version of the Berlin Questionnaire (K-BQ). Methods Pooled data collected from Community Health Surveys by the Korea Center for Disease Control and Prevention were analyzed. Of 8,140 respondents from the population, 7,955were finally included in this study. Results Of the 7,955 included subjects, 15.7% of the men and 9.8% of the women were at highrisk of OSA. Significant differences were found in the following factors between the subjectswith a high risk of OSA: gender, age, marital status, educational level, occupation, and presenceof smoking, harmful alcohol use, and chronic diseases. Male sex, harmful alcohol use, and thepresence of chronic diseases were identified as factors independently associated with a high riskof OSA. Conclusions This is the first study to confirm the usefulness of the K-BQ to study the prevalence of OSA in the Korean general population. The findings demonstrate that harmful alcoholuse and chronic diseases are very common characteristics among those with a high risk of OSA.
참고문헌 (35)
- Al Lawati NM, "Epidemiology, risk factors, and consequences of obstructive sleep apnea and short sleep duration", Prog Cardiovasc Dis, 51, pp.285~293 (2009)
- American Academy of Sleep Medicine, "The International Classification of Sleep Disorders: Diagnostic and Coding Manual" (2005), American Academy of Sleep Medicine
- Nieto FJ, "Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study", JAMA, 283, pp.1829~1836 (2000)
- Peppard PE, "Prospective study of the association between sleep-disordered breathing and hypertension", N Engl J Med, 342, pp.1378~1384 (2000)
- Yaggi HK, "Obstructive sleep apnea as a risk factor for stroke and death", N Engl J Med, 353, pp.2034~2041 (2005)
- Babu AR, "Type 2 diabetes, glycemic control, and continuous positive airway pressure in obstructive sleep apnea", Arch Intern Med, 165, pp.447~452 (2005)
- Kim J, "Prevalence of sleepdisordered breathing in middle-aged Korean men and women", Am J Respir Crit Care Med, 170, pp.1108~1113 (2004)
- Young T, "The occurrence of sleep-disordered breathing among middle-aged adults", N Engl J Med, 328, pp.1230~1235 (1993)
- Ohayon MM, "Snoring and breathing pauses during sleep: telephone interview survey of a United Kingdom population sample", BMJ, 314, pp.860~863 (1997)
- Sharma SK, "Validation of the modified Berlin questionnaire to identify patients at risk for the obstructive sleep apnoea syndrome", Indian J Med Res, 124, pp.281~290 (2006)
- Netzer NC, "Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome", Ann Intern Med, 131, pp.485~491 (1999)
- Ahmadi N, "The Berlin questionnaire for sleep apnea in a sleep clinic population: relationship to polysomnographic measurement of respiratory disturbance", Sleep Breath, 12, pp.39~45 (2008)
- Hiestand DM, "Prevalence of symptoms and risk of sleep apnea in the US population: Results from the national sleep foundation sleep in America 2005 poll", Chest, 130, pp.780~786 (2006)
- Amra B, "Prevalence of sleep apnea-related symptoms in a Persian population", Sleep Breath, 15, pp.425~429 (2011)
- Kang K, "Usefulness of the Berlin Questionnaire to identify patients at high risk for obstructive sleep apnea: a population-based door-to-door study", Sleep Breath, 17, pp.803~810 (2013)
- Statistics Korea, "Korean Standard Classification of Occupations", Statistics Korea, ~ (2000)
- Babor TF, "AUDIT:The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care", World Health Organization, ~ (2001)
- The Asia-Pacific Perspective: Redefining Obesity and Its Treatment, "World Health Organization Western Pacific Region", ~ (2000)
- Young T, "Epidemiology of obstructive sleep apnea: a population health perspective", Am J Respir Crit Care Med, 165, pp.1217~1239 (2002)
- Jordan AS, "Respiratory control stability and upper airway collapsibility in men and women with obstructive sleep apnea", J Appl Physiol (1985), 99, pp.2020~2027 (2005)
- Eikermann M, "The influence of aging on pharyngeal collapsibility during sleep", Chest, 131, pp.1702~1709 (2007)
- Durán J, "Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr", Am J Respir Crit Care Med, 163, pp.685~689 (2001)
- Bixler EO, "Effects of age on sleep apnea in men: I. Prevalence and severity", Am J Respir Crit Care Med, 157, pp.144~148 (1998)
- Lavie P, "Mortality in sleep apnea patients: a multivariate analysis of risk factors", Sleep, 18, pp.149~157 (1995)
- Mayeux L, "Occupational status and sleep-disordered breathing in a sample of French males", Eur J Epidemiol, 17, pp.71~75 (2001)
- Paciorek M, "Obstructive sleep apnea in shift workers", Sleep Med, 12, pp.274~277 (2011)
- Laudencka A, "Does nightshift work induce apnea events in obstructive sleep apnea patients?", J Physiol Pharmacol, 58(Suppl 5), pp.345~347 (2007)
- Stradling JR, "Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men", Thorax, 46, pp.85~90 (1991)
- Bearpark H, "Snoring and sleep apnea. A population study in Australian men", Am J Respir Crit Care Med, 151, pp.1459~1465 (1995)
- Schmidt-Nowara WW, "Snoring in a Hispanic-American population. Risk factors and association with hypertension and other morbidity", Arch Intern Med, 150, pp.597~601 (1990)
- Gislason T, "Snoring, hypertension, and the sleep apnea syndrome. An epidemiologic survey of middle-aged women", Chest, 103, pp.1147~1151 (1993)
- Reading SR, "Do rheumatoid arthritis patients have a higher risk for sleep apnea?", J Rheumatol, 36, pp.1869~1872 (2009)
- Germanowicz D, "Sleep disordered breathing concomitant with fibromyalgia syndrome", J Bras Pneumol, 32, pp.333~338 (2006)
- Chuang LP, "Prevalence of snoring and witnessed apnea in Taiwanese adults", Chang Gung Med J, 31, pp.175~181 (2008)
- Uzkeser H, "Bone mineral density in patients with obstructive sleep apnea syndrome", Sleep Breath, 17, pp.339~342 (2013)
