Prevalence of Sleep-disordered Breathing and Sleep Apnea in Middle-aged Urban Indian Men
No data are available on the prevalence of sleep-disordered breathing (SDB) and obstructive sleep apnea-hypopnea syndrome (OSAHS) in Indians. We conducted a two-phase cross-sectional prevalence study for the same in healthy urban Indian males (35-65 years) coming to our hospital in Bombay for a rout...
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| Veröffentlicht in: | American journal of respiratory and critical care medicine 2004-01, Vol.169 (2), p.168-173 |
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| creator | Udwadia, Zarir F Doshi, Amita V Lonkar, Sharmila G Singh, Chandrajeet I |
| description | No data are available on the prevalence of sleep-disordered breathing (SDB) and obstructive sleep apnea-hypopnea syndrome (OSAHS) in Indians. We conducted a two-phase cross-sectional prevalence study for the same in healthy urban Indian males (35-65 years) coming to our hospital in Bombay for a routine health check. We also investigated its risk factors and evaluated the significance of the most commonly asked questions that best correlated with the presence of OSAHS. In the first phase, 658 subjects (94%) returned completed questionnaires regarding their sleep habits and associated medical conditions. In the second phase, 250 of these underwent an overnight home sleep study. The estimated prevalence of SDB (apnea-hypopnea index of 5 or more) was 19.5%, and that of OSAHS (SDB with daytime hypersomnolence) was 7.5%. Multiple stepwise logistic regression determined body mass index, neck girth, and history of diabetes mellitus as the principal covariates of SDB. The presence of snoring, nocturnal choking, unrefreshing sleep, recurrent awakening from sleep, daytime hypersomnolence, and daytime fatigue was each statistically significant for identifying patients with OSAHS. The higher prevalence of OSAHS in urban Indian men is striking and may have major public health implications in a developing country. |
| doi_str_mv | 10.1164/rccm.200302-265OC |
| format | Article |
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We conducted a two-phase cross-sectional prevalence study for the same in healthy urban Indian males (35-65 years) coming to our hospital in Bombay for a routine health check. We also investigated its risk factors and evaluated the significance of the most commonly asked questions that best correlated with the presence of OSAHS. In the first phase, 658 subjects (94%) returned completed questionnaires regarding their sleep habits and associated medical conditions. In the second phase, 250 of these underwent an overnight home sleep study. The estimated prevalence of SDB (apnea-hypopnea index of 5 or more) was 19.5%, and that of OSAHS (SDB with daytime hypersomnolence) was 7.5%. Multiple stepwise logistic regression determined body mass index, neck girth, and history of diabetes mellitus as the principal covariates of SDB. The presence of snoring, nocturnal choking, unrefreshing sleep, recurrent awakening from sleep, daytime hypersomnolence, and daytime fatigue was each statistically significant for identifying patients with OSAHS. The higher prevalence of OSAHS in urban Indian men is striking and may have major public health implications in a developing country.</description><identifier>ISSN: 1073-449X</identifier><identifier>EISSN: 1535-4970</identifier><identifier>DOI: 10.1164/rccm.200302-265OC</identifier><identifier>PMID: 14604837</identifier><language>eng</language><publisher>New York, NY: Am Thoracic Soc</publisher><subject>Adult ; Aged ; Airway management ; Anesthesia. Intensive care medicine. Transfusions. 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We conducted a two-phase cross-sectional prevalence study for the same in healthy urban Indian males (35-65 years) coming to our hospital in Bombay for a routine health check. We also investigated its risk factors and evaluated the significance of the most commonly asked questions that best correlated with the presence of OSAHS. In the first phase, 658 subjects (94%) returned completed questionnaires regarding their sleep habits and associated medical conditions. In the second phase, 250 of these underwent an overnight home sleep study. The estimated prevalence of SDB (apnea-hypopnea index of 5 or more) was 19.5%, and that of OSAHS (SDB with daytime hypersomnolence) was 7.5%. Multiple stepwise logistic regression determined body mass index, neck girth, and history of diabetes mellitus as the principal covariates of SDB. The presence of snoring, nocturnal choking, unrefreshing sleep, recurrent awakening from sleep, daytime hypersomnolence, and daytime fatigue was each statistically significant for identifying patients with OSAHS. The higher prevalence of OSAHS in urban Indian men is striking and may have major public health implications in a developing country.</description><subject>Adult</subject><subject>Aged</subject><subject>Airway management</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anthropometry</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cross-Sectional Studies</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Polysomnography</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Sleep apnea</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea Syndromes - epidemiology</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Sleep disorders</subject><subject>Snoring - epidemiology</subject><subject>Surveys and Questionnaires</subject><issn>1073-449X</issn><issn>1535-4970</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkE2LFDEQhoMo7jr6A7xIIyh46DWVj-7kuA5-LOyygi7sLaSTykyGnvRsMqP4783YAwueqqCeeqt4CHkN9AKgEx-zc9sLRimnrGWdvF0-IecguWyF7unT2tOet0Lo-zPyopQNpcAU0OfkDERHheL9Obn_nvGXHTE5bKbQ_BgRd62PZcoeM_rmU0a7X8e0amzy87i53CW0TUzNTfR-xNauKniXB5uaq-RjLTeYXpJnwY4FX53qgtx9-fxz-a29vv16tby8bh1Xat8O9SGmBz2wPgxMSAwygJDMUsdZxx0MyKQOHZOy98BpEEEAdgB9oAqY5wvyfs7d5enhgGVvtrE4HEebcDoUoyjVWnasgm__AzfTIaf6mwGtO6qO9xYEZsjlqZSMwexy3Nr8xwA1R-fm6NzMzs0_53XnzSn4MGzRP26cJFfg3QmwxdkxZJtcLI-c5LpXvarch5lbx9X6d8xoytaOY40FYzfHw9Bpwwx0iv8FImWWhw</recordid><startdate>20040115</startdate><enddate>20040115</enddate><creator>Udwadia, Zarir F</creator><creator>Doshi, Amita V</creator><creator>Lonkar, Sharmila G</creator><creator>Singh, Chandrajeet I</creator><general>Am Thoracic Soc</general><general>American Lung Association</general><general>American Thoracic Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20040115</creationdate><title>Prevalence of Sleep-disordered Breathing and Sleep Apnea in Middle-aged Urban Indian Men</title><author>Udwadia, Zarir F ; Doshi, Amita V ; Lonkar, Sharmila G ; Singh, Chandrajeet I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-b81029b9b27fb245ef5f1452a0c3263c1be259f62557d130f4f41e6117f0812d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Airway management</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anthropometry</topic><topic>Biological and medical sciences</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cross-Sectional Studies</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Polysomnography</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Risk factors</topic><topic>Sleep apnea</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - epidemiology</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Sleep disorders</topic><topic>Snoring - epidemiology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Udwadia, Zarir F</creatorcontrib><creatorcontrib>Doshi, Amita V</creatorcontrib><creatorcontrib>Lonkar, Sharmila G</creatorcontrib><creatorcontrib>Singh, Chandrajeet I</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of respiratory and critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Udwadia, Zarir F</au><au>Doshi, Amita V</au><au>Lonkar, Sharmila G</au><au>Singh, Chandrajeet I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Sleep-disordered Breathing and Sleep Apnea in Middle-aged Urban Indian Men</atitle><jtitle>American journal of respiratory and critical care medicine</jtitle><addtitle>Am J Respir Crit Care Med</addtitle><date>2004-01-15</date><risdate>2004</risdate><volume>169</volume><issue>2</issue><spage>168</spage><epage>173</epage><pages>168-173</pages><issn>1073-449X</issn><eissn>1535-4970</eissn><abstract>No data are available on the prevalence of sleep-disordered breathing (SDB) and obstructive sleep apnea-hypopnea syndrome (OSAHS) in Indians. We conducted a two-phase cross-sectional prevalence study for the same in healthy urban Indian males (35-65 years) coming to our hospital in Bombay for a routine health check. We also investigated its risk factors and evaluated the significance of the most commonly asked questions that best correlated with the presence of OSAHS. In the first phase, 658 subjects (94%) returned completed questionnaires regarding their sleep habits and associated medical conditions. In the second phase, 250 of these underwent an overnight home sleep study. The estimated prevalence of SDB (apnea-hypopnea index of 5 or more) was 19.5%, and that of OSAHS (SDB with daytime hypersomnolence) was 7.5%. Multiple stepwise logistic regression determined body mass index, neck girth, and history of diabetes mellitus as the principal covariates of SDB. The presence of snoring, nocturnal choking, unrefreshing sleep, recurrent awakening from sleep, daytime hypersomnolence, and daytime fatigue was each statistically significant for identifying patients with OSAHS. The higher prevalence of OSAHS in urban Indian men is striking and may have major public health implications in a developing country.</abstract><cop>New York, NY</cop><pub>Am Thoracic Soc</pub><pmid>14604837</pmid><doi>10.1164/rccm.200302-265OC</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; American Thoracic Society (ATS) Journals Online; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adult Aged Airway management Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anthropometry Biological and medical sciences Blood pressure Body mass index Cross-Sectional Studies Health care Hospitals Humans India - epidemiology Intensive care medicine Male Medical sciences Middle Aged Patients Polysomnography Prevalence Public health Questionnaires Regression analysis Risk factors Sleep apnea Sleep Apnea Syndromes - diagnosis Sleep Apnea Syndromes - epidemiology Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Sleep disorders Snoring - epidemiology Surveys and Questionnaires |
| title | Prevalence of Sleep-disordered Breathing and Sleep Apnea in Middle-aged Urban Indian Men |
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