Az obstruktiv alvasi apnoe es a horkolas epidemiologiaja es klinikai jelentosege a csaladorvosi gyakorlatban.

摘要

In our study we evaluated the sociodemographic characteristics and health behaviour of people with different types of snoring (such as loud snoring with breathing pauses and quiet snoring) in a representative sample of the Hungarian general population (Hungarostudy 2002). We investigated the impact of snoring on different aspects of quality of life and the association of snoring with accidents. We found that snoring is common in the Hungarian general population. The prevalence of loud snoring with apnoea and quiet snoring is 37% and 23% in men and 21% and 21% in women, respectively. Snoring is associated with lower education and worse financial status in the general Hungarian population. Snoring, particularly loud snoring with apnoea is strongly correlated with high-risk health behaviour and there is a significant increasing trend between the prevalence of smoking, heavy drinking and coffee consumption in nonsnorers, quiet snorers and loud snorers. Male gender, smoking, presence of comorbidities and heavy drinking are independent predictors of snoring. Snoring is associated with increased daytime sleepiness and increased prevalence of accidents. Snoring, particularly loud snoring is frequently associated with an increased occurrence of depressive symptoms and worse overall health status. The prevalence of patients grading their own health status as bad was the highest among loud snorers; these patients presented with the highest level of vital exhaustion. These findings indicate a significant impairment of the quality of life.;OSAS is present in 60-80% of patients with therapy-resistant hypertension. HBPM (Home Blood Pressure Monitoring) is an efficient tool for family physicians when they screen their patients for the presence of OSAS. Our study yielded that Hungarian family physicians know and use HBPM in their practice. Family physicians follow the guidelines of European Hypertension Society on the use of HBPM.;Our literature review made it clear that family physicians often do not recognize OSAS in spite of its high prevalence and clinical significance. To assess of family physicians' knowledge about and attitude to OSAS we used the OSAKA questionnaire (Obstructive Sleep Apnoea Knowledge and Attitudes) among family physicians and residents. In our study we found that Hungarian family physicians, particularly male physicians have a lack of knowledge about sleep apnoea. It was interesting that there was an inverse correlation between physicians' BMI and age versus knowledge. Knowledge about sleep apnoea among physicians working in rural practices is lower than that of those working in the capital. Knowledge scores of sleep apnoea and the number of speciality diplomas correlated significantly. Our result also demonstrated that the OSAKA questionnaire is suitable for the follow-up of the efficacy of the educational intervention in interdisciplinary sleep medicine.