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The prevalence of obstructive sleep apnea-hypopnea syndrome-related symptoms and their relation to airflow limitation in an elderly population receiving home care

机译:阻塞性睡眠呼吸暂停低通气综合征相关症状的患病率及其与接受家庭护理的老年人气流受限的关系

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摘要

Background: Both airflow limitation and obstructive sleep apnea-hypopnea syndrome (OSAHS)-related symptoms are most prevalent in the elderly population. Previous studies revealed significant associations between OSAHS-related symptoms and obstructive airway diseases in the general population. However, other studies showed that the frequency of OSAHS-related symptoms in patients with obstructive airway diseases decreases after the age of 60 and older.ududAims: To investigate the prevalence of OSAHS-related symptoms (snoring, breathing pauses, and excessive daytime sleepiness [EDS]) and their relations to airflow limitation, for people over 65 years old.ududMethods: A full screening spirometry program was performed in a total of 490 aging participants (mean age 77.5 years – range 65–98) who were attending 16 home care settings in central Greece. Airflow limitation was assessed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) spirometric criteria (FEV1/FVC ,70%). The Berlin Questionnaire and the Epworth Sleepiness Scale were used to screen individuals for OSAHS-related symptoms. Bivariate associations were described using odds ratio (OR) with 95% confidence intervals (CI).ududResults: Airflow limitation prevalence was 17.1% (male 24.2% and female 9.9%) and was strongly related to male gender and smoking status. The prevalence rates of frequent snoring, breathing pauses, and EDS were 28.1%, 12.9%, and 11.6%, respectively. However, participants with airflow limitation were less likely to report breathing pauses, frequent snoring, EDS, and obesity. Finally, frequent snoring was significantly more common in males than females.ududConclusion: This study revealed decreased frequency of OSAHS-related symptoms in participants with airflow limitation suggesting that OSAHS-related symptoms and airflow limitation are not related in our elderly population.
机译:背景:气流受限和阻塞性睡眠呼吸暂停低通气综合征(OSAHS)相关症状在老年人口中最为普遍。先前的研究表明,一般人群中OSAHS相关症状与阻塞性气道疾病之间存在显着关联。但是,其他研究表明,阻塞性气道疾病患者在60岁及60岁以上后与OSAHS相关症状的频率降低。 ud ud目的:调查与OSAHS相关症状(打s,呼吸暂停和过度呼吸)的患病率 ud ud方法:对总共490名年龄较大的参与者(平均年龄77.5岁– 65-98岁)进行了全面筛查肺活量测定程序他们参加了希腊中部的16个家庭护理机构。根据全球慢性阻塞性肺疾病倡议(GOLD)肺活量测定标准(FEV1 / FVC,70%)评估气流受限。柏林问卷和Epworth嗜睡量表用于筛查OSAHS相关症状的个体。结果使用气流比限制率(OR)和95%的置信区间(CI)描述了双变量关联。 ud ud结果:气流受限的患病率为17.1%(男性为24.2%,女性为9.9%),与男性和吸烟状况密切相关。频繁打s,呼吸暂停和EDS的患病率分别为28.1%,12.9%和11.6%。但是,气流受限的参与者不太可能报告呼吸暂停,频繁打呼,、 EDS和肥胖。最后,打frequent的频率在男性中比在女性中更为常见。 ud ud结论:这项研究显示,在有气流受限的参与者中,与OSAHS相关的症状的频率降低,这表明在老年人群中与OSAHS相关的症状和气流受限并不相关。

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