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2015 ; 7
(8
): 1311-22
Nephropedia Template TP
gab.com Text
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English Wikipedia
Obstructive sleep apnea is a common disorder in the population-a review on the
epidemiology of sleep apnea
#MMPMID26380759
Franklin KA
; Lindberg E
J Thorac Dis
2015[Aug]; 7
(8
): 1311-22
PMID26380759
show ga
The prevalence of obstructive sleep apnea (OSA) defined at an apnea-hypopnea
index (AHI) ?5 was a mean of 22% (range, 9-37%) in men and 17% (range, 4-50%) in
women in eleven published epidemiological studies published between 1993 and
2013. OSA with excessive daytime sleepiness occurred in 6% (range, 3-18%) of men
and in 4% (range, 1-17%) of women. The prevalence increased with time and OSA was
reported in 37% of men and in 50% of women in studies from 2008 and 2013
respectively. OSA is more prevalent in men than in women and increases with age
and obesity. Smoking and alcohol consumption are also suggested as risk factors,
but the results are conflicting. Excessive daytime sleepiness is suggested as the
most important symptom of OSA, but only a fraction of subjects with AHI >5 report
daytime sleepiness and one study did not find any relationship between daytime
sleepiness and sleep apnea in women. Stroke and hypertension and coronary artery
disease are associated with sleep apnea. Cross-sectional studies indicate an
association between OSA and diabetes mellitus. Patients younger than 70 years run
an increased risk of early death if they suffer from OSA. It is concluded that
OSA is highly prevalent in the population. It is related to age and obesity. Only
a part of subjects with OSA in the population have symptoms of daytime
sleepiness. The prevalence of OSA has increased in epidemiological studies over
time. Differences and the increase in prevalence of sleep apnea are probably due
to different diagnostic equipment, definitions, study design and characteristics
of included subjects including effects of the obesity epidemic. Cardiovascular
disease, especially stroke is related to OSA, and subjects under the age of 70
run an increased risk of early death if they suffer from OSA.