Hypertension and Obstructive Sleep Apnea: Is the Berlin Questionnaire a Valid Screening Tool?: PP.32.273

Lombardi, Carolina; Carabalona, Roberta; Lonati, Laura; Salerno, Sabrina; Mattaliano, Paola; Colamartino, E.; Gregorini, Francesca; Giuliano, Andrea; Castiglioni, Paolo; Agostoni, Piergiuseppe; Mancia, Giuseppe; Parati, Gianfranco

doi:10.1097/01.hjh.0000379811.66839.ca

Cited by 3 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings reported a higher likelihood (“risk”) of OSA (60% versus 20.4%, p < 0.001; OR 5.85, 95% CI 2.46–14.08; Table 4 ) in hypertensive compared to normotensive persons with a five-fold odds ratio even after adjusting for BMI (AOR 5.03; 95% CI, 1.90–13.33, p = 0.001). These findings are similar to what was reported in another study [ 18 ]. The suggested mechanism to explain the link between OSA and hypertension (HTN) is fluid-shift which involves nocturnal rostral fluid shift from the legs [ 19 ] leading to reduced mean upper airway cross-sectional area.…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Hypertension in Cameroon associated with high likelihood of obstructive sleep apnea: a pilot study

Njamnshi¹,

Mengnjo²,

Mbong³

et al. 2017

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundAlthough disordered sleep patterns predispose to hypertension (HTN), little is known on the effect of the latter on sleep patterns in sub-Saharan Africa. This study therefore sought to generate preliminary data on the likelihood (risk) of Obstructive sleep apnea (OSA) in hypertensive patients, with the aid of sleep questionnaires.MethodsThis case–control study, age-and-sex-matched HTN patients with normotensive participants, and compared sleep patterns in either group determined with the aid of the Berlin Questionnaire (BQ) and Epworth Sleepiness Scale (ESS).ResultsOverall, 50 HTN and 54 age- and sex-matched normotensive participants were enrolled. The prevalence of snoring was higher in participants with hypertension compared to normotensives (58.0% versus 44.0% respectively), though not significantly, (p = 0.167). However, the hypertensive cases (aged on average 54.78 ± 8.79 years and with mean duration since diagnosis of 4.46 ± 4.36 years) had a significantly higher likelihood of Obstructive Sleep Apnea (OSA) than the controls (aOR = 5.03; 95% CI, 1.90–13.33, p = 0.001) and but no significant resulting daytime sleepiness (p = 0.421). There was no clear trend observed between both the risk of OSA and daytime sleepiness and HTN severity. Although not significant, participants with controlled hypertension had lower rates of risk of OSA compared to those with uncontrolled HTN (50.0% versus 63.2%, p = 0.718).ConclusionsPreliminary findings of this study (the first of its kind in Cameroon) suggests that hypertension is positively associated with likelihood of OSA in Cameroon. Further studies are required to investigate this further and the role of sleep questionnaires in our setting, cheap and easy to use tools which can be used to identify early, patients with hypertension in need for further sleep investigations. This will contribute to improving their quality of life and adherence to anti-hypertension treatment.

show abstract

Section: Discussionsupporting

confidence: 93%

“…These findings are similar to what was reported in another study [18]. The suggested mechanism to explain the link between OSA and hypertension (HTN) is fluid-shift which involves nocturnal rostral fluid shift from the legs [19] leading to reduced mean upper airway cross-sectional area.…”

Section: Discussionsupporting

confidence: 89%

Hypertension in Cameroon associated with high likelihood of obstructive sleep apnea: a pilot study

Njamnshi¹,

Mengnjo²,

Mbong³

et al. 2017

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…It has been translated into Italian and validated [40–42], A driver was considered as being at high risk for having OSA if he scored "positive" in two or more sections of the BQ, and had one or more of the following characteristics and conditions: BMI>30kg/m 2 ; neck circumference >42 cm; Mallampati score > 2. Subjects classified in the high-risk group have an Apnoea–Hypopnoea Index (AHI) > 5/h with a sensitivity of 0.86, a specificity of 0.77 and a positive predictive value of 0.89 [37].…”

Section: Methodsmentioning

confidence: 99%

Sleep Apnea, Sleep Debt and Daytime Sleepiness Are Independently Associated with Road Accidents. A Cross-Sectional Study on Truck Drivers

et al. 2016

View full text Add to dashboard Cite

BackgroundRecent research has found evidence of an association between motor vehicle accidents (MVAs) or near miss accidents (NMAs), and excessive daytime sleepiness (EDS) or its main medical cause, Obstructive Sleep Apnea (OSA). However, EDS can also be due to non-medical factors, such as sleep debt (SD), which is common among professional truck drivers. On the opposite side, rest breaks and naps are known to protect against accidents.Study ObjectivesTo investigate the association of OSA, SD, EDS, rest breaks and naps, with the occurrence of MVAs and NMAs in a large sample of truck drivers.Methods949 male truck drivers took part in a cross-sectional medical examination and were asked to complete a questionnaire about sleep and waking habits, risk factors for OSA and EDS.ResultsMVAs and NMAs were reported by 34.8% and 9.2% of participants, respectively. MVAs were significantly predicted by OSA (OR = 2.32 CI95% = 1.68–3.20), SD (OR = 1.45 CI95% = 1.29–1.63), EDS (OR = 1.73 CI95% = 1.15–2.61) and prevented by naps (OR = 0.59 CI95% = 0.44–0.79) or rest breaks (OR = 0.63 CI95% = 0.45–0.89). NMAs were significantly predicted by OSA (OR = 2.39 CI95% = 1.47–3.87) and SD (OR = 1.49 CI95% = 1.27–1.76) and prevented by naps (OR = 0.52 CI95% = 0.32–0.85) or rest breaks (OR = 0.49 CI95% = 0.29–0.82).ConclusionsWhen OSA, SD or EDS are present, the risk of MVAs or NMAs in truck drivers is severely increased. Taking a rest break or a nap appear to be protective against accidents.

show abstract

“…Berlin Questionnaire (BQ, [ 74 ]; Italian version in [ 75 ]). The BQ is a 10-item screening tool for obstructive sleep apnea syndrome (OSAS) and allows categorization of patients as either high or low risk for OSAS based on self-reports of snoring, daytime sleepiness, hypertension, and obesity.…”

Section: Methodsmentioning

confidence: 99%

Development and Validation of a New Measure of Work Annoyance Using a Psychometric Network Approach

Magnavita

Chiorri

2022

IJERPH

View full text Add to dashboard Cite

Existing measures of the impact of job characteristics on workers’ well-being do not directly assess the extent to which such characteristics (e.g., opportunity to learn new skills) are perceived as positive or negative. We developed a measure, the Work Annoyance Scale (WAS), of the level of annoyance that workers feel about certain aspects of the job and evaluated its psychometric properties. Using archival data from two cohorts (n = 2226 and 655) of workers that had undergone an annual medical examination for occupational hazard, we show the usefulness of the network psychometric approach to scale validation and its similarities and differences from a traditional factor analytic approach. The results revealed a two-dimensional structure (working conditions and cognitive demands) that was replicable across cohorts and bootstrapped samples. The two dimensions had adequate structural consistency and discriminant validity with respect to other questionnaires commonly used in organizational assessment, and showed a consistent pattern of association with relevant background variables. Despite the need for more extensive tests of its content and construct validity in light of the organizational changes due to the COVID-19 pandemic and of an evaluation of the generalizability of the results to cultural contexts different from the Italian one, the WAS appears as a psychometrically sound tool for assessment and research in organizational contexts.

show abstract

Hypertension and Obstructive Sleep Apnea: Is the Berlin Questionnaire a Valid Screening Tool?: PP.32.273

Cited by 3 publications

References 0 publications

Hypertension in Cameroon associated with high likelihood of obstructive sleep apnea: a pilot study

Hypertension in Cameroon associated with high likelihood of obstructive sleep apnea: a pilot study

Sleep Apnea, Sleep Debt and Daytime Sleepiness Are Independently Associated with Road Accidents. A Cross-Sectional Study on Truck Drivers

Development and Validation of a New Measure of Work Annoyance Using a Psychometric Network Approach

Contact Info

Product

Resources

About