Prevalence of sleep complaints in Colombia at different altitudes

Ruiz, AJ; Sepúlveda, Martín Alonso Rondón; Martínez, Patricia Hidalgo; Muñoz, Martín Cañón; Otero, Liliana; Centanaro, Olga Patricia Panqueva; Carrasco, Luis Felipe Uriza; Ospina, Juan Camilo

doi:10.1016/j.slsci.2016.05.008

Cited by 32 publications

(21 citation statements)

References 20 publications

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“…For example, literature shows problems related to short sleep such as difficulty in falling asleep and frequently waking up during the night as common associated factors; however, these are not necessarily the same factors associated to extended sleep time or sleeping more than usual. This limitation does not allow a separate analysis on disturbances and this may impair comparability with the available literature 14,16,18,19 . Another limitation is the reverse causality in associations between behavioral factors and health problems, since it was a cross-sectional study the temporality could not be defined.…”

Section: Discussionmentioning

confidence: 99%

“…A large study carried out in eight countries of Africa and Asia found a point prevalence (last 30 days) of 16.6% nocturnal sleep disturbances, defined as difficulty in falling asleep, frequently waking up during the night, waking up too early in the morning, and not feeling rested and refreshed during the day 15 . In Colombia, sleep complaints affect 59.9% of the population 16 . A study conducted in 2012 showed that 21% of Brazilian workers presented poor sleep quality, with sleep disturbances being more frequent among physically inactive individuals, in those with higher alcohol consumption levels, and with diabetes mellitus or arterial hypertension 17 .…”

Section: Introductionmentioning

confidence: 99%

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Sleep disturbances and daytime fatigue: data from the Brazilian National Health Survey, 2013

et al. 2019

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This study aims to describe the prevalence of sleep disturbances and daytime fatigue and their association with socio-demographic and behavioral factors. Data from the Brazilian National Health Survey conducted in 2013 with 60,202 adults (≥ 18 years old) were used. The outcomes evaluated were self-reported sleep disturbances and daytime fatigue in the last two weeks. Sleep disturbance was defined as the presence of difficulty to fall asleep, frequently waking up during the night or sleeping more than usual; daytime fatigue was defined as the presence of not feeling rested and motivated during the day, feeling tired and lacking energy. Sociodemographic, lifestyle and chronic health aspects were explored as exposures for both outcomes. Prevalence of sleep disturbances and daytime fatigue were 14.9% (14.4-15.4) and 11.9% (11.4-12.3), respectively. Both outcomes were more common in women, older people, people with no formal education, smokers and among physically inactive individuals. The association with education was inverse (the highest the level of education the lower the prevalence ratio - PR - of sleep disturbances and daytime fatigue; adjusted p-value for trend < 0.001). Prevalence of sleep disturbances combined with daytime fatigue was 6.7% (6.4-7.1) and was about 6 times higher among those with three or more chronic health disturbances (PR = 6.2; 95%CI: 5.3-7.2). Strategies to decrease the prevalence of sleep disturbances and daytime fatigue should be encouraged and focused on chronically ill individuals that share other modifiable risk factors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep disturbances and daytime fatigue: data from the Brazilian National Health Survey, 2013

et al. 2019

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“…[ 9 ] The prevalence of OSA in the United States and Europe has been reported between 14% and 49% and between 19% and 26% in Colombia. [ 10 11 ] Transient and intermittent hypoxia in individuals with OSA promotes the transcription of TNFα and increases cytokine production, resulting in systemic inflammation. [ 12 ] In addition, inflammation, intermittent hypoxemia, and fragmented sleep observed in OSA have been suggested as risk factors for the development of cardio-cerebrovascular events, metabolic disease, and cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

Association between obstructive sleep apnea and comorbidities with periodontal disease in adults

Latorre

Escobar

Velosa

et al. 2018

J Indian Soc Periodontol

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Background:Several studies have reported an association between periodontal disease and obstructive sleep apnea (OSA). However, heterogeneity of results suggests that there is insufficient evidence to support this association.Aims:The objective of this study was to identify the association between periodontal disease and OSA in adults with different comorbidities.Settings and Design:One hundred and ninety-nine individuals (107 women and 92 men) underwent polysomnography with a mean age of 49.9 years were recruited.Materials and Methods:The presence of OSA, comorbidities, and periodontal disease was evaluated in each individual. Student's t-tests or Chi-square and ANOVA tests were used to determine the differences between groups.Results:The prevalence of periodontal disease was 62.3% and 34.1% for gingivitis. The results showed no statistically significant association between all groups of patients with OSA and non-OSA patients for gingivitis (P = 0.27) and for periodontitis (P = 0.312). However, statistically significant association was shown between periodontitis and mild OSA compared with the periodontitis and non-OSA referent (P = 0.041; odds ratio: 1.37 and 95% confidence interval 1.11–2.68). The analysis between OSA and comorbidities showed a statistically significant difference for patients with OSA and hypertension (P < 0.001) and for patients with OSA and hypertensive cardiomyopathy (P < 0.001) compared with healthy individuals. Periodontitis was more likely in men with severe OSA and with any of two comorbidities such as hypertension or hypertensive cardiomyopathy. Women with hypertension or hypertensive cardiomyopathy were more likely to have mild OSA, and these associations were statistically significant (P < 0.05).Conclusions:This study identified association between periodontitis and mild OSA and this association was more frequent in women with hypertension or hypertensive cardiomyopathy. Periodontitis was associated with severe OSA in men who showed any of two comorbidities such as hypertension or hypertensive cardiomyopathy.

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“…The altitude in the Lower Mainland cities ranges from 12 meters (Richmond) to 150 meters (Burnaby). In a cross-sectional population study conducted by Ruiz et al [ 70 ] on the prevalence of sleep complaints in three Colombian cities, Santa Marta, Bucaramanga, and Bogota, they found that the risk for severe sleep apnea, OSA, and EDS was the highest in Santa Maria at 15 meters above sea level. To investigate the effect of exposure to moderate altitude on nocturnal hypoxemia, sleep and breathing disorders, and daytime functioning, Nussbaumer-Ochsner et al conducted an RCT on patients with OSA (32 men and 2 women) living at low altitudes and discontinuing their CPAP treatment for a few days at high altitudes.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Sleep Apnea in the Canadian Population

Spuy

Zhao

Karunanayake

et al. 2018

Canadian Respiratory Journal

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Older age, obesity, hypertension, snoring, and excessive daytime sleepiness have been associated with sleep apnea. The objective of this study was to determine the prevalence (crude and adjusted), as well as the risk factors, of sleep apnea in the adult Canadian population. Data from the 2009 Sleep Apnea Rapid Response (SARR) questionnaire were used to identify the risk factors, and all sleep-related questions in the SARR questionnaire were used. The outcome variable of interest was health professional-diagnosed sleep apnea. Covariates of interest were demographic variables, population characteristics, respiratory and cardiovascular diseases, and enabling resources. The multiple logistic regression model adjusted for the clustering effect was used to analyze the data. Sleep apnea was diagnosed in 858,913 adults (3.4% of the population), and more men (65.4%) than women (34.6%) were diagnosed with sleep apnea. Multivariable logistic regression analysis indicated that age (45 and older), loud snoring, sudden awakening with gasping/choking (rare/sometimes and once or more a week), and nodding off/falling asleep in driving in the past 12 months were significantly associated with diagnosed sleep apnea. Predictive probability demonstrated that in overweight and obese persons, ≥15 minutes of daily exercise significantly decreased the risk of diagnosed sleep apnea. The conclusion of this study is that in the Canadian population, sleep apnea is associated with older age, loud snoring, and sleeping problems. The protective effect of exercise warrants further investigation.

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Prevalence of sleep complaints in Colombia at different altitudes

Cited by 32 publications

References 20 publications

Sleep disturbances and daytime fatigue: data from the Brazilian National Health Survey, 2013

Sleep disturbances and daytime fatigue: data from the Brazilian National Health Survey, 2013

Association between obstructive sleep apnea and comorbidities with periodontal disease in adults

Predictors of Sleep Apnea in the Canadian Population

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