Women and the Obstructive Sleep Apnea Syndrome

Guilleminault, Christian; Quera-Salva, Maria-Antonia; Partinen, Markku; Jamieson, Andrew O.

doi:10.1378/chest.93.1.104

Cited by 202 publications

(79 citation statements)

References 7 publications

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“…This result is in line with previous studies, showing that massive obesity rather than structural abnormalities of the upper airway is the main factor for the appearance of OSA in women, 35 and that women having more fat in the lower part of the body have more severe signs of OSA. 36 The percentage of OSA in our sample is much higher than that reported in most of the previous studies, particularly in women, and the signi®cance of these ®ndings is raised by the fact that none of our patients was complaining about the quality of his sleep.…”

Section: Discussionsupporting

confidence: 93%

Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects

et al. 2001

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OBJECTIVE:To investigate the prevalence of sleep breathing disorders, loud snoring and excessive daytime sleepiness in a group of obese subjects, and to identify the predictors of obstructive sleep apnea (OSA) severity in these patients. SUBJECTS: A total of 161 consecutive obese patients (body mass index (BMI) ! 30.0 kgam 2 ), ranging between 30.0 and 67.3, represented by 57 men and 104 women, aged 16 ± 75 y. Forty (15 men and 25 women) age-matched (20 ± 70 y) nonobese (BMI`27 kgam 2 ) volunteers were also recruited for the study. MEASUREMENTS: Respiratory function parameters, nocturnal sleep quality (evaluated by a speci®c questionnaire), nocturnal hypoventilation and OSA (evaluated by night polysomnography) were examined in all subjects. Anthropometric parameters (neck circumference, waist circumference, waist-to-hip ratio) were also investigated. RESULTS: Eighty-three obese patients (51.5% of the obese group) had a respiratory disturbance index (RDI) ! 10, corresponding to a moderate or severe sleep apnea. In particular, 24.8% (40a161), ie a quarter of all obese patients, were affected by severe OSA and this alteration was present in 42.1% of obese men (24a57) and in 15.4% (16a104) of obese women. When a stepwise multiple regression analysis was performed, neck circumference in men and BMI in women were shown to be the strongest predictors of sleep apnea. Twenty-nine percent of all obese subjects (40.3% of men and 23.1% of women) showed nocturnal hypoventilation; however, it was present as a unique breathing alteration in only 5% of the obese population. The percentage of patients having excessive daytime sleepiness was signi®cantly higher than in nonobese subjects, even when only nonapneic obese patients were considered (P`0.001). CONCLUSION: This study shows that OSA is present in more than 50% of a population of obese patients with a mean BMI higher than 40.0, this percentage being much higher than that commonly reported in previous studies, particularly in women. Neck circumference in men and BMI in women seem to be the strongest predictors of the severity of OSA in obese patients. Nocturnal hypoventilation seems to be present in more than 29% of a severe obese population. Moreover, this study indicates that morbid obesity can be associated with excessive daytime sleepiness even in the absence of sleep apnea.

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Section: Discussionsupporting

confidence: 93%

Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects

et al. 2001

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“…Age is not the only factor associated with difficulty in sleeping (16). Moreover, unique hormonal and psychological changes in perimenopausal women have a significant effect on sleep disturbance (13). The present study showed no correlation between age and sleep quality.…”

Section: Discussioncontrasting

confidence: 76%

“…Moreover, after menopause, prevalence of habitual snoring and obstructive sleep apnea syndrome increases in women (13). In contrast, a smaller percentage of adults report severe sleep problems (10%-15%), but the prevalence of severe chronic sleeping disorders increases to 25% among elderly (14).…”

Section: Introductionmentioning

confidence: 99%

Quality of Sleep and Its Related Factors in Postmenopausal Women in West Tehran

Taavoni¹,

Ekbatani²,

Haghani³

2014

Women's Health Bull

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Background: Sleep disturbance is common in menopausal women. Objectives: This study aimed to measure the rate of self-reported sleep disturbance and to identify its associated factors in 50-60 year-old women. Patients and Methods:This cross-sectional study included 700 healthy volunteer women aged 50 to 60 years, who were in postmenopausal period for at least 1 year. The participants were interviewed after obtaining informed consents. The study questionnaire covered two main aspects of personal characteristics and the Pittsburgh Sleep Quality Index (PSQI). Data was analyzed using SPSS 14 software. Results: The frequency of sleep disturbance was 62.5%. A significant association was found between sleep disturbance and characteristics of occupation, education, financial status and husband's profession. There were no significant association between sleep disturbance and other personal characteristics, such as age, partner's age, number of children, family size and consumption of tea, coffee or cola. Conclusion: Sleep disturbance is common in menopausal women. Appropriate interventions based on sleep-related personal characteristics should be performed to improve sleep quality, which is very important for maintaining the quality of life.

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“…However, the greater growth increment occurs during infant ages. In fact, near the age of 4, this growth will have reached around 60% of its adult size, and 90% of adult dimensions at the age of 12 22 . The collapse mechanism of UA in men and women is different and is related with local anatomical differences 23 .…”

Section: Cephalometric Analysis In the Etiological Diagnosis Of Osahsmentioning

confidence: 99%

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

Salles

Campos

Andrade

et al. 2005

Rev. Bras. Otorrinolaringol.

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Obstructi ve sleep apnea and hypopnea syndrome (OSAHS) are characterized by repeated pauses in breathing during sleep, usually associated with sleep interruption and decreased oxyhemoglobin saturation. Cephalometric analysis has become an important method in diagnosis, reporting specific craniofacial characteristics such as posterior air pharyngeal space, tongue length and hyoid position, which may predispose some people to develop SAHOS. The purpose of this revision is to present several anatomic aspects by cephalometric analysis that may have a predisposition to the development of upper airway occlusion.

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Women and the Obstructive Sleep Apnea Syndrome

Cited by 202 publications

References 7 publications

Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects

Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects

Quality of Sleep and Its Related Factors in Postmenopausal Women in West Tehran

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

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