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Prevalence, sleep characteristics, and comorbidities in a population at high risk for obstructive sleep apnea: A nationwide questionnaire study in South Korea
- Source :
- PLoS ONE, Vol 13, Iss 2, p e0193549 (2018), PLoS ONE
- Publication Year :
- 2018
- Publisher :
- Public Library of Science (PLoS), 2018.
-
Abstract
- Objective To determine the prevalence, sleep characteristics, and comorbidities associated with a high risk for obstructive sleep apnea (OSA) in the Korean adult population. Methods We analyzed data from 2,740 subjects who responded to a nationwide questionnaire survey of sleep characteristics. Those who qualified under two or more symptom categories of the Berlin questionnaire were defined as “at high risk for OSA”. We investigated their socio-demographic information, sleep habits, and medical and psychiatric comorbidities. Logistic regression analyses were performed to identify factors and consequences significantly associated with a high risk for OSA. Results The prevalence of a high risk for OSA was 15.8% (95% confidence interval [CI] 14.5–17.2%). Multiple logistic regression analysis showed that old age (≥ 70 years, odds ratio [OR] 2.68) and body mass index ≥ 25 kg/m2 (OR 10.75) were significantly related with a high risk for OSA, whereas regular physical activity (OR 0.70) had a protective effect. Subjective sleep characteristics associated with a high risk for OSA were perceived insufficient sleep (OR 1.49), excessive daytime sleepiness (OR 1.88), and insomnia (OR 3.70). In addition, hypertension (OR 5.83), diabetes mellitus (OR 2.54), hyperlipidemia (OR 2.85), and anxiety (OR 1.63) were comorbid conditions independently associated with a high risk for OSA. Conclusions This is the first study to demonstrate the prevalence of a high risk for OSA in a nationwide representative sample of the Korean adult population. These findings elucidate the epidemiology and clinical characteristics of those at high risk for OSA.
- Subjects :
- Questionnaires
Male
Pulmonology
Physiology
Apnea
Excessive daytime sleepiness
lcsh:Medicine
Blood Pressure
Comorbidity
Cardiovascular Medicine
Logistic regression
Vascular Medicine
0302 clinical medicine
Surveys and Questionnaires
Medicine and Health Sciences
Prevalence
Insomnia
Public and Occupational Health
lcsh:Science
Sleep Apnea, Obstructive
education.field_of_study
Multidisciplinary
Sleep apnea
Middle Aged
Neurology
Cardiovascular Diseases
Research Design
Hypertension
Female
medicine.symptom
Research Article
Adult
Risk
medicine.medical_specialty
Sleep Apnea
Population
Research and Analysis Methods
03 medical and health sciences
Internal medicine
Republic of Korea
medicine
Humans
education
Aged
Survey Research
business.industry
lcsh:R
Biology and Life Sciences
Physical Activity
Odds ratio
medicine.disease
Dyssomnias
Obstructive sleep apnea
030228 respiratory system
lcsh:Q
Physiological Processes
Sleep
Sleep Disorders
business
Body mass index
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 13
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....8c639d6add1baef3e9956a00c77d7241