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尼日利亚成年人中的阻塞性睡眠呼吸暂停

Obstructive sleep apnea among adults in Nigeria.

作者信息

Adewole Olanisun Olufemi, Hakeem Adeyemo, Fola Ayeni, Anteyi Emmanuel, Ajuwon Zaccheus, Erhabor Greg

机构信息

Department of Medicine, Obafemi Awolowo University, PMB 5538, Ile Ife, Osun State, Nigeria.

出版信息

J Natl Med Assoc. 2009 Jul;101(7):720-5. doi: 10.1016/s0027-9684(15)30983-4.

DOI:10.1016/s0027-9684(15)30983-4
PMID:19634595
Abstract

INTRODUCTION

Obstructive sleep apnea syndrome (OSAS) is a common medical condition with significant adverse medical and public health consequences, but OSAS remains undiagnosed in many individuals. The Berlin questionnaire is a validated instrument that is used to identify individuals who are at risk for OSAS.

OBJECTIVES

To determine the prevalence of high risk of OSAS in an adult population in Nigeria.

DESIGN

A cross-sectional survey was done of 370 young adults and adults living in Abuja, Nigeria, using the Berlin questionnaire. This instrument includes questions about snoring; witnessed apneas, self-reported hypertension, and daytime sleepiness. Data were collected on sociodemographic characteristics. Excessive daytime sleepiness was determined using Epworth Sleepiness scale. Body mass index (BMI) and blood pressure were calculated and measured, respectively.

RESULTS

Of the 370 respondents, 218 (59%) were females. The overall prevalence of snoring was 31%. Overall, 19% of participants (22% of men and 16% of women) met the Berlin questionnaire criteria indicating a high risk of OSAS. The highest prevalence of risk of OSAS occurred in ages 50 to 59 years for male. Respondents with a high risk for OSAS were more likely to be obese (BMI >30 kg/m2), have a higher mean ESS score, and a chronic medical condition than those who were at lower risk.

CONCLUSIONS

OSAS may be more common a medical problem than ever imagined among Nigerians.

摘要

引言

阻塞性睡眠呼吸暂停综合征(OSAS)是一种常见的医学病症,会产生严重的不良医学和公共卫生后果,但许多个体的OSAS仍未得到诊断。柏林问卷是一种经过验证的工具,用于识别有OSAS风险的个体。

目的

确定尼日利亚成年人群中OSAS高风险的患病率。

设计

使用柏林问卷对居住在尼日利亚阿布贾的370名年轻人和成年人进行了横断面调查。该工具包括有关打鼾、目击的呼吸暂停、自我报告的高血压和日间嗜睡的问题。收集了社会人口学特征数据。使用爱泼华嗜睡量表确定日间过度嗜睡情况。分别计算并测量体重指数(BMI)和血压。

结果

在370名受访者中,218名(59%)为女性。打鼾的总体患病率为31%。总体而言,19%的参与者(男性为22%,女性为16%)符合柏林问卷标准,表明OSAS风险高。男性中OSAS风险患病率最高的年龄段为50至59岁。与低风险者相比,OSAS高风险的受访者更有可能肥胖(BMI>30kg/m2),平均ESS得分更高,且患有慢性疾病。

结论

在尼日利亚人中,OSAS可能是一个比想象中更常见的医学问题。

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