Solomons Daniel, Schonfeld Daniel, Arias Sergio, Vigo Daniel E, Azpiazu Mikel, Pérez-Chada Daniel
Institute for Biological and Medical Engineering, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Católica de Chile, Santiago, Chile.
Department of Physiology, School of Medicine, IFIBIO Houssay, University of Buenos Aires, Buenos Aires, Argentina.
Sleep Breath. 2025 Jan 24;29(1):89. doi: 10.1007/s11325-025-03253-y.
Obstructive sleep apnea (OSA) affects up to 936 million adults globally and is linked to significant health risks, including neurocognitive impairment, cardiovascular diseases, and metabolic conditions. Despite its prevalence, OSA remains largely underdiagnosed. This study aimed to enhance OSA awareness and risk assessment using the STOP-Bang questionnaire in a telemedicine format.
During a six-week campaign on a popular Latin American news portal, 5,966 adults completed the STOP-Bang questionnaire. Participants reporting moderate or severe OSA risk were advised to seek clinical evaluation.
Among respondents, 44.7% were identified as having a moderate-to-high risk for OSA. Key risk factors included snoring, witnessed apneas, hypertension, male gender, older age, high BMI, and larger neck circumference. Statistical analyses showed significant associations between these variables and OSA risk.
This study highlights the importance of increasing OSA visibility and early detection in the general population. Despite limitations such as selection bias and potential false negatives/positives with the STOP-Bang tool, the findings demonstrate the potential of media campaigns to raise awareness and prompt early medical consultation. Future efforts should include follow-up assessments to evaluate healthcare-seeking behavior and confirm OSA diagnoses, contributing to improved public health outcomes.
阻塞性睡眠呼吸暂停（OSA）全球影响多达9.36亿成年人，并与重大健康风险相关，包括神经认知障碍、心血管疾病和代谢状况。尽管其患病率很高，但OSA在很大程度上仍未得到充分诊断。本研究旨在通过远程医疗形式使用STOP-Bang问卷提高对OSA的认识和风险评估。
在一个受欢迎的拉丁美洲新闻门户网站为期六周的活动期间，5966名成年人完成了STOP-Bang问卷。报告有中度或重度OSA风险的参与者被建议寻求临床评估。
在受访者中，44.7%被确定为有中度至高OSA风险。关键风险因素包括打鼾、观察到的呼吸暂停、高血压、男性、年龄较大、高体重指数和较大的颈围。统计分析显示这些变量与OSA风险之间存在显著关联。
本研究强调了在普通人群中提高OSA可见性和早期检测的重要性。尽管存在选择偏倚以及STOP-Bang工具可能出现假阴性/阳性等局限性，但研究结果表明媒体宣传活动在提高认识和促使早期医疗咨询方面的潜力。未来的努力应包括进行后续评估，以评估寻求医疗行为并确认OSA诊断，从而改善公共卫生结果。
