RESUMO
CONTEXT AND OBJECTIVE Obstructive sleep apnea syndrome (OSAS) is one of the leading causes of morbidity and mortality in adults. Early detection of the disorder and discovery of risk factors through standardized questionnaires will lead to reduction of the OSAS burden. The main aim of this study was to estimate the prevalence of OSAS symptoms and examine their association with housing characteristics. DESIGN AND SETTING Cross-sectional study at a medical school. METHODS Demographic, housing and body measurement data on 5,545 individuals aged 16 years and over of various races were selected from the National Health and Nutrition Examination Survey. We analyzed the probability of OSAS based on habitual snoring combined with daytime sleepiness and/or witnessed apnea. Univariate and multiple linear regression were used. RESULTS 9.8% of the men and 6.9% of the women reported symptoms suggestive of OSAS (habitual snoring, daytime sleepiness and/or apnea). The following prevalences of symptoms were found among males and females respectively: frequent snoring 35.1%, 22.3%, excessive daytime sleepiness 6.4%, 3.4% and frequent apnea 14.9%, 20.6%. Using multiple linear regression, OSAS symptoms were correlated with gender, age, body mass index (BMI), marital status and education. Regarding housing characteristics, mildew or musty smell and pets in the environment were associated with a high probability of OSAS. CONCLUSION OSAS symptoms were more prevalent than in developing countries. The environment was an important risk factor, but environmental factors are easier to control and manage than other variables like BMI or socioeconomic status.
Assuntos
Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Habitação , Apneia Obstrutiva do Sono/epidemiologia , Adulto , Fatores Etários , Apneia/epidemiologia , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Distribuição por Sexo , Fatores Sexuais , Apneia Obstrutiva do Sono/etiologia , Ronco/epidemiologia , Fatores Socioeconômicos , Inquéritos e Questionários , Fatores de Tempo , Estados Unidos/epidemiologia , Adulto JovemRESUMO
CONTEXT AND OBJECTIVE Obstructive sleep apnea syndrome (OSAS) is one of the leading causes of morbidity and mortality in adults. Early detection of the disorder and discovery of risk factors through standardized questionnaires will lead to reduction of the OSAS burden. The main aim of this study was to estimate the prevalence of OSAS symptoms and examine their association with housing characteristics. DESIGN AND SETTING Cross-sectional study at a medical school. METHODS Demographic, housing and body measurement data on 5,545 individuals aged 16 years and over of various races were selected from the National Health and Nutrition Examination Survey. We analyzed the probability of OSAS based on habitual snoring combined with daytime sleepiness and/or witnessed apnea. Univariate and multiple linear regression were used. RESULTS 9.8% of the men and 6.9% of the women reported symptoms suggestive of OSAS (habitual snoring, daytime sleepiness and/or apnea). The following prevalences of symptoms were found among males and females respectively: frequent snoring 35.1%, 22.3%, excessive daytime sleepiness 6.4%, 3.4% and frequent apnea 14.9%, 20.6%. Using multiple linear regression, OSAS symptoms were correlated with gender, age, body mass index (BMI), marital status and education. Regarding housing characteristics, mildew or musty smell and pets in the environment were associated with a high probability of OSAS. CONCLUSION OSAS symptoms were more prevalent than in developing countries. The environment was an important risk factor, but environmental factors are easier to control and manage than other variables like BMI or socioeconomic status. .
CONTEXTO E OBJETIVO Síndrome de apneia obstrutiva do sono (SAOS) é uma das principais causas de morbidade e mortalidade em adultos. Detecção precoce da doença e descoberta de fatores de risco com questionários padronizados levarão a redução dos danos por SAOS. O principal objetivo deste estudo foi estimar a prevalência de sintomas de SAOS e examinar sua associação com características da habitação. TIPO DE ESTUDO E LOCAL Estudo transversal em faculdade de medicina. MÉTODOS Dados demográficos, habitacionais e de medidas corporais sobre 5.545 indivíduos de 16 anos ou mais, de diversas raças, foram selecionados do National Health and Nutrition Examination Survey. Analisamos a probabilidade de SAOS com base no ronco habitual combinada com sonolência diurna e/ou apneia testemunhada. Análise univariada e regressão linear múltipla foram usadas. RESULTADOS 9,8% dos homens e 6,9% das mulheres relataram sintomas sugestivos de SAOS (ronco habitual, sonolência diurna e/ou apneia). A prevalência de sintomas em homens e mulheres, respectivamente, foi: ronco frequente 35,1%, 22,3%, sonolência excessiva diurna 6,4%, 3,4% e apneia frequente 14,9%, 20,6%. Através de regressão linear múltipla, sintomas de SAOS foram relacionados com gênero, idade, índice de massa corpórea (IMC), estado civil e educação. Das características da habitação, mofo ou cheiro de mofo e animais de estimação no ambiente foram associados com alta probabilidade de SAOS. CONCLUSÃO Sintomas de SAOS foram mais prevalentes do que nos países em desenvolvimento. O meio ambiente foi um fator de risco importante, porém é mais fácil controlar e manejar fatores ambientais do que outras variáveis, como IMC ou status socioeconômico. .