Risk of obstructive sleep apnea, excessive daytime sleepiness and depressive symptoms in a Nigerian elderly population.

Journal: Sleep science (Sao Paulo, Brazil)

Volume: 9

Issue: 2

Year of Publication: 2016

Affiliated Institutions:  Neurology Unit, Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. Department of Mental Health, State Specialist Hospital, Osogbo, Nigeria. Department of Family Medicine, State Hospital, Ilesa, Nigeria. Neurology Unit, Department of Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria. Endocrinology Unit, Department of Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria. Department of Chemical Pathology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Abstract summary 

To evaluate the risk of obstructive sleep apnea (OSA) in a primary care population of elderly Nigerians and to determine its correlates.Clinical and demographic data of 414 elderly individuals in a primary care clinic were obtained. Their risk of OSA was estimated using Berlin questionnaire while Epworth sleepiness scale and the Center for Epidemiologic Studies Depression Scale (CESD-10) were also administered.Of the 414 subjects, 96 (23.2%) met the criteria for a high risk for OSA with a male to female ratio of 1:1. Subjects at high OSA risk (high OSA risk group) were younger than those at low OSA risk (low OSA risk group) (71.4±6.8 vs 73.6±7.7, p=0.011). Mean body mass index (BMI, kg/m(2)) (27.3±5.8 vs 24.7±5.1, p<0.001) and waist circumference (WC, cm) (90.7±13.1 vs 86.5±13.9, p=0.011) were higher in the high OSA risk group compared with the low OSA risk group. A total of 215 (51.9%) and 62 (15.0%) subjects had clinically significant depressive symptoms (CESD-10 score≥10) and excessive daytime sleepiness (EDS), respectively. On regression, the odds of EDS, depressive symptoms, increased BMI and younger age were significantly higher in the high OSA risk group compared with the low OSA risk group.High risk for OSA and depressive symptoms are common in our sample of elderly Nigerians. Depressive symptoms, EDS, BMI and age independently predict high OSA risk in the elderly.

Authors & Co-authors:  Fawale Michael B MB Ibigbami Olanrewaju O Ismail Ishaq I Mustapha Adekunle F AF Komolafe Morenikeji A MA Olamoyegun Michael A MA Adedeji Tewogbade A TA

Study Outcome 

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Statistics
Citations :  Lindstrom V., Andersson K., Lintrup M., Holst G., Berglund J. Prevalence of sleep problems and pain among the elderly in Sweden. J Nutr Health Aging. 2012;16(2):180–183.
Authors :  7
Identifiers
Doi : 10.1016/j.slsci.2016.05.005
SSN : 1984-0659
Study Population
Male,Female
Mesh Terms
Other Terms
Elderly;Nigeria;Obstructive sleep apnea;Predictors;Prevalence;Primary care
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
Germany