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Background: Obstructive sleep apnea (OSA) is a disorder characterized by repetitive upper airway obstructions during sleep in people with obesity. If left untreated, it can lead to several health consequences.
Objectives: This study aimed to determine the factors predicting the risks of OSA in adults and the elderly with obesity.
Methods: A descriptive study with a total sample of 250 adults and elderly aged 18 and older in the primary care units of Surat Thani Province. Data collection was conducted by using questionnaires related to personal information and the STOP-Bang to screen for obstructive sleep apnea. Data analysis was performed using binary logistic regression.
Results: The results showed that the significant predictors for risks of obstructive sleep apnea in adults and the elderly with obesity included being male (ORadj=9.61; 95%CI=1.58-58.17; p=.014), age 60 years and older (ORadj=12.72; 95%CI=1.41-114.47; p=.023), family history of snoring (ORadj=2.54; 95%CI=1.11-5.80; p=.027), Body Mass Index 30-34.99 (ORadj=6.28; 95%CI=2.25-17.51; p<.001), neck circumference ≥ 40 cm (ORadj=13.61; 95%CI=1.15-159.95; p=.038, hypertension (ORadj=5.58; 95%CI=2.30-13.55; p<.001), dyslipidemia (ORadj=2.35; 95%CI=1.02-5.44; p=.045), and sleep duration < 5 hours (ORadj=3.45; 95% CI=1.28-9.30; p =.014).
Conclusions: The results of the study can be used to screen adults and the elderly with obesity in order that they can be diagnosed for the severity of OSA by standard methods. This includes developing guidelines for managing various factors to help reduce the level of risk for patients
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2. Thai Health Promotion Foundation. Thailand Obesity prevalence second in Southeast Asia [Internet]. 2557 [cited 2019 Oct 10]; Available from: https://www.thai health.or.th/content/247445.html. (in Thai).
3. Kongjarern S. Obesity: Silent Killer in the Digital Era. EAU Heritage Journal Science and Technology. 2017;11(3):22-9. (in Thai).
4. Chen X, Pensuksan WC, Lohsoonthorn V, Lertmaharit S, Gelaye B, Williams MA. Obstructive Sleep Apnea and Multiple Anthropometric Indices of General Obesity and Abdominal Obesity among Young Adults. Int J Soc Sci Stud. 2014; 2(3):89-99.
5. Patel SR. The complex relationship between weight and sleep apnoea. Thorax March. 2015;70(3):205-6.
6. Luyster FS. Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review. J Clin Sleep Med. 2017;13(3):467-77.
7. Jehan S, Zizi F, Pandi-Perumal SR, Wall S, Auguste E, Myers AK, et al. Obstructive Sleep Apnea and Obesity: Implications for Public Health. J Sleep Med Disord. 2017;1(4):00019.
8. Xie C, Zhu R, Tian Y, Wang K. Association ofobstructive sleep apnoea with the risk of vascular outcomes and all-cause mortality: a meta-analysis. BMJ Open. 2017;7(12):e013983.
9. Kim SE, Park BS, Park SH, Shin KJ, Ha SY, Park JS, et al. Predictors for Presence and Severity of Obstructive Sleep Apnea in Snoring Patients: Significance of Neck Circumference. J Sleep Med. 2015;12(2):34-8.
10. Franklin KA, Lindberg E. Obstructive sleep apnea is a common disorder in the population-a review on the epidemiology of sleep apnea. J Thorac Dis. 2015;7(8): 1311-22.
11. Wali SO, Abalkhail B, Krayem A. Prevalence and risk factors of obstructive sleep apnea syndrome in a Saudi Arabian population. Ann Thorac Med. 2017;12(2): 88-94.
12. Simou E, Britton J, Leonardi-B J. Alcohol and the risk of sleep apnoea: a systematic review and meta-analysis. J Sleep Med. 2018;42:38-46.
13. Dubey A, Kant S, Mahdi AA, Tiwari S, Upadhyay R, Upadhyay S. The potential impact of family history of loud Snoring and risk of Obstructive sleep apnea in overweight subjects. J Cardiovasc. Dis. Res. 2014;5(4):3-8.
14. Banhiran W, Chotinaiwattarakul W, Nopmaneejumruslers C, Metheetrairut C,
Chongkolwatana C. Prevalence of Obstructive Sleep Apnea (OSA) in middle-aged (30-60 years) Thai people. [Internet]. 2013 [cited 2019 Oct 10]; Available from: http://www.rcot.org/data file/_file/_doctor/b89c4dd866e77a31669c737123f5c092.pdf. (in Thai).
15. Noknu S, Janthivas C, Thumaviriyakul H. Clinical predictors of obstructive sleep apnea hypopnea syndrome. Thai Journal of Otolaryngology-Head and Neck Surgery of Thailand. 2009:10(4): 17-30. (in Thai).
16. Narindrarangkura P, Suwannathot A, Chalermwatanachai T, Rangsin R. Prevalence and Risk Factors of Obstructive Sleep Apnea (OSA) Using Modified Berlin Questionnaire in Thai Rural Community. J Sleep Med Disord. 2016;3(1):1041.
17. Institute of medical research and technology assessment. Guidelines for prevention and care of obesity. [Internet]. 2010 [cited 2019 Oct 10]; Available from: http://www.imrta.dms. moph.go.th/imrta/images/pdf_cpg/2553/ 53-4.pdf. (in Thai).
18. Hair J, Blak WC, Barbin BJ, Anderson, RE, Tatham RL. Multivariate data analysis. New Jersey: Prentice Hall; 2010.
19. Martins AB, Tufik S, Moura SM. Physiopathology of obstructive sleep apnea-hypopnea syndrome. J Bras Pneumol. 2007;33:93-100.
20. Kaur S, Kaur K, Rai S, Sinha A, Arora K. Influence of neck circumference & bmi on etiology of obstructive sleep apnea. EJBPS. 2016:3(10).227-32.
21. Senaratna CV, English DR, Currier D, Perret JL, Lowe A, Lodge C, et al. Sleep apnoea in Australian men: disease burden, co-morbidities, and correlates from the Australian longitudinal study on male health. BMC Public Health. 2016; 16(Suppl 3):1029.
22. Hsu WY, Chiu NY, Chang CC, Chang TG, Lane HY. The association between cigarette smoking and obstructive sleep apnea. Tob. Induc. Dis. 2019;5:17-27.
23. Kim KS, Kim JH, Park SY, Won HR, Lee HJ, Yanh HS, et al. Smoking induces oropharyngeal narrowing and increases the severity of obstructive sleep apnea syndrome. J Clin Sleep Med. 2012;8(4): 367-74.