Underdiagnosis of Sleep Apnea Syndrome in US Com

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Publish Date: 2002

Volume: 06, Issue: 02, Pages: 049-054

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Abstract

We hypothesize that clinical recognition rates for obstructive sleep apneahypoapnea syndrome OSAHS are influenced by comorbidity and demographic factors Data on medical disorders symptoms of sleep disorders and cardiovascular risk factors gathered from 15699 individuals in the Sleep Heart Health Study were compared Participants were classified into three groups those with a selfreported physician diagnosis of OSAHS those with selfreported physiciandiagnosed and treated OSAHS and those reporting both frequent snoring and daytime sleepiness twosymptom group Among all participants 41 reported two symptoms range across sites 155 to 723 whereas 16 reported a physician diagnosis of OSAHS range 066 to 288 and 06 reported physician diagnosis and treatment range 011 to 088 Recognized OSAHS groups were similar to the twosymptom group in age having a sleeping partner measured blood pressure total cholesterol and race In a logistic model that included age along with characteristics found to vary significantly among the three groups gender body mass index BMI highdensity lipoprotein cholesterol levels hypertension only male gender and BMI were increased in those with physiciandiagnosed and treated OSAHS We conclude that disparities especially in women and in those with lower BMI exist between current recognition rates for OSAHS and the estimated prevalence by symptom report across the United States

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