FREQUENCY OF SNORING AND SYMPTOMS OF SLEEP APNEA AMONG PAKISTANI MEDICAL STUDENTS
Abstract
Background: Snoring and its related problem, sleep apnea, are very common. They occur in all ages and both sexes. Frequency varies in different communities therefore studies of other countries are invalid for Pakistan. The aim of this study is to assess the frequency of snoring and emergence of symptoms of sleep apnea among the affluent class young adult Pakistani population. Methods: Subjects were evaluated through a questionnaire. Questions pertained to quality of sleep, intensity and frequency of snoring and presence of symptoms such as waking up choking, morning headaches and morning dry mouth. Data were collected for age, sex, height and weight. Subjects were also asked if they took alcohol or any drugs. Results: A total of 111 subjects, M:F=2:3, age range between 18-23 years, responded to the survey. The frequency of snoring was 27% in males and 12% in females, with males admitting to snoring more night in the week than the females. 92% of both males and females graded their snoring as being softer than the sound of talking. 15% of the males and 38% of the females said they snored in every body position. Percentages of male and female snorers exhibiting symptoms of sleep apnea were very similar, with choking arousals at 6% and 5% respectively. Conclusion: This study was done on the young Pakistani population for the determination of frequency of snoring and the emergence of symptoms of sleep apnea. The results are similar to studies done on the adult population with snoring more common and louder among the males.
Key Words: snoring, sleep apnea, prevalence, Pakistan, young adults.
References
Barthel SW, Strome M. Snoring, obstructive sleep apnea and surgery. Medical clinics of North America 1999; 83(1): 85-96.
American Sleep Apnea Association. https://www.sleepapnea.org/ geninfo.html.
Sleep Apnea. https://www.sleepfoundation.org/publications/ sleepap.html.
Obstructive sleep apnea. https://www.yahoo.com/halth/ encyclopedia/000811/0.html.
Maekawa M, Shiomi T, Usui and Sasanabi R, Kobayashi T. Prevalence of ischemic heart disease among patient with sleep apnea syndrome. Psychiatry and Clinical Neurosciences 1998; 52(2): 219-20.
National Institute of Health. National Center on Sleep Disorders Research. 301/435-0199. https://www.nhlbi.nih.gov/about/ncsdr
Lugaresi E, Cirignotta F, Coccagna G, Piana C. Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 1980; 3:221-24.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The consequences of sleep disordered breathing among middle-aged adults. N Engl J Med 1993; 328:1230-5.
Mary SM, Lam B, Lauder LJ, Tsang KWT, Chung K, Mok Y, et al. A community study of Sleep Disordered Breathing in middle-aged Chinese men in Hong Kong. Chest 2001; 119(1): 62-69.
Ng TP, Seow A, Tan WC. Prevalence of snoring and sleep related breathing disorders in Chinese, Malay and Indian adults in Singapore. Eur Respir J 1998; 12:198-202.
Davies RJO, Stradling JR. The epidemiology of sleep apnea. Thorax 1996;51: (suppl 2): s65-s70.
Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnea and snoring in 1001 middle aged men. Thorax 1991; 46:85-90.
Haqqee R, Hussain SF, Mujib M, Ahmad HR. A Hospital based preliminary report on sleep disordered breathing in Pakistani population. https://www.ayubmed.edu.pk/JAMC/ PAST/14-13/RaanaHaqqee.asp
Kramer NR, Bonitati AE, Millman RP. Enuresis and obstructive sleep apnea in adults. Chest 1998;114(2):634-7.
Ulfberg J, Thuman R. A non-urologic cause of nocturia and enuresis--obstructive sleep apnea syndrome (OSAS). Scandinavian Journal of Urology and Nephrology 1996-30(2)-.135-7. 1.
Hla KM, Young TB, Bidwell T, Palta M, Skatrud JB, Dempsey J. Sleep apnea and hypertension. A population based study. Ann Intern Med 1994;120:382-8.
Stradling JR. Sleep apnea and systemic hypertension. Thorax 1989; 44:984-89.
Berger M, Oksenberg A, Silverberg DS, Arons E, Radwan H, Iaina A. Avoiding the supine position during sleep lowers 24 hour blood pressure in obstructive sleep apnea (OSA) patients. Journal of Human Hypertension 1997; 11(10): 657-64.
Carlson JT, Hender JA, Ejnell H, Peterson LE. High prevalence of hypertension in sleep apnea patients independent of obesity. Am J Respir Crit Care Med 1994; 150: 72-7.
Fletcher EC. The relationship between systemic hypertension and obstructive sleep apnea: facts and theory. Am J Med 1995; 98: 118-28.
Oksenberg A, Silverberg DS. The effect of body posture on sleep-related breathing disorders: facts and therapeutic implications. Sleep Medicine Reviews 1998; 2(3): 139-62.
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