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Prevalence and symptoms of occult sleep disordered breathing among older veterans with insomnia.
J Clin Sleep Med. 2013 Nov 15; 9(11):1173-8.JC

Abstract

STUDY OBJECTIVES

To determine the prevalence of occult sleep disordered breathing (SDB) and describe the relationship between classic SDB symptoms (e.g., loud snoring) and occult SDB in older veterans with insomnia.

METHODS

We analyzed baseline survey and in-home sleep study data for 435 veterans (mean age = 72.0 years [SD 8.0]) who had no known history of SDB, met International Classification of Sleep Disorders 2(nd) Edition criteria for insomnia, and were enrolled in a behavioral intervention trial for insomnia. Variables of interest included apnea-hypopnea index (AHI) ≥ 15, age, race/ethnicity, marital status, body mass index (BMI), insomnia subtype (i.e., onset, maintenance, or terminal), self-reported excessive daytime sleepiness, snoring, and witnessed breathing pause items from the Berlin Questionnaire. We computed the frequency of AHI ≥ 15 and assessed whether each classic SDB symptom was associated with an AHI ≥ 15 in 4 separate multivariate logistic regression models.

RESULTS

Prevalence of AHI ≥ 15 was 46.7%. Excessive daytime sleepiness (adjusted odds ratio 1.63, 95% CI 1.02, 2.60, p = 0.04), but not snoring loudness, snoring frequency, or witnessed breathing pauses was associated with occult SDB (AHI ≥ 15). Insomnia subtypes were not significantly associated with occult SDB (p > 0.38).

CONCLUSIONS

In our sample of older veterans with insomnia, nearly half had occult SDB, which was characterized by reported excessive daytime sleepiness, but not loud or frequent snoring or witnessed breathing pauses. Insomnia subtype was unrelated to the presence of occult SDB.

Authors+Show Affiliations

Geriatric Research, Education and Clinical Center (GRECC): Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, CA ; David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24235899

Citation

Fung, Constance H., et al. "Prevalence and Symptoms of Occult Sleep Disordered Breathing Among Older Veterans With Insomnia." Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, vol. 9, no. 11, 2013, pp. 1173-8.
Fung CH, Martin JL, Dzierzewski JM, et al. Prevalence and symptoms of occult sleep disordered breathing among older veterans with insomnia. J Clin Sleep Med. 2013;9(11):1173-8.
Fung, C. H., Martin, J. L., Dzierzewski, J. M., Jouldjian, S., Josephson, K., Park, M., & Alessi, C. (2013). Prevalence and symptoms of occult sleep disordered breathing among older veterans with insomnia. Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, 9(11), 1173-8. https://doi.org/10.5664/jcsm.3162
Fung CH, et al. Prevalence and Symptoms of Occult Sleep Disordered Breathing Among Older Veterans With Insomnia. J Clin Sleep Med. 2013 Nov 15;9(11):1173-8. PubMed PMID: 24235899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and symptoms of occult sleep disordered breathing among older veterans with insomnia. AU - Fung,Constance H, AU - Martin,Jennifer L, AU - Dzierzewski,Joseph M, AU - Jouldjian,Stella, AU - Josephson,Karen, AU - Park,Michelle, AU - Alessi,Cathy, Y1 - 2013/11/15/ PY - 2013/11/16/entrez PY - 2013/11/16/pubmed PY - 2014/8/6/medline KW - Sleep disordered breathing KW - comorbid insomnia KW - older adults KW - prevalence KW - risk factors SP - 1173 EP - 8 JF - Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine JO - J Clin Sleep Med VL - 9 IS - 11 N2 - STUDY OBJECTIVES: To determine the prevalence of occult sleep disordered breathing (SDB) and describe the relationship between classic SDB symptoms (e.g., loud snoring) and occult SDB in older veterans with insomnia. METHODS: We analyzed baseline survey and in-home sleep study data for 435 veterans (mean age = 72.0 years [SD 8.0]) who had no known history of SDB, met International Classification of Sleep Disorders 2(nd) Edition criteria for insomnia, and were enrolled in a behavioral intervention trial for insomnia. Variables of interest included apnea-hypopnea index (AHI) ≥ 15, age, race/ethnicity, marital status, body mass index (BMI), insomnia subtype (i.e., onset, maintenance, or terminal), self-reported excessive daytime sleepiness, snoring, and witnessed breathing pause items from the Berlin Questionnaire. We computed the frequency of AHI ≥ 15 and assessed whether each classic SDB symptom was associated with an AHI ≥ 15 in 4 separate multivariate logistic regression models. RESULTS: Prevalence of AHI ≥ 15 was 46.7%. Excessive daytime sleepiness (adjusted odds ratio 1.63, 95% CI 1.02, 2.60, p = 0.04), but not snoring loudness, snoring frequency, or witnessed breathing pauses was associated with occult SDB (AHI ≥ 15). Insomnia subtypes were not significantly associated with occult SDB (p > 0.38). CONCLUSIONS: In our sample of older veterans with insomnia, nearly half had occult SDB, which was characterized by reported excessive daytime sleepiness, but not loud or frequent snoring or witnessed breathing pauses. Insomnia subtype was unrelated to the presence of occult SDB. SN - 1550-9397 UR - https://www.unboundmedicine.com/medline/citation/24235899/Prevalence_and_symptoms_of_occult_sleep_disordered_breathing_among_older_veterans_with_insomnia_ L2 - https://doi.org/10.5664/jcsm.3162 DB - PRIME DP - Unbound Medicine ER -