Purpose: To determine the prevalence of sleep disordered breathing (SDB) and sleep apnea syndrome (SAS) in a general population aged from 50 to 70 years. Subjects and Methods: We recruited 76 individuals aged between 50 and 70 years, chosen at random from the electoral census. They were invited to the clinic where a detailed medical history was taken and physical examination, ENT examination, pulmonary function tests and night time recording of respiratory variables performed. Results: The prevalence of SDB (apnea-hypopnea index ≥ 5) was 28.9%, and there were no differences between men (28%) and women (30%). However, the prevalence of SAS was 6.8%, and there were differences between men (5 cases) and women (0 cases) (p = 0.0521). Subjects in the SDB group had higher systolic blood pressure than in the non-SDB group (p < 0.05). Conclusions: SDB and SAS are common among 50- to 70-year olds. The prevalence of SDB was 28.9% and the prevalence of SAS was 6.8%.

1.
Lugaresi E, Plazzi G: Heavy snorer disease: From snoring to the sleep apnea syndrome and overview. Respiration 1997;64(suppl 1):11–14.
2.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S: The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230–1235.
3.
Strohl KP, Redline S: Recognition of obstructive sleep apnea. Am J Respir Crit Care Med 1996;154:279–289.
4.
Telakivi T, Partinen M, Koskenvuo M, Salmi T, Kaprio J: Periodic breathing and hypoxia in snorers and controls: Validation of snoring history and association with blood pressure and obesity. Acta Neurol Scand 1987;76:69–75.
5.
Gislason T, Almqvist M, Erikson G, Taube A, Boman G: Prevalence of sleep apnea syndrome among Swedish men: An epidemiological study. J Clin Epidemiol 1988;41:571–576.
6.
Strading JR, Crosby JH: Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46:85–90.
7.
Bearpark H, Elliott L, Grunstein R, Cullen S, Schneider H, Althaus W, Sullivan C: Snoring and sleep apnea. A population study in Australian men. Am J Respir Crit Care Med 1995;151:1459–1465.
8.
Olson LG, King MT, Hensley MJ, Saunders NA: A community study of snoring and sleep disordered breathing. Prevalence. Am J Respir Crit Care Med 1995;152:711–716.
9.
Kripke DF, Ancoli-Israel S, Klauber MR, Wingard DL, Mason WJ, Mullaney DJ: Prevalence of sleep disordered breathing in ages 40–64 years. A population based survey. Sleep 1997;20:65–76.
10.
Viner S, Szalai JP, Hoffstein V: Are history and physical examination a good screening test for sleep apnea? Ann Intern Med 1991;115:356–359.
11.
Quanjer PhH: Standardized lung function testing. Report of Working Party on standardization of lung function tests. European Community Coal and Steel, Luxembourg. Bull Eur Physiopathol Respir 1983;19(suppl 5).
12.
Carrasco O, Montserrat JM, Lloberes P, Ascasco C, Ballester E, Fornas C, Rodriguez-Roisin R: Visual and different automatic scoring profiles of respiratory variables in the diagnosis of sleep apnoea-hypopnoea syndrome. Eur Respir J 1996;9:125–130.
13.
Mosko SS, Dicker MJ, Ashurst J: Night to night variability in sleep apnea and sleep-related periodic leg movements in the elderly. Sleep 1988;11:340–348.
14.
Ancoli-Israel S, Kripke DF, Klauber MR, Mason WJ, Fell R, Kaplan O: Sleep disordered breathing in community dwelling elderly. Sleep 1991;14:486–495.
15.
Hoch CC, Reynolds CF III, Monk TH, Buysse DJ, Yeager AL, Houck PR, Kupfer DJ: Comparison of sleep disordered breathing among healthy elderly in the seventh, eighth, and ninth decades of life. Sleep 1990;13:502–511.
16.
Block AJ, Boysen PG, Wynne JW, Hunt LA: Sleep apnea, hypopnea and oxygen desaturation in normal subjects. A strong male predominance. N Engl J Med 1979;300:513–517.
17.
Hla KM, Young TB, Bidwell T, Palta M, Skatrud JB, Demsey J: Sleep apnea and hypertension: A population-based study. Ann Intern Med 1994;120:382–388.
18.
Flemons WW, Whitelaw WW, Brant R, Remmers JE: Likelihood ratios for a sleep apnea clinical prediction rule. Am J Respir Crit Care Med 1994;150:1279–1285.
19.
Roehrs T, Zorick F, Witting R, Conway W, Roth T: Predictors of objective level of daytime sleepiness in patients with sleep-related breathing disorders. Chest 1989;95:1202–1206.
20.
Bedard MA, Montplaisir J, Richer F, Malo J: Nocturnal hypoxemia as a determinant of vigilance impairment in sleep apnea syndrome. Chest 1991;100:367–370.
21.
Diagnostic Classification Steering Committee (Thorpy MJ, chairman): The International Classification System of Sleep Disorders: Diagnostic and Coding Manual. American Sleep Disorders Association, Rochester 1990.
22.
Redline S, Strohl KP: Recognition and consequences of obstructive sleep apnea hypopnea syndrome. Clin Chest Med 1998;19:1–19.
23.
Olson LG, King MT, Hensley MJ, Saunders NA: A community study of snoring and sleep disordered breathing. Symptoms. Am J Respir Crit Care Med 1995;152:707–710.
24.
Kerr P, Schoenut JP, Millar T, Buckle P, Kryger MH: Nasal CPAP reduces gastroesophageal reflux in obstructive sleep apnea syndrome. Chest 1992;101:1539–1544.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.