Some Epidemiological and Clinical Elements Useful for Understanding Obstructive Sleep Apnea

Authors

Keywords:

obstructive sleep apnea, prevalence, risk factors, clinical characteristics

Abstract

Introduction:

Obstructive sleep apnea is a health problem not always recognized and not often diagnosed.

Objective:

Describing some epidemiological and clinical elements useful to understand obstructive sleep apnea.

Methods:

A descriptive review on obstructive sleep apnea was carried out in databases such as Pubmed, Scielo and Google Scholar. Review articles, research articles and Web pages with less than five years of publication were included, and those that were not in Spanish, Portuguese or English were excluded; 30 articles were referenced.

Conclusions:

Obstructive sleep apnea is a common disorder, especially in men, in obese people and with other associated risk factors. It is characterized by chronic intermittent hypoxia, sleep fragmentation, and systemic inflammation. It increases the risk of developing comorbidities and causing depression, cognitive impairment, sexual dysfunction, and injury or death from accidents resulting from hypersomnolence.

Downloads

Download data is not yet available.

Author Biography

Jose Hernandez Rodriguez, Instituto de Endocrinologia. Ministerio de Salud Pública: La Habana,

Especialista de I y II grado en Endocrinología, Investigador Agregado. Profesor Auxiliar. Instituto de Endocrinología. Ministerio de Salud Pública: La Habana,

References

Peña MD, Lorenzi G. Síndrome de apnea obstructiva del sueño y sus consecuencias cardiovasculares Obstructive sleep apnea and its cardiovascular consequences. Revista Médica Clínica Las Condes [Internet]. 2021 [citado: 3 Jul 2022]:32(5):561-9. https://www.sciencedirect.com/science/article/pii/S0716864021000857

U.S. Food and Drug Administration. ¿Siempre está cansado? Puede tener apnea del sueño. [Internet]. 2021 [citado: 3 Jul 2022] Disponible en: https://www.fda.gov/consumers/articulos-para-el-consumidor-en-espanol/siempre-esta-cansado-puede-tener-apnea-del-sueno

Mayo Clinic. Apnea del sueño. [Internet]. 2022 [citado: 3 de julio de 2022]:. Disponible en: https://www.mayoclinic.org/es-es/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631#

Kingman PS. Apnea del sueño. Manual MSD. [Internet]. 2020 [citado: 3 Jul 2022]:. Disponible en: https://www.msdmanuals.com/es/professional/trastornos-pulmonares/apnea-del-sue%C3%B1o/apnea-obstructiva-del-sue%C3%B1o?query=Apnea%20del%20sue%C3%B1o

Mediano O, Mangado NG, Montserrat JM, Alonso ML, Almendros I, Alonso A, et al. Documento internacional de consenso sobre apnea obstructiva del sueño. Archivos de Bronco neumología. [Internet]. 2022 [citado: 3 Jul 2022];58(1):52-68. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300289621001150

Saldías PF, Leiva RI, Salinas RG, Stuardo T. Estudios de prevalencia del síndrome de apneas obstructivas del sueño en la población adulta. Rev. Chil. Enferm. Respir. [Internet]. 2021 [citado: 3 Jul 2022];37(4)303-16. Disponible en: https://www.scielo.cl/scielo.php?pid=S0717-73482021000400303&script=sci_arttext&tlng=pt

Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep medicine reviews, [Internet]. 2017 [citado: 3 Jul 2022];34:70-81. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1087079216300648

Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MS, Morrell MJ, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. [Internet]. 2019 [citado: 3 Jul 2022];7(8):687-98. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S2213260019301985

Díaz E, Rosas M, Santos LE, Rodríguez NA, Magaña JA, Pérez G. El síndrome de hipoventilación del obeso y la hipertensión pulmonar. Una asociación poco conocida en México. Rev Med Inst Mex Seguro Soc. [Internet]. 2018 [citado: 3 Jul 2022];56(1):72-8. Disponible en: https://www.medigraphic.com/pdfs/imss/im-2018/im181l.pdf

Labarca G, Horta G. Asociación e interacciones de la apnea obstructiva del sueño (AOS) y del síndrome de hipoventilación obesidad (SHO). Rev. Med. Clin. Condes. [Internet]. 2021 [citado: 3 Jul 2022];32(5):570-6. Disponible en: https://reader.elsevier.com/reader/sd/pii/S0716864021000869?token=9CD4E9E0C5CFD0CB251C6A3783560E07DC56967FCB9FD28302BE111FF18A4B83C64C01EDAFB42DA2EF6FB6F8DCE9A09B&originRegion=us-east-1&originCreation=20220804150923

Borsini E, Blanco M, Bosio M, Schrappe M, Ernst G, Nosetto D, et al. Prevalence of sleep apnea and cardiovascular risk factors in patients with hypertension in a day hospital model. Clinical and Experimental Hypertension. [Internet]. 2018 [citado: 8 Ago 2022];40(3):231-7. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/10641963.2017.1356841

Randerath WJ, Herkenrath S, Treml M, Grote L, Hedner J, Bonsignore MR, et al. Evaluation of a multicomponent grading system (Baveno classification) for obstructive sleep apnoea. ERJ Open Research. [Internet]. 2021 [citado: Ago 2022]:. Disponible en: https://openres.ersjournals.com/content/erjor/early/2021/01/21/23120541.00928-2020.full.pdf

Martínez MA, Campos F, Barbé F, Gozal D, Agustí A. Precision medicine in obstructive sleep apnoea. The Lancet Respiratory Medicine, [Internet]. 2019 [citado: 8 Ago 2022];7(5):456-64. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S221326001930044X

Saldías F, Brockmann P, Santín J, Fuentes E, Leiva I, Valdivia G. Estudio de prevalencia de síndrome de apneas obstructivas del sueño en la población adulta chilena. Subestudio de la Encuesta Nacional de Salud, 2016/17. Rev. méd. Chile [Internet]. 2020 [citado: 8 Ago 2022];148(7):895-905. Disponible en: https://www.scielo.cl/scielo.php?pid=S0034-98872020000700895&script=sci_arttext&tlng=pt

Vicente MT, Capdevila L, Bellido MC, Ramírez MV, Lladosa S. Riesgo cardiovascular y obesidad en el síndrome de apnea del sueño valorado con el cuestionario Epworth. Rev Mex Endocrinol Metab Nutr. [Internet]. 2017 [citado: 8 Ago 2022];4:167-76. Disponible en: https://biblat.unam.mx/hevila/Revistamexicanadeendocrinologiametabolismo&nutricion/2017/vol4/no4/2.pdf

Saban M, Ernst G, Recalde M, Schiavone M, Curriá M, Borsini E. Relación entre los componentes del síndrome metabólico y la gravedad de la apnea obstructiva del sueño. Fronteras en Medicina. [Internet]. 2021 [citado: 8 Ago 2022];16(3):176-9. Disponible en: http://adm.meducatium.com.ar/contenido/numeros/8202103_278/pdf/8202103.pdf#page=15

Zinchuk AV, Jeon S, Koo BB, Yan X, Bravata DM, Qin L, et al. Polysomnographic phenotypes and their cardiovascular implications in obstructive sleep apnoea. Thorax. [Internet]. 2018 [citado: 3 Ago 2022]; 73(5):472-480. Disponible en: https://thorax.bmj.com/content/thoraxjnl/73/5/472.full.pdf

Cheng H, Li D. Investigation into the association between obstructive sleep apnea and incidence of all-type cancers: a systematic review and meta-analysis. Sleep Medicine. [Internet]. 2021 [citado: 8 Ago 2022]; 88: 274-81. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1389945721003105

Xiong H, Lao M, Wang L, Xu Y, Pei G, Lu B, et al. The Incidence of Cancer Is Increased in Hospitalized Adult Patients With Obstructive Sleep Apnea in China: A Retrospective Cohort Study. Front Oncol. [Internet]. 2022 [citado: Ago 2022];12:856121. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35433429/

Cabezas E, Pérez MT, Troncoso MF, Gómez T, Melchor R, Pinillos EJ, et al. Sleep Disordered Breathing Is Highly Prevalent in Patients with Lung Cancer: Results of the Sleep Apnea in Lung Cancer Study. Respiration. [Internet]. 2019 [citado: 8 Ago 2022];97(2):119-24. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30261487/

Pérez MT, Cabezas E, Troncoso MF, Gómez T, Melchor R, Pinillos EJ, et al. Sleep disordered breathing and nocturnal hypoxemia are very prevalent in a lung cancer screening population and may condition lung cancer screening findings: results of the prospective Sleep Apnea In Lung Cancer Screening (SAILS) study. Sleep Med. [Internet]. 2019 [citado: 3 Ago 2022];54:181-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1389945718308864?via%3Dihub

Seijo LM, Pérez MT, Giraldo LF, Oliveros H, Cabezas E, Troncoso MF, et al. Obstructive sleep apnea and nocturnal hypoxemia are associated with an increased risk of lung cancer. Sleep Med. [Internet]. 2019 [citado 12 Ago 2022];63:41-5. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1389945719301686?via%3Dihub

Cao Y, Ning P, Li Q, Wu S. Cancer and obstructive sleep apnea: An updated meta-analysis. Medicine. [Internet]. 2022 [citado: 12 Ago 2022];101(10):p e28930. Disponible en: https://journals.lww.com/md-journal/subjects/Oncology/Fulltext/2022/03110/Cancer_and_obstructive_sleep_apnea__An_updated.9.aspx

López D, Gallo V, Ojeda E, Terán J, López S. Síndrome de apnea e hipopnea del sueño y cáncer. Rev. patol. Respir. [Internet]. 2019 [citado: 12 Ago 2022];22(1):14-21. Disponible en: https://www.revistadepatologiarespiratoria.org/descargas/PR_22-1_14-21.pdf

Sun WL, Wang JL, Jia GH, Mi WJ, Liao YX, Huang YW, et al. Impact of obstructive sleep apnea on pulmonary hypertension in patients with chronic obstructive pulmonary disease. Chinese medical journal, [Internet]. 2019 [citado: 12 Ago 2022];132(11):1272-82. Disponible en: https://mednexus.org/doi/epdf/10.1097/CM9.0000000000000247

Hang P, Chen B, Lou H, Zhu Y, Chen P, Dong Z, et al. Predictors and outcomes of obstructive sleep apnea in patients with chronic obstructive pulmonary disease in China. BMC Pulm Med. [Internet]. 2022 [citado: 12 Ago 2022];22(1):16. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34983482/

Koppel CI, Galarza DP, Torracchi Carrasco AM,. Correlación entre la escala de hipersomnolencia de Epworth y el diagnóstico del síndrome de apnea obstructiva del sueño medido por poligrafía domiciliaria. Cuenca 2018-2020 [Tesis]. Ecuador: Universidad del Azuay; 2022 [citado: 12 Ago 2022]. Disponible en: https://dspace.uazuay.edu.ec/bitstream/datos/11943/1/17470.pdf

Mira MD, Maimó A, Hajic EL, Aguilar JL, Tejada S. Adaptación transcultural y validación del cuestionario STOP-bang del inglés al español como herramienta de detección precoz del síndrome de apnea del sueño en el paciente quirúrgico y en la población general. Internet]. 2022 [citado: de Ago 2022];69(7):393-401. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0034935621002176

Borsini E, Blanco M, Bosio M, Schrappe, M, Ernst G, Nosetto, D, et al. Prevalence of sleep apnea and cardiovascular risk factors in patients with hypertension in a day hospital model. Clin Exp Hypertens. [Internet]. 2018 [citado: 12 Ago 2022];40(3):231-7. Disponible en: https://www.tandfonline.com/doi/full/10.1080/10641963.2017.1356841?scroll=top&needAccess=true

Arreaga CE, Valdivieso GDC, Cobos MF, Tumbaco GB. Síndrome de apnea del sueño en pediatría. RECIMUNDO. [Internet]. 2019 [citado: 12 Ago 2022];3(3):201-23. Disponible en: https://recimundo.com/index.php/es/article/view/518

Published

2023-12-27

How to Cite

1.
Hernandez Rodriguez J. Some Epidemiological and Clinical Elements Useful for Understanding Obstructive Sleep Apnea. Medimay [Internet]. 2023 Dec. 27 [cited 2024 Oct. 16];30(4):481-9. Available from: https://medimay.sld.cu/index.php/rcmh/article/view/2309

Issue

Section

REVIEW ARTICLES

Most read articles by the same author(s)