Volume 16 Issue 4 August 2007Original Research
Prevalence of sleep-related symptoms in a primary care population – their relation to asthma and COPD
Pages 222-228
Foteini Karachalioua, *Konstantinos Kostikasb, Chaido Pastakab, Vassilios Bagiatisc, Konstantinos I Gourgoulianisd
a
Resident in Primary Health Care, University Hospital of Larissa, Greece
b
Consultant Physician, Respiratory Medicine Department, University of Thessaly Medical School, Larissa, Greece
c
Lecturer, Department of Biochemistry and Biotechnology, University of Thessaly, Greece
d
Professor of Respiratory Medicine, University of Thessaly Medical School, Greece
Received 4 October 2006 • Accepted 22 March 2007 • Online 8 August 2007
Abstract
AIMS: The aim of this study was to clarify the association between obstructive sleep apnoea/hypopnoea syndrome (OSAHS)-related symptoms and physician-diagnosed asthma and COPD. METHODS: 1501 subjects aged 19-90 years completed a structured questionnaire and underwent spirometry and respiratory physician assessment in 10 primary care centres. RESULTS: Frequent snoring was reported in 45.6%, breathing pauses during sleep in 11.0%, and excessive daytime sleepiness in 6.7% of the sample. COPD patients were more likely to report frequent snoring (OR=1.34; 95% CI:1.04-1.71), breathing pauses (OR=1.46; 95% CI:1.01-2.10), and excessive daytime sleepiness (OR=2.04; 95% CI:1.33-3.14). In contrast, there was no significant association between asthma patients and OSAHS-related symptoms. Gender differences were recognised as well. CONCLUSIONS: The increased likelihood for OSAHS-related symptoms in COPD patients, in contrast to patients with asthma, designates them as a target group for the screening of OSAHS in primary care.
Keywords
Obstructive sleep apnoea/hypopnoea syndrome, asthma, chronic obstructive pulmonary disease, snoring, sleepiness
* Corresponding author. Konstantinos Kostikas Tel: +30-6944780616 Email: ktk@otenet.gr | |
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