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.
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: Anders Broström; Ola Sunnergren; Kristofer Årestedt; Peter Johansson; Martin Ulander; Barbara Riegel; Eva Svanborg Journal: Scand J Prim Health Care Date: 2012-06 Impact factor: 2.581
Authors: Laila Simpson; David R Hillman; Matthew N Cooper; Kim L Ward; Michael Hunter; Stewart Cullen; Alan James; Lyle J Palmer; Sutapa Mukherjee; Peter Eastwood Journal: Sleep Breath Date: 2012-11-16 Impact factor: 2.816
Authors: Nalaka S Gooneratne; Philip R Gehrman; J Emeka Nkwuo; Scarlett L Bellamy; Sharon Schutte-Rodin; David F Dinges; Allan I Pack Journal: Arch Intern Med Date: 2006-09-18
Authors: Megan R Crawford; Diana A Chirinos; Toni Iurcotta; Jack D Edinger; James K Wyatt; Rachel Manber; Jason C Ong Journal: J Clin Sleep Med Date: 2017-07-15 Impact factor: 4.062
Authors: Cathy A Alessi; Constance H Fung; Joseph M Dzierzewski; Lavinia Fiorentino; Carl Stepnowsky; Juan C Rodriguez Tapia; Yeonsu Song; Michelle R Zeidler; Karen Josephson; Michael N Mitchell; Stella Jouldjian; Jennifer L Martin Journal: Sleep Date: 2021-04-09 Impact factor: 5.849
Authors: Constance H Fung; Jennifer L Martin; Karen Josephson; Lavinia Fiorentino; Joseph M Dzierzewski; Stella Jouldjian; Juan Carlos Rodriguez Tapia; Michael N Mitchell; Cathy Alessi Journal: Psychosom Med Date: 2016-06 Impact factor: 4.312
Authors: Melannie Alexander; Meredith A Ray; James R Hébert; Shawn D Youngstedt; Hongmei Zhang; Susan E Steck; Richard K Bogan; James B Burch Journal: Sleep Date: 2016-07-01 Impact factor: 5.849
Authors: Brian B Koo; Christine Won; Bernardo J Selim; Li Qin; Sangchoon Jeon; Nancy S Redeker; Dawn M Bravata; Kingman P Strohl; John Concato; Andrey V Zinchuk; Henry K Yaggi Journal: Sleep Breath Date: 2015-12-07 Impact factor: 2.816
Authors: Michelle B Rissling; Kristen E Gray; Christi S Ulmer; Jennifer L Martin; Oleg Zaslavsky; Shelly L Gray; Lauren Hale; Jamie M Zeitzer; Michelle Naughton; Nancy F Woods; Andrea LaCroix; Patrick S Calhoun; Marcia Stefanick; Julie C Weitlauf Journal: Gerontologist Date: 2016-02
Authors: Peter J Colvonen; Erin Almklov; Jessica C Tripp; Christi S Ulmer; James O E Pittman; Niloofar Afari Journal: Sleep Date: 2020-12-14 Impact factor: 5.849