Mirnova E Ceïde1, Natasha J Williams2, Azizi Seixas2, Samantha K Longman-Mills3, Girardin Jean-Louis2. 1. a Montefiore Medical Center , Department of Psychiatry and Behavioral Science , Bronx , NY 10467 , USA ; 2. b Center for Healthful Behavior Change (CHBC), Division of Health and Behavior, Department of Population Health , New York University Medical Center , New York , NY 10016 , USA ; 3. c Department of Community Health and Psychiatry , The University of the West Indies , Mona , Jamaica.
Abstract
INTRODUCTION: This study assessed associations of depression and anxiety with risk of obstructive sleep apnea (OSA) among non-Hispanic blacks in the Metabolic Syndrome Outcome (MetSO) study. METHOD: A total of 1,035 patients participated. ARES™ score ≥6 defined high OSA risk. Moderate depression was defined by a CES-D score ≥16. Moderate anxiety was measured by a BAI score ≥16. RESULTS: The mean age was 62 ± 14 years; 70% were female. A total of 93% were diagnosed with hypertension; 61%, diabetes; and 72%, dyslipidemia; 90% were overweight/obese; 33% had a history of heart disease; and 10% had a stroke. Logistic regression analysis, adjusting for age and gender, showed that patients with depression had nearly two-fold increased odds of being at risk for OSA (OR 1.75, 95% CI 1.02-2.98, p < 0.05). Patients with anxiety had three-fold increased odds of being at risk for OSA (OR 3.30, 95% CI 2.11-5.15, p < 0.01). After adjusting for marital status and income, patients with anxiety had a 6% increase in OSA risk (OR 1.06, 95% CI 1.04-1.09, p < 0.05), but depression was no longer significant. CONCLUSION: Our results suggest that non-Hispanic blacks with metabolic syndrome who experience anxiety and/or depression should be screened for OSA.
INTRODUCTION: This study assessed associations of depression and anxiety with risk of obstructive sleep apnea (OSA) among non-Hispanic blacks in the Metabolic Syndrome Outcome (MetSO) study. METHOD: A total of 1,035 patients participated. ARES™ score ≥6 defined high OSA risk. Moderate depression was defined by a CES-D score ≥16. Moderate anxiety was measured by a BAI score ≥16. RESULTS: The mean age was 62 ± 14 years; 70% were female. A total of 93% were diagnosed with hypertension; 61%, diabetes; and 72%, dyslipidemia; 90% were overweight/obese; 33% had a history of heart disease; and 10% had a stroke. Logistic regression analysis, adjusting for age and gender, showed that patients with depression had nearly two-fold increased odds of being at risk for OSA (OR 1.75, 95% CI 1.02-2.98, p < 0.05). Patients with anxiety had three-fold increased odds of being at risk for OSA (OR 3.30, 95% CI 2.11-5.15, p < 0.01). After adjusting for marital status and income, patients with anxiety had a 6% increase in OSA risk (OR 1.06, 95% CI 1.04-1.09, p < 0.05), but depression was no longer significant. CONCLUSION: Our results suggest that non-Hispanic blacks with metabolic syndrome who experience anxiety and/or depression should be screened for OSA.
Entities:
Keywords:
Metabolic syndrome; non-Hispanic blacks; obstructive sleep apnea; psychological health
Authors: Soili Marianne Lehto; Johanna Sahlman; Erkki Jaakko Soini; Helena Gylling; Esko Vanninen; Juha Seppä; Heimo Viinamäki; Henri Tuomilehto Journal: Clin Respir J Date: 2013-04 Impact factor: 2.570
Authors: Azizi A Seixas; Emmanuella Auguste; Mark Butler; Caryl James; Valerie Newsome; Evan Auguste; Vilma Aparecida da Silva Fonseca; Andres Schneeberger; Ferdinand Zizi; Girardin Jean-Louis Journal: Sleep Health Date: 2016-12-13