Navneet Iqbal1, Lisa M Kinoshita2, Art Noda1, Leah Friedman3, Jerome A Yesavage3, Jamie M Zeitzer4. 1. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA. 2. Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA. 3. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA. 4. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA. Electronic address: jzeitzer@stanford.edu.
Abstract
OBJECTIVE: To determine the point prevalence of sleep disordered breathing (SDB) in a community-based sample of older male veterans and to determine if common markers of SDB apply to this population. METHODS: Two hundred fourteen older male Veterans (age 55-89 years) were recruited for a study on post-traumatic stress disorder and cognitive decline. Questionnaires concerning anthropomorphic and psychological variables were obtained, as was an overnight polysomnographic examination of sleep. RESULTS: Only 13% of the participants lacked clinically meaningful SDB, whereas 33% had moderate SDB and 54% had severe SDB. Being overweight, self-reported snoring, and excessive daytime sleepiness all had good sensitivity (0.86-0.92) but very poor specificity (0.10-0.28) for the prediction of SDB. CONCLUSIONS: Undiagnosed SDB was more than threefold higher than expected in these community-dwelling older veterans. Traditional markers of SDB were not specific for predicting clinically relevant SDB. Published by Elsevier Inc.
OBJECTIVE: To determine the point prevalence of sleep disordered breathing (SDB) in a community-based sample of older male veterans and to determine if common markers of SDB apply to this population. METHODS: Two hundred fourteen older male Veterans (age 55-89 years) were recruited for a study on post-traumatic stress disorder and cognitive decline. Questionnaires concerning anthropomorphic and psychological variables were obtained, as was an overnight polysomnographic examination of sleep. RESULTS: Only 13% of the participants lacked clinically meaningful SDB, whereas 33% had moderate SDB and 54% had severe SDB. Being overweight, self-reported snoring, and excessive daytime sleepiness all had good sensitivity (0.86-0.92) but very poor specificity (0.10-0.28) for the prediction of SDB. CONCLUSIONS: Undiagnosed SDB was more than threefold higher than expected in these community-dwelling older veterans. Traditional markers of SDB were not specific for predicting clinically relevant SDB. Published by Elsevier Inc.
Authors: Stephanie Alison Ward; Elsdon Storey; Robyn L Woods; Garun S Hamilton; Ryo Kawasaki; Andrew L Janke; Matthew T Naughton; Fergal O'Donoghue; Rory Wolfe; Tien Y Wong; Christopher M Reid; Walter P Abhayaratna; Nigel Stocks; Ruth Trevaks; Sharyn Fitzgerald; Lauren A B Hodgson; Liubov Robman; Barbara Workman; John J McNeil Journal: Contemp Clin Trials Date: 2017-10-31 Impact factor: 2.226