Prevalence and risk factors for obstructive sleep apnea in a multiethnic population of patients presenting for bariatric surgery in Singapore

Sleep Medicine

Volumn 10, Issue 2, 2009, Pages 226-232

  Lee, Yeow Hian ^a   Johan, Azman ^a   Wong, Keith Keat Huat ^b,c   Edwards, Natalie ^d   Sullivan, Colin ^d  

^a ALEXANDRA HOSPITAL   (Singapore)

^b WOOLCOCK INSTITUTE OF MEDICAL RESEARCH   (Australia)

^c ROYAL PRINCE ALFRED HOSPITAL   (Australia)

^d UNIVERSITY OF SYDNEY   (Australia)

Author keywords

Bariatric surgery; Body mass index; Morbid obesity; Neck circumference; Obstructive sleep apnea; Race

Indexed keywords

2,4 THIAZOLIDINEDIONE DERIVATIVE; ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT; FIBRIC ACID DERIVATIVE; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; INSULIN; METFORMIN; SULFONYLUREA;

ADULT; AGE; ANTHROPOMETRY; APNEA; ARTICLE; BANGLADESH; BARIATRIC SURGERY; BODY MASS; CAUCASIAN; CHINESE; COMORBIDITY; CONTROLLED STUDY; DEMOGRAPHY; DIABETES MELLITUS; DISEASE SEVERITY; EPWORTH SLEEPINESS SCALE; ETHNIC DIFFERENCE; FEMALE; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; INDIAN; MAJOR CLINICAL STUDY; MALAYSIA; MALE; MIDDLE EAST; OBESITY; POLYSOMNOGRAPHY; PREDICTION; PREOPERATIVE EVALUATION; PREVALENCE; PRIORITY JOURNAL; QUESTIONNAIRE; RACE DIFFERENCE; RISK FACTOR; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; SINGAPORE; SLEEP APNEA SYNDROME; SNORING;

ADOLESCENT; ADULT; BARIATRIC SURGERY; CHINA; COHORT STUDIES; ETHNIC GROUPS; FEMALE; HUMANS; INDIA; MALAYSIA; MALE; MIDDLE AGED; OBESITY, MORBID; PREVALENCE; RISK FACTORS; SINGAPORE; SLEEP APNEA, OBSTRUCTIVE; YOUNG ADULT;

EID: 60849120768     PISSN: 13899457     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.sleep.2008.01.005     Document Type: Article

References (31)

1. Singapore MoH. Singapore National Health Survey 2004. Singapore: Epidemiology and Disease Control Division, Ministry of Health, Singapore; 2005.
2. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363(9403):157-163.
3. Young T., Palta M., Dempsey J., Skatrud J., Weber S., and Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328 17 (1993) 1230-1235
4. Peppard P.E., Young T., Palta M., Dempsey J., and Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 284 23 (2000) 3015-3021
5. Hubbard V.S., and Hall W.H. Gastrointestinal surgery for severe obesity. Obes Surg 1 3 (1991) 257-265
6. Saltzman E., Anderson W., Apovian C.M., Boulton H., Chamberlain A., Cullum-Dugan D., et al. Criteria for patient selection and multidisciplinary evaluation and treatment of the weight loss surgery patient. Obes Res 13 2 (2005) 234-243
7. Schumann R., Jones S.B., Ortiz V.E., Connor K., Pulai I., Ozawa E.T., et al. Best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery. Obes Res 13 2 (2005) 254-266
8. Rajala R., Partinen M., Sane T., Pelkonen R., Huikuri K., and Seppalainen A.M. Obstructive sleep apnoea syndrome in morbidly obese patients. J Intern Med 230 2 (1991) 125-129
9. Valencia-Flores M., Orea A., Castano V.A., Resendiz M., Rosales M., Rebollar V., et al. Prevalence of sleep apnea and electrocardiographic disturbances in morbidly obese patients. Obes Res 8 3 (2000) 262-269
10. Dixon J.B., Schachter L.M., and O'Brien P.E. Predicting sleep apnea and excessive day sleepiness in the severely obese: indicators for polysomnography. Chest 123 4 (2003) 1134-1141
11. Leng P.H., Low S.Y., Hsu A., and Chong S.F. The clinical predictors of sleepiness correlated with the multiple sleep latency test in an Asian Singapore population. Sleep 26 7 (2003) 878-881
12. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22(5):667-689.
13. O'Keeffe T., and Patterson E.J. Evidence supporting routine polysomnography before bariatric surgery. Obes Surg 14 1 (2004) 23-26
14. Frey W.C., and Pilcher J. Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery. Obes Surg 13 5 (2003) 676-683
15. Loadsman J.A., and Hillman D.R. Anaesthesia and sleep apnoea. Br J Anaesth 86 2 (2001) 254-266
16. Benumof J.L. Obstructive sleep apnea in the adult obese patient: implications for airway management. Anesthesiol Clin North America 20 4 (2002) 789-811
17. Huerta S., DeShields S., Shpiner R., Li Z., Liu C., Sawicki M., et al. Safety and efficacy of postoperative continuous positive airway pressure to prevent pulmonary complications after Roux-en-Y gastric bypass. J Gastrointest Surg 6 3 (2002) 354-358
18. Gupta R.M., Parvizi J., Hanssen A.D., and Gay P.C. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study. Mayo Clin Proc 76 9 (2001) 897-905
19. Meoli A.L., Rosen C.L., Kristo D., Kohrman M., Gooneratne N., Aguillard R.N., et al. Upper airway management of the adult patient with obstructive sleep apnea in the perioperative period-avoiding complications. Sleep 26 8 (2003) 1060-1065
20. Kaw R., Michota F., Jaffer A., Ghamande S., Auckley D., and Golish J. Unrecognized sleep apnea in the surgical patient: implications for the perioperative setting. Chest 129 1 (2006) 198-205
21. Katz I., Stradling J., Slutsky A.S., Zamel N., and Hoffstein V. Do patients with obstructive sleep apnea have thick necks?. Am Rev Respir Dis 141 5 Pt 1 (1990) 1228-1231
22. Davies R.J., Ali N.J., and Stradling J.R. Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome. Thorax 47 2 (1992) 101-105
23. Horner R.L., Mohiaddin R.H., Lowell D.G., Shea S.A., Burman E.D., Longmore D.B., et al. Sites and sizes of fat deposits around the pharynx in obese patients with obstructive sleep apnoea and weight matched controls. Eur Respir J 2 7 (1989) 613-622
24. Leiter J.C. Upper airway shape: is it important in the pathogenesis of obstructive sleep apnea?. Am J Respir Crit Care Med 153 3 (1996) 894-898
25. Ministry of Trade and Industry S. General Household Survey 2005. Singapore: Department of Statistics; 2006.
26. Ng T.P., Seow A., and Tan W.C. Prevalence of snoring and sleep breathing-related disorders in Chinese, Malay and Indian adults in Singapore. Eur Respir J 12 1 (1998) 198-203
27. Khoo S.M., Tan W.C., Ng T.P., and Ho C.H. Risk factors associated with habitual snoring and sleep-disordered breathing in a multi-ethnic Asian population: a population-based study. Respir Med 98 6 (2004) 557-566
28. Ip M.S., Lam B., Tang L.C., Lauder I.J., Ip T.Y., and Lam W.K. A community study of sleep-disordered breathing in middle-aged Chinese women in Hong Kong: prevalence and gender differences. Chest 125 1 (2004) 127-134
29. Li K.K., Powell N.B., Kushida C., Riley R.W., Adornato B., and Guilleminault C. A comparison of Asian and white patients with obstructive sleep apnea syndrome. Laryngoscope 109 12 (1999) 1937-1940
30. Li K.K., Kushida C., Powell N.B., Riley R.W., and Guilleminault C. Obstructive sleep apnea syndrome: a comparison between Far-East Asian and white men. Laryngoscope 110 10 Pt 1 (2000) 1689-1693
31. Lam B., Ooi C.G., Peh W.C., Lauder I., Tsang K.W., Lam W.K., et al. Computed tomographic evaluation of the role of craniofacial and upper airway morphology in obstructive sleep apnea in Chinese. Respir Med 98 4 (2004) 301-307