Sex differences in obstructive sleep apnoea in an elderly French population

European Respiratory Journal

Volumn 37, Issue 5, 2011, Pages 1137-1143

  Sforza, E ^a,b   Chouchou, F ^a,b   Collet, P ^c   Pichot, V ^a,b   Barthelemy J C ^a,b   Roche, F ^a,b  

^a HÔPITAL NORD   (France)

^b UNIVERSITÉ JEAN MONNET   (France)

^c UNIVERSITY HOSPITAL OF SAINT ETIENNE   (France)

Author keywords

Elderly; Hypertension; Obesity; Sex; Sleep apnoea; Symptoms

Indexed keywords

AGE DISTRIBUTION; AGED; ANXIETY; APNEA HYPOPNEA INDEX; ARTICLE; BODY FAT DISTRIBUTION; BODY MASS; CONTROLLED STUDY; CORRELATIONAL STUDY; DEPRESSION; DIABETES MELLITUS; DUAL ENERGY X RAY ABSORPTIOMETRY; FEMALE; FRANCE; GERIATRIC PATIENT; HUMAN; HYPERTENSION; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MULTICHANNEL RECORDER; POPULATION RESEARCH; PRIORITY JOURNAL; RISK ASSESSMENT; SEX DIFFERENCE; SLEEP APNEA SYNDROME; SMOKING;

AGED; ANOXIA; ANXIETY; BODY MASS INDEX; DEPRESSION; DIABETES MELLITUS; FEMALE; FRANCE; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; OBESITY; PREVALENCE; SEVERITY OF ILLNESS INDEX; SEX FACTORS; SLEEP APNEA, OBSTRUCTIVE; SMOKING;

EID: 79955645257     PISSN: 09031936     EISSN: 13993003     Source Type: Journal    
DOI: 10.1183/09031936.00043210     Document Type: Article

References (40)

1. Jennum P, Riha RL. Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing. Eur Respir J 2009; 33: 907-914.
2. Kezirian EJ, Harrison SL, Ancoli-Israel S, et al. Behavioral correlates of sleep-disordered breathing in older women. Sleep 2007; 30: 1181-1188. (Pubitemid 47378961)
3. Mehra R, Stone KL, Blackwell T, et al. Prevalence and correlates of sleep-disordered breathing in older men: Osteoporotic Fractures in Men Sleep Study. J Am Geriatr Soc 2007; 55: 1356-1364. (Pubitemid 47329230)
4. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002; 165: 1217-1239. (Pubitemid 34461732)
5. Dancey DR, Hanly PJ, Soong C, et al. Gender differences in sleep apnea. Chest 2003; 123: 1544-1550.
6. Millman RP, Carlisle CC, McGarvey ST, et al. Body fat distribution and sleep apnea severity in women. Chest 1995; 107: 362-366.
7. Pillar G, Malhotra A, Fogel R, et al. Airway mechanics and ventilation in response to resistive loading during sleep: influence of gender. Am J Respir Crit Care Med 2000; 162: 1627-1632.
8. Schellenberg JB, Maislin G, Schwab RJ. Physical findings and the risk for obstructive sleep apnea. The importance of oropharyngeal structures. Am J Respir Crit Care Med 2000; 162: 740-748. (Pubitemid 30647227)
9. Dancey DR, Hanly PJ, Soong C, et al. Impact of menopause on the prevalence and severity of sleep apnea. Chest 2001; 120: 151-155. (Pubitemid 32744872)
10. Tishler PV, Larkin EK, Schluchter MD, et al. Incidence of sleep-disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. JAMA 2003; 289: 2230-2237. (Pubitemid 37430191)
11. Bixler EO, Vgontzas AN, Lin HM, et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med 2001; 163: 608-613. (Pubitemid 32230817)
12. Young T, Hutton R, Finn L, et al. The gender bias in sleep apnea diagnosis. Are women missed because they have different symptoms? Arch Intern Med 1996; 156: 2445-2551.
13. O'Connor C, Thornley KS, Hanly PJ. Gender differences in the polysomnographic features of obstructive sleep apnea. Am J Respir Crit Care Med 2000; 161: 1465-1472. (Pubitemid 30329013)
14. Hedner J, Bengtsson-Bostrom K, Peker Y, et al. Hypertension prevalence in obstructive sleep apnoea and sex: a population-based case-control study. Eur Respir J 2006; 27: 564-570. (Pubitemid 43372531)
15. Jordan AS, McEvoy RD. Gender differences in sleep apnea: epidemiology, clinical presentation and pathogenic mechanisms. Sleep Med Rev 2003; 7: 377-389. (Pubitemid 37221982)
16. Yukawa K, Inoue Y, Yagyu H, et al. Gender differences in the clinical characteristics among Japanese patients with obstructive sleep apnea syndrome. Chest 2009; 135: 337-343.
17. Young T. Sleep-disordered breathing in older adults: is it a condition distinct from that in middle-aged adults? Sleep 1996; 19: 529-530.
18. Ancoli-Israel S, Coy T. Are breathing disturbances in elderly equivalent to sleep apnea syndrome? Sleep 1994; 17: 77-83.
19. Greenberg-Dotan S, Reuveni H, Simon-Tuval T, et al. Gender differences in morbidity and health care utilization among adult obstructive sleep apnea patients. Sleep 2007; 30: 1173-1180. (Pubitemid 47378960)
20. Lin CM, Davidson TM, Ancoli-Israel S. Gender differences in obstructive sleep apnea and treatment implications. Sleep Med Rev 2008; 12: 481-496.
21. Barthélémy JC, Pichot V, Dauphinot V, et al. Autonomic nervous system activity and decline as prognostic indicators of cardiovascular and cerebrovascular events: the PROOF study. Study design and population sample. Associations with sleep-related breathing disorders: the 'SYNAPSE' study. Neuroepidemiology 2007; 29: 18-28.
22. Salamone LM, Fuerst T, Visser M, et al. Measurement of fat mass using DEXA: a validation study in elderly adults. J Appl Physiol 2000; 89: 345-352. (Pubitemid 30482598)
23. Pichot P, Brun JP. Brief self-evaluation questionnaire for depressive, asthenic and anxious dimensions. Ann Med Psychol 1984; 142: 862-865.
24. Goldberg D, Bridges K, Duncan-Jones P, et al. Detecting anxiety and depression in general medical settings. BMJ 1988; 297: 897-899.
25. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14: 540-545.
26. Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999; 131: 485-491. (Pubitemid 29482391)
27. Collop NA, Anderson WM, Boehlecke B, et al. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. J Clin Sleep Med 2007; 3: 737-747. (Pubitemid 351204505)
28. Pitson DJ, Stradling JR. Autonomic markers of arousal during sleep in patients undergoing investigation for obstructive sleep apnoea: their relationship to EEG arousals, respiratory events and subjective sleepiness. J Sleep Res 1998; 7: 53-59. (Pubitemid 28227313)
29. Mant A, Saunders NA, Eyland EA, et al. Sleep habits and sleep related respiratory disturbance in an older population. In: Horne J, ed. Sleep '88. Stuttgart, Gustav Fischer Verlag, 1989; pp. 260-261.
30. Ye L, Pien GW, Weaver TE. Gender differences in the clinical manifestation of obstructive sleep apnea. Sleep Med 2009; 10: 1075-1084.
31. Tarasiuk A, Greenberg-Dotan S, Simon-Tuval T, et al. The effect of obstructive sleep apnoea on morbidity and health care utilization of middle-aged and older adults. J Am Geriatr Soc 2008; 56: 247-254. (Pubitemid 351160693)
32. Ray AD, Ogasa T, Magalang UJ, et al. Aging increases upper airways collapsibility in Fisher 344 rats. J Appl Physiol 2008; 105: 1471-1476.
33. Eikermann M, Jordan AS, Chamberlin NL, et al. The influence of aging on pharyngeal collapsibility during sleep. Chest 2007; 131: 1702-1709. (Pubitemid 46981623)
34. Nieto FJ, Young TB, Lind BK, et al. Association of sleep disordered breathing, sleep apnea, and hypertension in a large community-based study. JAMA 2000; 283: 1829-1836. (Pubitemid 30207619)
35. Laaban JP, Mounier L, Roque d'Orbcastel O, et al. Cardiovascular risk factors in men and women with obstructive sleep apnoea syndrome. Respir Med 2010; 104: 1063-1068.
36. Faulx MD, Larkin EK, Hoit BD, et al. Sex influences endothelial function in sleep-disordered breathing. Sleep 2004; 27: 1113-1120. (Pubitemid 39331083)
37. Drager LF, Pereira AC, Barreto-Filho JA, et al. Phenotypic characteristics associated with hypertension in patients with obstructive sleep apnea. J Hum Hypertens 2006; 20: 523-528. (Pubitemid 43923123)
38. Mohsenin V, Yaggi HK, Shah N, et al. The effect of gender on the prevalence of hypertension in obstructive sleep apnea. Sleep Med 2009; 10: 759-762.
39. Launois SH, Pepin JL, Levy P. Sleep apnea in the elderly: a specific entity? Sleep Med Rev 2007; 11: 87-97.
40. Johansson P, Alehagen U, Svanborg E, et al. Sleep disordered breathing in an elderly community-living population: relationship to cardiac function, insomnia symptoms and daytime sleepiness. Sleep Med 2009; 10: 1005-1011.