Prevalence of obstructive sleep apnea in the general population: A systematic review

Sleep Medicine Reviews

Volumn 34, Issue , 2017, Pages 70-81

  Senaratna, Chamara V ^a,b   Perret, Jennifer L ^a,c   Lodge, Caroline J ^a   Lowe, Adrian J ^a   Campbell, Brittany E ^a   Matheson, Melanie C ^a   Hamilton, Garun S ^d,e   Dharmage, Shyamali C ^a  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b UNIVERSITY OF SRI JAYEWARDENEPURA   (Sri Lanka)

^c INSTITUTE FOR BREATHING AND SLEEP   (Australia)

^d SOUTHERN HEALTH   (Australia)

^e MONASH UNIVERSITY   (Australia)

Author keywords

Age; Body mass index; Female; General population; Male; Obesity; Obstructive sleep apnea (OSA); Prevalence; Sex; Trends

Indexed keywords

ADULT DISEASE; AGE DISTRIBUTION; APNEA HYPOPNEA INDEX; BODY MASS; DATA BASE; DISEASE SEVERITY; HUMAN; OBESITY; OUTCOME ASSESSMENT; OXYGEN DESATURATION; POPULATION; POPULATION RESEARCH; PREVALENCE; RESPIRATORY DISTURBANCE INDEX; REVIEW; SEX DIFFERENCE; SLEEP DISORDERED BREATHING; SYSTEMATIC REVIEW; AGE; COMPLICATION; RISK FACTOR; SEX FACTOR;

AGE FACTORS; BODY MASS INDEX; HUMANS; OBESITY; PREVALENCE; RISK FACTORS; SEX FACTORS; SLEEP APNEA, OBSTRUCTIVE;

EID: 84994157839     PISSN: 10870792     EISSN: 15322955     Source Type: Journal    
DOI: 10.1016/j.smrv.2016.07.002     Document Type: Review

References (76)

1. Pretto, J.J., Gyulay, S.G., Hensley, M.J., Trends in anthropometry and severity of sleep-disordered breathing over two decades of diagnostic sleep studies in an Australian adult sleep laboratory. Med J Aust 193:4 (2010), 213–216.
2. Punjabi, N.M., Caffo, B.S., Goodwin, J.L., Gottlieb, D.J., Newman, A.B., O'Connor, G.T., et al. Sleep-disordered breathing and mortality: a prospective cohort study. Plos Med, 6(8), 2009, e1000132.
3. Park, J.G., Ramar, K., Olson, E.J., Updates on definition, consequences, and management of obstructive sleep apnea. Mayo Clin Proc 86:6 (2011), 549–555.
4. Mirrakhimov, A.E., Sooronbaev, T., Mirrakhimov, E.M., Prevalence of obstructive sleep apnea in Asian adults: a systematic review of the literature. BMC Pulm Med, 13, 2013, 10.
5. Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., Badr, S., The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328:17 (1993), 1230–1235.
6. Arnardottir, E.S., Bjornsdottir, E., Olafsdottir, K.A., Benediktsdottir, B., Gislason, T., Obstructive sleep apnoea in the general population: highly prevalent but minimal symptoms. Eur Respir J 47:1 (2016), 194–202.
7. Eastwood, P.R., Malhotra, A., Palmer, L.J., Kezirian, E.J., Horner, R.L., Ip, M.S., et al. Obstructive Sleep Apnoea: from pathogenesis to treatment: current controversies and future directions. Respirology 15:4 (2010), 587–595.
8. Kim, B., Lee, E.M., Chung, Y.S., Kim, W.S., Lee, S.A., The utility of three screening questionnaires for obstructive sleep apnea in a sleep clinic setting. Yonsei Med J 56:3 (2015), 684–690.
9. Abrishami, A., Khajehdehi, A., Chung, F., A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 57:5 (2010), 423–438.
10. AlGhanim, N., Comondore, V.R., Fleetham, J., Marra, C.A., Ayas, N.T., The economic impact of obstructive sleep apnea. Lung 186:1 (2008), 7–12.
11. Hillman, D.R., Murphy, A.S., Pezzullo, L., The economic cost of sleep disorders. Sleep 29:3 (2006), 299–305.
12. Heinzer, R., Vat, S., Marques-Vidal, P., Marti-Soler, H., Andries, D., Tobback, N., et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med 3:4 (2015), 310–318.
13. Wali, S.O., Alsharif, M.A., Albanji, M.H., Baabbad, M.S., Almotary, H.M., Alama, N., et al. Prevalence of obstructive sleep apnea among patients with coronary artery disease in Saudi Arabia. J Saudi Heart Assoc 27:4 (2015), 227–233.
14. Zhang, P., Zhang, R., Zhao, F., Heeley, E., Chai-Coetzer, C.L., Liu, J., et al. The prevalence and characteristics of obstructive sleep apnea in hospitalized patients with type 2 diabetes in China. J Sleep Res 25:1 (2015), 39–46.
15. Muxfeldt, E.S., Margallo, V.S., Guimaraes, G.M., Salles, G.F., Prevalence and associated factors of obstructive sleep apnea in patients with resistant hypertension. Am J Hypertens 27:8 (2014), 1069–1078.
16. Tufik, S., Santos-Silva, R., Taddei, J.A., Bittencourt, L.R.A., Obstructive sleep apnea syndrome in the Sao Paulo epidemiologic sleep study. Sleep Med 11:5 (2010), 441–446.
17. Young, T., Peppard, P.E., Taheri, S., Excess weight and sleep-disordered breathing. J Appl Physiol (1985) 99:4 (2005), 1592–1599.
18. Peppard, P.E., Young, T., Palta, M., Dempsey, J., Skatrud, J., Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 284:23 (2000), 3015–3021.
19. Twells, L.K., Gregory, D.M., Reddigan, J., Midodzi, W.K., Current and predicted prevalence of obesity in Canada: a trend analysis. CMAJ Open 2:1 (2014), E18–E26.
20. Drieskens, S., Van der Heyden, J., Demarest, S., Tafforeau, J., Is the different time trend (1997-2008) of the obesity prevalence among adults in the three Belgian regions associated with lifestyle changes?. Arch Public Health, 72(1), 2014, 18.
21. World Health Organization, Obesity: preventing and managing the global epidemic. 2000, World Health Organization, Geneva.
22. Zaninotto, P., Head, J., Stamatakis, E., Wardle, H., Mindell, J., Trends in obesity among adults in England from 1993 to 2004 by age and social class and projections of prevalence to 2012. J Epidemiol Community Health 63:2 (2009), 140–146.
23. Camara, A.D., Spijker, J.J., Super size Spain? A cross-sectional and quasi-cohort trend analysis of adult overweight and obesity in an accelerated transition country. J Biosoc Sci 42:3 (2010), 377–393.
24. 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 22:5 (1999), 667–689.
25. BaHammam, A.S., Obeidat, A., Barataman, K., Bahammam, S.A., Olaish, A.H., Sharif, M.M., A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea. Sleep Breath 18:4 (2014), 767–773.
26. Ruehland, W.R., Rochford, P.D., O'Donoghue, F.J., Pierce, R.J., Singh, P., Thornton, A.T., The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep 32:2 (2009), 150–157.
27. Franklin, K.A., Lindberg, E., Obstructive sleep apnea is a common disorder in the population—a review on the epidemiology of sleep apnea. J Thorac Dis 7:8 (2015), 1311–1322.
28. Peppard, P.E., Young, T., Barnet, J.H., Palta, M., Hagen, E.W., Hla, K.M., Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 177:9 (2013), 1006–1014.
29. Shah, D., Healthy worker effect phenomenon. Indian J Occup Environ Med 13:2 (2009), 77–79.
30. Loney, P.L., Chambers, L.W., Bennett, K.J., Roberts, J.G., Stratford, P.W., Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can 19:4 (1998), 170–176.
31. Sanderson, S., Tatt, I.D., Higgins, J.P., Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. Int J Epidemiol 36:3 (2007), 666–676.
32. Fejer, R., Kyvik, K.O., Hartvigsen, J., The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 15:6 (2006), 834–848.
33. King, S., Chambers, C.T., Huguet, A., MacNevin, R.C., McGrath, P.J., Parker, L., et al. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain 152:12 (2011), 2729–2738.
34. Woodbury, M.G., Houghton, P.E., Prevalence of pressure ulcers in Canadian healthcare settings. Ostomy Wound Manag 50 (2004), 22–39.
35. Pereira, D., Peleteiro, B., Araujo, J., Branco, J., Santos, R., Ramos, E., The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthr Cartil 19:11 (2011), 1270–1285.
36. Alhabib, S., Nur, U., Jones, R., Domestic violence against women: systematic review of prevalence studies. J Fam Violence 25:4 (2010), 369–382.
37. Shiota, S., Singh, S., Anshasi, A., El-Serag, H.B., Prevalence of Barrett's esophagus in Asian countries: a systematic review and meta-analysis. Clin Gastroenterol Hepatol 13:11 (2015), 1907–1918.
38. Knapik, J.J., Steelman, R.A., Hoedebecke, S.S., Austin, K.G., Farina, E.K., Lieberman, H.R., Prevalence of dietary supplement use by athletes: systematic review and meta-analysis. Sports Med 46:1 (2016), 103–123.
39. Davoren, M.P., Demant, J., Shiely, F., Perry, I.J., Alcohol consumption among university students in Ireland and the United Kingdom from 2002 to 2014: a systematic review. BMC Public Health, 16(1), 2016, 1.
40. Ancoli-Israel, S., Kripke, D.F., Mason, W., Characteristics of obstructive and central sleep apnea in the elderly: an interim report. Biol Psychiatry 22:6 (1987), 741–750.
41. Gislason, T., Almqvist, M., Eriksson, G., Taube, A., Boman, G., Prevalence of sleep apnea syndrome among Swedish men – an epidemiological study. J Clin Epidemiol 41:6 (1988), 571–576.
42. Neven, A.K., Middelkoop, H.A., Kemp, B., Kamphuisen, H.A., Springer, M.P., The prevalence of clinically significant sleep apnoea syndrome in The Netherlands. Thorax 53:8 (1998), 638–642.
43. Soriano, J.B., Yanez, A., Renom, F., de la Pena, M., Gomez, A., Duro, R., et al. Set-up and pilot of a population cohort for the study of the natural history of COPD and OSA: the PULSAIB study. Prim Care Respir J 19:2 (2010), 140–147.
44. Lee, S.D., Kang, S.H., Ju, G., Han, J.W., Kim, T.H., Lee, C.S., et al. The prevalence of and risk factors for sleep-disordered breathing in an elderly Korean population. Respiration 87:5 (2014), 372–378.
45. Pływaczewski, R., Bednarek, M., Jonczak, L., Zielinski, J., Sleep-disordered breathing in a middle-aged and older Polish urban population. J Sleep Res 17:1 (2008), 73–81.
46. Reddy, E.V., Kadhiravan, T., Mishra, H.K., Sreenivas, V., Handa, K.K., Sinha, S., et al. Prevalence and risk factors of obstructive sleep apnea among middle-aged urban Indians: a community-based study. Sleep Med 10:8 (2009), 913–918.
47. Cirignotta, F., Alessandro, R.D., Partinen, M., Zucconi, M., Cristina, E., Gerardi, R., et al. Prevalence of every night snoring and obstructive sleep apnoeas among 30-69-year-old men in Bologna, Italy. Acta Neurol Scand 79:5 (1989), 366–372.
48. Durán, J., Esnaola, S., Rubio, R., Iztueta, A., Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr. Am J Respir Crit Care Med 163:3 I (2001), 685–689.
49. Jennum, P., Sjøl, A., Epidemiology of snoring and obstructive sleep apnoea in a Danish population, age 30-60. J Sleep Res 1:4 (1992), 240–244.
50. Olson, L.G., King, M.T., Hensley, M.J., Saunders, N.A., A community study of snoring and sleep-disordered breathing: Prevalence. Am J Respir Crit Care Med 152:2 (1995), 711–716.
51. Ferini-Strambi, L., Zucconi, M., Castronovo, V., Garancini, P., Oldani, A., Smirne, S., Snoring and sleep apnea: a population study in Italian women. Sleep 22:7 (1999), 859–864.
52. Mehra, R., Stone, K.L., Blackwell, T., Ancoli Israel, S., Dam, T.T.L., Stefanick, M.L., et al. Prevalence and correlates of sleep-disordered breathing in older men: osteoporotic fractures in men sleep study. J Am Geriatr Soc 55:9 (2007), 1356–1364.
53. Sforza, E., Chouchou, F., Collet, P., Pichot, V., Barthelemy, J.C., Roche, F., Sex differences in obstructive sleep apnoea in an elderly French population. Eur Respir J 37:5 (2011), 1137–1143.
54. Marin, J.M., Gascon, J.M., Carrizo, S., Gispert, J., Prevalence of sleep apnoea syndrome in the Spanish adult population. Int J Epidemiol 26:2 (1997), 381–386.
55. Bixler, E.O., Vgontzas, A.N., Lin, H.M., Ten Have, T., Rein, J., Vela-Bueno, A., et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med 163:3 I (2001), 608–613.
56. Bixler, E.O., Vgontzas, A.N., Ten Have, T., Tyson, K., Kales, A., Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med 157:1 (1998), 144–148.
57. Redline, S., Sotres-Alvarez, D., Loredo, J., Hall, M., Patel, S.R., Ramos, A., et al. Sleep-disordered breathing in Hispanic/Latino individuals of diverse backgrounds: the Hispanic Community Health Study/Study of Latinos. Am J Respir Crit Care Med 189:3 (2014), 335–344.
58. Johansson, P., Alehagen, U., Svanborg, E., Dahlstrom, U., Brostrom, A., Sleep disordered breathing in an elderly community-living population: relationship to cardiac function, insomnia symptoms and daytime sleepiness. Sleep Med 10:9 (2009), 1005–1011.
59. Gislason, T., Benediktsdottir, B., Bjornsson, J.K., Kjartansson, G., Kjeld, M., Kristbjarnarson, H., Snoring, hypertension, and the sleep apnea syndrome: an epidemiologic survey of middle-aged women. Chest 103:4 (1993), 1147–1151.
60. Mihaere, K.M., Harris, R., Gander, P.H., Reid, P.M., Purdie, G., Robson, B., et al. Obstructive sleep apnea in new zealand adults: prevalence and risk factors among Maori and non-Maori. Sleep 32:7 (2009), 949–956.
61. Appleton, S.L., Vakulin, A., McEvoy, R.D., Vincent, A., Martin, S.A., Grant, J.F., et al. Undiagnosed obstructive sleep apnea is independently associated with reductions in quality of life in middle-aged, but not elderly men of a population cohort. Sleep Breath 19:4 (2015), 1309–1316.
62. Practice parameters for the indications for polysomnography and related procedures: Indications for polysomnography task force, American Sleep Disorders Association Standards of Practice Committee. Sleep 20:6 (1997), 406–422.
63. Ferber, R., Millman, R., Coppola, M., Fleetham, J., Murray, C.F., Iber, C., et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 17:4 (1994), 378–392.
64. Tkacova, R., McNicholas, W.T., Javorsky, M., Fietze, I., Sliwinski, P., Parati, G., et al. Nocturnal intermittent hypoxia predicts prevalent hypertension in the European Sleep Apnoea Database cohort study. Eur Respir J 44:4 (2014), 931–941.
65. Trzepizur, W., Le Vaillant, M., Meslier, N., Pigeanne, T., Masson, P., Humeau, M.P., et al. Independent association between nocturnal intermittent hypoxemia and metabolic dyslipidemia. Chest 143:6 (2013), 1584–1589.
66. Torrella, M., Castells, I., Gimenez-Perez, G., Recasens, A., Miquel, M., Simo, O., et al. Intermittent hypoxia is an independent marker of poorer glycaemic control in patients with uncontrolled type 2 diabetes. Diabetes Metab 41:4 (2015), 312–318.
67. Hla, K.M., Young, T.B., Bidwell, T., Palta, M., Skatrud, J.B., Dempsey, J., Sleep apnea and hypertension. A population-based study. Ann Intern Med 120:5 (1994), 382–388.
68. Gottlieb, D., Whitney, C., Bonekat, W., Iber, C., James, G., Lebowitz, M., et al. Relation of sleepiness to respiratory disturbance index. Am J Respir Crit Care Med 159:2 (1999), 502–507.
69. Quan, S.F., Howard, B.V., Iber, C., Kiley, J.P., Nieto, F.J., O'Connor, G.T., et al. The sleep Heart health study: design, rationale, and methods. Sleep 20:12 (1997), 1077–1085.
70. Strobel, R.J., Rosen, R.C., Obesity and weight loss in obstructive sleep apnea: a critical review. Sleep 19:2 (1996), 104–115.
71. Juni, M.H., Ageing population: a public health implications. Int J Pub Health Clin Sci, 2(3), 2015.
72. Lee, W., Nagubadi, S., Kryger, M.H., Mokhlesi, B., Epidemiology of obstructive sleep apnea: a population-based perspective. Expert Rev Respir Med 2:3 (2008), 349–364.
73. Koyama, R.G., Esteves, A.M., Oliveira e Silva, L., Lira, F.S., Bittencourt, L.R., Tufik, S., et al. Prevalence of and risk factors for obstructive sleep apnea syndrome in Brazilian railroad workers. Sleep Med 13:8 (2012), 1028–1032.
74. Moreno, C.R., Carvalho, F.A., Lorenzi, C., Matuzaki, L.S., Prezotti, S., Bighetti, P., et al. High risk for obstructive sleep apnea in truck drivers estimated by the Berlin questionnaire: prevalence and associated factors. Chronobiol Int 21:6 (2004), 871–879.
75. Viegas, C.A., de Oliveira, H.W., Prevalence of risk factors for obstructive sleep apnea syndrome in interstate bus drivers. J Bras Pneumol 32:2 (2006), 144–149.
76. Schwartz, N.G., Rattner, A., Schwartz, A.R., Mokhlesi, B., Gilman, R.H., Bernabe-Ortiz, A., et al. Sleep disordered breathing in four resource-limited settings in Peru: prevalence, risk factors, and association with chronic diseases. Sleep 38:9 (2015), 1451–1459.