Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya

Abstract Introduction Obstructive sleep apnea (OSA) is a type of breathing problem during sleep caused by the blockage of the upper airway, which can cause cessation of airflow. There is limited research on the prevalence of OSA in hypertensive patients in sub-Saharan Africa (SSA). The study aimed t...

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Main Authors: Salim Abdallah Salim, Jasmit Shah, Jumaa Bwika, Sayed K. Ali
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-023-02616-z
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author Salim Abdallah Salim
Jasmit Shah
Jumaa Bwika
Sayed K. Ali
author_facet Salim Abdallah Salim
Jasmit Shah
Jumaa Bwika
Sayed K. Ali
author_sort Salim Abdallah Salim
collection DOAJ
description Abstract Introduction Obstructive sleep apnea (OSA) is a type of breathing problem during sleep caused by the blockage of the upper airway, which can cause cessation of airflow. There is limited research on the prevalence of OSA in hypertensive patients in sub-Saharan Africa (SSA). The study aimed to describe the prevalence and clinical characteristics of OSA among hypertensive patients at a tertiary hospital in Nairobi, Kenya. Methods This cross-sectional study was conducted at the Aga Khan University Hospital in Nairobi, Kenya. Two hundred and fifty-one hypertensive patients were screened for OSA risk using the STOP-Bang questionnaire (SBQ). Patients with a SBQ score of ≥ 4 were categorized as high risk for OSA. Descriptive statistics were employed to describe both categorical and continuous variables and binary logistic regression to assess factors associated with the high risk of OSA. Results The study reported that 78.5% of the participants had high-risk OSA. The median age and body mass index (BMI) were 57.0 years (IQR: 50.0–64.0) and 28.3 kg/m2, respectively. Age, neck circumference, gender, and BMI were significantly higher in the high-risk OSA group as compared to the low-risk group. Conclusion The study highlights the importance of screening hypertensive patients for OSA using the SBQ in clinical settings, particularly in low-and middle-income countries (LMICs). Healthcare providers can use patient characteristics such as age, gender, neck circumference, and BMI to identify those at greater risk of developing OSA. Further research could focus on developing effective OSA prevention and treatment interventions in hypertensive patients.
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spelling doaj.art-97486afd5f144b87a8d00d8119a763e52023-11-26T12:13:22ZengBMCBMC Pulmonary Medicine1471-24662023-09-012311910.1186/s12890-023-02616-zStop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in KenyaSalim Abdallah Salim0Jasmit Shah1Jumaa Bwika2Sayed K. Ali3Department of Medicine, Aga Khan UniversityDepartment of Medicine, Aga Khan UniversityDepartment of Medicine, Aga Khan UniversityDepartment of Medicine, Aga Khan UniversityAbstract Introduction Obstructive sleep apnea (OSA) is a type of breathing problem during sleep caused by the blockage of the upper airway, which can cause cessation of airflow. There is limited research on the prevalence of OSA in hypertensive patients in sub-Saharan Africa (SSA). The study aimed to describe the prevalence and clinical characteristics of OSA among hypertensive patients at a tertiary hospital in Nairobi, Kenya. Methods This cross-sectional study was conducted at the Aga Khan University Hospital in Nairobi, Kenya. Two hundred and fifty-one hypertensive patients were screened for OSA risk using the STOP-Bang questionnaire (SBQ). Patients with a SBQ score of ≥ 4 were categorized as high risk for OSA. Descriptive statistics were employed to describe both categorical and continuous variables and binary logistic regression to assess factors associated with the high risk of OSA. Results The study reported that 78.5% of the participants had high-risk OSA. The median age and body mass index (BMI) were 57.0 years (IQR: 50.0–64.0) and 28.3 kg/m2, respectively. Age, neck circumference, gender, and BMI were significantly higher in the high-risk OSA group as compared to the low-risk group. Conclusion The study highlights the importance of screening hypertensive patients for OSA using the SBQ in clinical settings, particularly in low-and middle-income countries (LMICs). Healthcare providers can use patient characteristics such as age, gender, neck circumference, and BMI to identify those at greater risk of developing OSA. Further research could focus on developing effective OSA prevention and treatment interventions in hypertensive patients.https://doi.org/10.1186/s12890-023-02616-zOSAHypertensionSub-saharan AfricaSleep disorderScreeningSTOP-Bang
spellingShingle Salim Abdallah Salim
Jasmit Shah
Jumaa Bwika
Sayed K. Ali
Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
BMC Pulmonary Medicine
OSA
Hypertension
Sub-saharan Africa
Sleep disorder
Screening
STOP-Bang
title Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
title_full Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
title_fullStr Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
title_full_unstemmed Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
title_short Stop-bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in Kenya
title_sort stop bang questionnaire for screening obstructive sleep apnea syndrome among hypertensive patients in kenya
topic OSA
Hypertension
Sub-saharan Africa
Sleep disorder
Screening
STOP-Bang
url https://doi.org/10.1186/s12890-023-02616-z
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