The influence of socio-economic status on the severity of obstructive sleep apnea: a cross-sectional observational study
Objective: There is limited evidence about the effect of socio-economic status (SES) on the severity of obstructive sleep apnea (OSA). We aimed to investigate this relationship in a referral population in Greece, with regards to other established risk fa...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
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| Series: | Sleep Science |
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| Online Access: | http://sleepscience.org.br/export-pdf/452/v11n2a07.pdf |
| _version_ | 1827361946984251392 |
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| author | Dimitrios Papadopoulos Anastasia Kikemeni Alexandra Skourti Anastasia Amfilochiou |
| author_facet | Dimitrios Papadopoulos Anastasia Kikemeni Alexandra Skourti Anastasia Amfilochiou |
| author_sort | Dimitrios Papadopoulos |
| collection | DOAJ |
| description | Objective:
There is limited evidence about the effect of socio-economic status (SES) on the
severity of obstructive sleep apnea (OSA). We aimed to investigate this
relationship in a referral population in Greece, with regards to other
established risk factors. Methods: We used a retrospective
cross-sectional design to assess socio-economic status based on occupational
activity in a sample of 282 OSA patients diagnosed in a public hospital sleep
laboratory during one-year period. Demographic, anthropometric and social
characteristics, as well as the Epworth sleepiness scale (ESS) scores and
apnea-hypopnea indexes (AHI) of subjects in each socio-economic class were
recorded and statistically significant differences were explored in univariate
and multiple regression analysis. Results: 99 (35.1%) of the
subjects were categorized in the upper, 70 (24.8%) in the intermediate and 113
(40.1%) in the working class. Subjects of the intermediate class had
significantly larger neck circumference than those of the upper class
(p=0.022). Neither class differed significantly in terms of
ESS score and intermediate class had a trend for higher AHI than upper class
(p=0.075 in univariate and p=0.082 in
multivariate analysis). Age (p=0.020) and occasional alcohol
consumption (p=0.022) were independent negative and neck
circumference (p<0.001) positive correlates of the variance
in ESS score, while body mass index (p=0.004), neck
circumference (p<0.001), being married
(p=0.014) and current smoker (p=0.025) were
independent positive correlates of the variance in AHI. Discussion:
SES has a minor effect on OSA severity that is only partially accounted for by
other known risk factors. Neck circumference was found to be the most useful
predictor of both subjective daytime sleepiness and severity of respiratory
events during sleep. |
| first_indexed | 2024-03-08T07:16:52Z |
| format | Article |
| id | doaj.art-cc273877b87049d4a875f7fbbca7a211 |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T07:16:52Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-cc273877b87049d4a875f7fbbca7a2112024-02-03T00:56:04ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-0063112929810.5935/1984-0063.20180018The influence of socio-economic status on the severity of obstructive sleep apnea: a cross-sectional observational studyDimitrios Papadopoulos0Anastasia Kikemeni1Alexandra Skourti2Anastasia Amfilochiou3 National School of Public Health, Department of Occupational and Industrial Hygiene - Athens - Attica - Grécia. National School of Public Health, Department of Occupational and Industrial Hygiene - Athens - Attica - Grécia. National School of Public Health, Department of Occupational and Industrial Hygiene - Athens - Attica - Grécia. “Sismanoglio” General Hospital of Attica, Respiratory Function & Sleep Study Unit - Marousi - Attica - Grécia.Objective: There is limited evidence about the effect of socio-economic status (SES) on the severity of obstructive sleep apnea (OSA). We aimed to investigate this relationship in a referral population in Greece, with regards to other established risk factors. Methods: We used a retrospective cross-sectional design to assess socio-economic status based on occupational activity in a sample of 282 OSA patients diagnosed in a public hospital sleep laboratory during one-year period. Demographic, anthropometric and social characteristics, as well as the Epworth sleepiness scale (ESS) scores and apnea-hypopnea indexes (AHI) of subjects in each socio-economic class were recorded and statistically significant differences were explored in univariate and multiple regression analysis. Results: 99 (35.1%) of the subjects were categorized in the upper, 70 (24.8%) in the intermediate and 113 (40.1%) in the working class. Subjects of the intermediate class had significantly larger neck circumference than those of the upper class (p=0.022). Neither class differed significantly in terms of ESS score and intermediate class had a trend for higher AHI than upper class (p=0.075 in univariate and p=0.082 in multivariate analysis). Age (p=0.020) and occasional alcohol consumption (p=0.022) were independent negative and neck circumference (p<0.001) positive correlates of the variance in ESS score, while body mass index (p=0.004), neck circumference (p<0.001), being married (p=0.014) and current smoker (p=0.025) were independent positive correlates of the variance in AHI. Discussion: SES has a minor effect on OSA severity that is only partially accounted for by other known risk factors. Neck circumference was found to be the most useful predictor of both subjective daytime sleepiness and severity of respiratory events during sleep.http://sleepscience.org.br/export-pdf/452/v11n2a07.pdfSleep Apnea, ObstructiveSocial ClassDisorders of Excessive SomnolencePolysomnography |
| spellingShingle | Dimitrios Papadopoulos Anastasia Kikemeni Alexandra Skourti Anastasia Amfilochiou The influence of socio-economic status on the severity of obstructive sleep apnea: a cross-sectional observational study Sleep Science Sleep Apnea, Obstructive Social Class Disorders of Excessive Somnolence Polysomnography |
| title | The influence of socio-economic status on the severity of obstructive
sleep apnea: a cross-sectional observational study |
| title_full | The influence of socio-economic status on the severity of obstructive
sleep apnea: a cross-sectional observational study |
| title_fullStr | The influence of socio-economic status on the severity of obstructive
sleep apnea: a cross-sectional observational study |
| title_full_unstemmed | The influence of socio-economic status on the severity of obstructive
sleep apnea: a cross-sectional observational study |
| title_short | The influence of socio-economic status on the severity of obstructive
sleep apnea: a cross-sectional observational study |
| title_sort | influence of socio economic status on the severity of obstructive sleep apnea a cross sectional observational study |
| topic | Sleep Apnea, Obstructive Social Class Disorders of Excessive Somnolence Polysomnography |
| url | http://sleepscience.org.br/export-pdf/452/v11n2a07.pdf |
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