High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital

Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder characterized by partial or complete obstruction of the upper airway, which causes desaturations and arousal. Various studies have shown that OSA is a major modifiable risk factor for hypertension. Untreated OSA is inc...

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Main Authors: Subha, Sethu Thakachy, Lee, Heng Fah, Azhar, Fatin Liyana, Zulkeflee, Fatin Ahya
Format: Article
Published: Universiti Putra Malaysia 2023
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author Subha, Sethu Thakachy
Lee, Heng Fah
Azhar, Fatin Liyana
Zulkeflee, Fatin Ahya
author_facet Subha, Sethu Thakachy
Lee, Heng Fah
Azhar, Fatin Liyana
Zulkeflee, Fatin Ahya
author_sort Subha, Sethu Thakachy
collection UPM
description Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder characterized by partial or complete obstruction of the upper airway, which causes desaturations and arousal. Various studies have shown that OSA is a major modifiable risk factor for hypertension. Untreated OSA is increasingly associated with cardiovascular and neurocognitive sequela. Thus, our study aims to determine the high-risk of obstructive sleep apnea among hypertensive patients at a tertiary care hospital in Malaysia. Methods: A cross-sectional study was conducted among hypertensive patients at a tertiary hospital in Malaysia. A validated Malay version of the Berlin Questionnaire was utilized along with other questions on sociodemographic characteristics and diabetes mellitus. Results: A total of 161 respondents were involved in the study. The mean age was 48.35 years and among these 75% were males and 25 % were females. The majority of respondents were of Malay ethnicity (78%), followed by Chinese (11%) and Indians (10%). Of these,18 % comprised of obese patients and 29.8% had diabetes mellitus. The prevalence of high-risk OSA among hypertensive patients was 18.0% (95% CI). High risk of OSA was found to be prevalent in the elderly age group (p<0.001), female gender (p<0.001), Indian ethnicity (p<0.001) and among diabetes mellitus patients (p<0.001). Conclusion: The study results illustrate the high risk of OSA among hypertensive patients with advancing age and diabetes mellitus. This study finding mandates these high-risk hypertensive patients should be screened for early diagnosis and timely treatment of OSA to prevent further cardiovascular risk, morbidity and mortality.
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spelling upm.eprints-1081822024-09-23T02:09:48Z http://psasir.upm.edu.my/id/eprint/108182/ High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital Subha, Sethu Thakachy Lee, Heng Fah Azhar, Fatin Liyana Zulkeflee, Fatin Ahya Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder characterized by partial or complete obstruction of the upper airway, which causes desaturations and arousal. Various studies have shown that OSA is a major modifiable risk factor for hypertension. Untreated OSA is increasingly associated with cardiovascular and neurocognitive sequela. Thus, our study aims to determine the high-risk of obstructive sleep apnea among hypertensive patients at a tertiary care hospital in Malaysia. Methods: A cross-sectional study was conducted among hypertensive patients at a tertiary hospital in Malaysia. A validated Malay version of the Berlin Questionnaire was utilized along with other questions on sociodemographic characteristics and diabetes mellitus. Results: A total of 161 respondents were involved in the study. The mean age was 48.35 years and among these 75% were males and 25 % were females. The majority of respondents were of Malay ethnicity (78%), followed by Chinese (11%) and Indians (10%). Of these,18 % comprised of obese patients and 29.8% had diabetes mellitus. The prevalence of high-risk OSA among hypertensive patients was 18.0% (95% CI). High risk of OSA was found to be prevalent in the elderly age group (p<0.001), female gender (p<0.001), Indian ethnicity (p<0.001) and among diabetes mellitus patients (p<0.001). Conclusion: The study results illustrate the high risk of OSA among hypertensive patients with advancing age and diabetes mellitus. This study finding mandates these high-risk hypertensive patients should be screened for early diagnosis and timely treatment of OSA to prevent further cardiovascular risk, morbidity and mortality. Universiti Putra Malaysia 2023 Article PeerReviewed Subha, Sethu Thakachy and Lee, Heng Fah and Azhar, Fatin Liyana and Zulkeflee, Fatin Ahya (2023) High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital. Malaysian Journal of Medicine and Health Sciences, 19 (suppl.19). pp. 1-6. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2024010210011801_MJMHS_0492_c.pdf 10.47836/mjmhs.19.s19.1
spellingShingle Subha, Sethu Thakachy
Lee, Heng Fah
Azhar, Fatin Liyana
Zulkeflee, Fatin Ahya
High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title_full High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title_fullStr High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title_full_unstemmed High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title_short High risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
title_sort high risk of obstructive sleep apnea among hypertensive patients at a selected tertiary care hospital
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