Prevalence of obstructive sleep apnea and its associated factors in primary health care in Morocco.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-10-01 Epub Date: 2024-06-15 DOI:10.1007/s11325-024-03077-2

Fatima Ezzahra Kasmaoui, Benksim Abdelhafid, El Mahjoub El Harsi, Ouassim Mansoury, Mohamed Amine

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Abstract

Objective: Obstructive sleep apnea is a common respiratory disorder that is still underdiagnosed in Morocco. This study aims to determine the prevalence of obstructive sleep apnea and its associated factors in primary healthcare.

Methods: In this cross-sectional study, 815 adults aged 18 years and older consulting in the primary health care services in Marrakech, Morocco, were included. We evaluated the risk of obstructive sleep apnea syndrome using the modified STOP-BANG questionnaire.

Results: The prevalence of the high risk of obstructive sleep apnea in our sample is 24.8% (CI 95%: 21.7 - 27.6%). The variables independently associated with the high suspicion of obstructive sleep apnea were: gender male (p = 0.001), age ≥ 45 years (p = 0.001), high blood pressure (p = 0.005), hyperlipidemia (p = 0.042), daytime sleepiness (p = 0.003), snoring (p = 0.001), tiredness (p = 0.001) and mandibular retrognathia (p = 0.025).

Conclusion: This survey revealed a significant prevalence of obstructive sleep apnea in Morocco. Therefore, we propose to generalize the screening of obstructive sleep apnea in hypertensive patients who report symptoms including daytime sleepiness, snoring, nocturnal choking, and tiredness that are unexplained by other known factors.

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摩洛哥初级卫生保健中阻塞性睡眠呼吸暂停及其相关因素的患病率。

目的：阻塞性睡眠呼吸暂停是一种常见的呼吸系统疾病，在摩洛哥仍未得到充分诊断。本研究旨在确定阻塞性睡眠呼吸暂停在初级医疗保健中的患病率及其相关因素：在这项横断面研究中，纳入了在摩洛哥马拉喀什初级医疗保健服务机构就诊的 815 名 18 岁及以上成年人。我们使用改良的 STOP-BANG 问卷对阻塞性睡眠呼吸暂停综合征的风险进行了评估：结果：在我们的样本中，阻塞性睡眠呼吸暂停综合征的高风险发生率为 24.8%（CI 95%：21.7 - 27.6%）。与阻塞性睡眠呼吸暂停高风险相关的独立变量有：性别为男性（p = 0.001）、年龄≥45 岁（p = 0.001）、高血压（p = 0.005）、高脂血症（p = 0.042）、白天嗜睡（p = 0.003）、打鼾（p = 0.001）、疲倦（p = 0.001）和下颌后缩（p = 0.025）：这项调查显示，摩洛哥阻塞性睡眠呼吸暂停的发病率很高。因此，我们建议在高血压患者中普及阻塞性睡眠呼吸暂停筛查，这些患者报告的症状包括白天嗜睡、打鼾、夜间窒息和疲倦，而其他已知因素无法解释这些症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.