Prevalence and regional distribution of obstructive sleep apnea in Canada: Analysis from the Canadian Longitudinal Study on Aging.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-07-22 DOI:10.17269/s41997-024-00911-8

Dorrie Rizzo, Marc Baltzan, Sanjeev Sirpal, James Dosman, Marta Kaminska, Frances Chung

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引用次数: 0

Abstract

Objectives: Obstructive sleep apnea (OSA) is a common chronic condition that is often undiagnosed or diagnosed after many years of symptoms and has an impact on quality of life and several health factors. We estimated the Canadian national prevalence of OSA using a validated questionnaire and physical measurements in participants in the Canadian Longitudinal Study on Aging (CLSA).

Methods: The method used individual risk estimation based upon the validated STOP-BANG scale developed for OSA. This stratified population sample spans Canada to provide regional estimates.

Results: In this sample of adults aged 45 to 85 years old, the overall prevalence in 2015 of combined moderate and severe OSA in the 51,337 participants was 28.1% (95% confidence intervals, 27.8‒28.4). The regional prevalence varied statistically between Atlantic Canada and Western Canada (p < 0.001), although clinically the variations were limited. The provincial prevalence for moderate and severe OSA ranged from 27.5% (New Brunswick and British Columbia) to 29.1% (Manitoba). Body mass index (BMI) was the dominant determinant of the variance between provinces (β = 0.33, p < 0.001). Only 1.2% of participants had a clinical diagnosis of OSA.

Conclusion: The great majority (92.9%) of the participants at high risk of OSA were unrecognized and had no clinical diagnosis of OSA.

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加拿大阻塞性睡眠呼吸暂停的患病率和地区分布：加拿大老龄化纵向研究分析。

目的：阻塞性睡眠呼吸暂停（OSA）是一种常见的慢性疾病，通常未得到诊断或出现症状多年后才得到诊断，对生活质量和多种健康因素都有影响。我们通过对加拿大老龄化纵向研究（CLSA）参与者进行有效问卷调查和身体测量，估算出加拿大全国的 OSA 患病率：方法：该方法根据针对 OSA 开发的 STOP-BANG 有效量表进行个人风险估计。该分层人口样本横跨加拿大，可提供地区估计值：在这一 45 至 85 岁的成人样本中，2015 年 51,337 名参与者中合并中度和重度 OSA 的总患病率为 28.1%（95% 置信区间，27.8-28.4）。据统计，加拿大大西洋地区和加拿大西部地区的患病率存在差异（p 结论）：绝大多数（92.9%）OSA 高危参试者未被发现，也没有 OSA 的临床诊断。

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

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.