Assessment of obstructive sleep apnea rate and associated factors among Lebanese adults: a cross-sectional study.

IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1443920
Tala Kaddoura, Mohamad Hodroj, Bilal Chmeis, Fatima Rammal, Sandrella Bou Malhab, Sara Mansour, Amal Akour, Sami El Khatib, Basile Hosseini, Souheil Hallit, Diana Malaeb, Hassan Hosseini
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Abstract

Objectives: To estimate the rate of obstructive sleep apnea (OSA) and associated factors among Lebanese adults.

Methods: A cross-sectional study was conducted in February-April 2022; 1,202 Lebanese adults were enrolled. The sample was collected among several Lebanese governorates through an anonymous online self-reported questionnaire. The STOP-BANG questionnaire was used as a screening tool to estimate the OSA risk. "Low OSA risk" is established with 0-2 positive answers, "Intermediate OSA risk" is established by 3-4 positive answers while "High OSA risk" is established by 5-8 positive answers.

Results: This study showed that 743 (62.4%) of the sample had low risk for OSA, 357 (30.0%) had moderate, and 90 (7.6%) had high risk for OSA. Older age (aOR = 1.05) and having hypertension (aOR = 7.80) were associated with higher odds of moderate OSA. Female sex (aOR = 0.04) was significantly associated with lower odds of moderate OSA compared to males. Older age (OR = 1.17), higher BMI (OR = 1.14), hypertension (OR = 18.55), and having severe COVID-19 infection compared to mild (OR = 4.30) were significantly associated with higher odds of high OSA, whereas female sex (OR = 0.002) and being married compared to single (aOR = 0.23) were associated with lower odds of high OSA.

Conclusion: This study showed that most Lebanese adults have low risk for OSA. It also confirmed that sex, age, obesity, hypertension, and severe COVID-19 were associated with high OSA risk. These associated factors call for future research exploring the causes including the potential effect of social, economic, and political instability, local customs, and environmental factors. Moreover, future health campaigns should be assigned to increase awareness among Lebanese population regarding the prevention of OSA through lifestyle modifications.

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黎巴嫩成人中阻塞性睡眠呼吸暂停率及相关因素的评估:一项横断面研究。
目的:估计黎巴嫩成年人中阻塞性睡眠呼吸暂停(OSA)的发生率及其相关因素。方法:横断面研究于2022年2 - 4月进行;1202名黎巴嫩成年人被纳入研究。样本是通过匿名在线自我报告问卷在黎巴嫩几个省收集的。使用STOP-BANG问卷作为评估OSA风险的筛选工具。“低OSA风险”评分为0-2,“中度OSA风险”评分为3-4,“高OSA风险”评分为5-8。结果:本研究显示,低危743例(62.4%),中度357例(30.0%),高危90例(7.6%)。年龄较大(aOR = 1.05)和患有高血压(aOR = 7.80)与中度阻塞性睡眠呼吸暂停的几率较高相关。与男性相比,女性(aOR = 0.04)患中度阻塞性睡眠呼吸暂停的几率较低。年龄(或 = 1.17),高BMI(或 = 1.14),高血压(或 = 18.55),和有严重COVID-19感染轻微(或 = 4.30)相比,明显与高阻塞性睡眠呼吸暂停综合症的几率更高,而女性性(或 = 0.002)和结婚比单身(aOR = 0.23)高阻塞性睡眠呼吸暂停综合症的几率降低。结论:本研究显示大多数黎巴嫩成年人患阻塞性睡眠呼吸暂停的风险较低。研究还证实,性别、年龄、肥胖、高血压和严重的COVID-19与阻塞性睡眠呼吸暂停的高风险有关。这些相关因素需要未来的研究来探索包括社会、经济和政治不稳定、当地习俗和环境因素的潜在影响在内的原因。此外,今后的保健运动应分配给提高黎巴嫩人口对通过改变生活方式预防阻塞性睡眠呼吸暂停症的认识。
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
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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