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Influence of gender on associations of obstructive sleep apnea symptoms with chronic conditions and quality of life

journal contribution
posted on 08.07.2019, 00:00 by S Appleton, T Gill, A Taylor, D McEvoy, Z Shi, C Hill, Amy ReynoldsAmy Reynolds, R Adams
Women are less likely than men to be diagnosed with obstructive sleep apnea (OSA). We examined contemporary gender differences in symptoms, health status, and quality of life associated with diagnosed OSA and OSA symptoms in a population-based sample. A 2015 postal/on-line questionnaire of 2889 active participants of The North West Adelaide Health Study (response rate = 54%, male n = 704; female n = 856; age 30–100 years) assessed previously diagnosed OSA, OSA symptoms, insomnia, doctor-diagnosed medical conditions, and the SF-36. In weighted analyses, self-reported diagnosed OSA (men: 12.6%, n = 95; women: 3.3%, n = 27) and OSA symptoms (men: 17.1%; women: 9.7%) were more common in men. Diagnosed OSA showed stronger adjusted associations with typical OSA features in women, including obesity (women-odds ratio (OR), 95% CI: 5.7, 1.9–17.1, men: 2.2, 1.2–4.0), daytime sleepiness (women: 6.4, 2.7–15.6, men: 3.3, 2.1–5.4), and loud snoring (women: 25.4, 9.4–69.1, men: 8.7, 5.2–14.4). Diagnosed OSA was independently associated with cardiovascular disease (CVD) in men, and in women with high cholesterol, respiratory disease, insomnia, and reduced SF-36 Physical Component Summary score. In both sexes, OSA symptoms were significantly associated with depression, insomnia, and moderate to severe impairments in SF-36 physical and mental component summary scores. Diagnosed women showed clinical characteristics overtly related to OSA. A higher index of clinical suspicion of OSA may be required in women for a condition regarded as male-predominant to increase equity in health outcomes. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

History

Volume

15

Issue

5

Start Page

1

End Page

12

Number of Pages

12

eISSN

1660-4601

ISSN

1661-7827

Publisher

MDPI AG, Switzerland

Additional Rights

CC BY 4.0

Peer Reviewed

Yes

Open Access

Yes

Acceptance Date

03/05/2018

External Author Affiliations

University of Adelaide; Flinders University; The Queen Elizabeth Hospital, SA

Author Research Institute

Appleton Institute

Era Eligible

Yes

Journal

International Journal of Environmental Research and Public Health

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