Prevalence, Risk Factors, and Comorbidities of Obstructive Sleep Apnea Risk Among a Working Population in Kuwait: A Cross-Sectional Study

Frontiers in Neurology

Ali H. Ziyab¹  Mohammad Al-Mutairat²  Mohammad Al-Ajmi³  Anwar Mohammad⁴  Fahad Al-Mutairi⁵  Husain Al-Qattan⁶  Khaled Al-Hashash⁷  Hamad Al-Omairah⁸  Abdulmohsen Alterki^1,10 

[1] 0Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait;Al-Rawda Health Center, Ministry of Health, Kuwait City, Kuwait;Al-Shuhada Health Center, Ministry of Health, Kuwait City, Kuwait;Department of Biochemistry and Molecular Biology, Dasman Diabetes Institute, Kuwait City, Kuwait;Department of Internal Medicine, Farwaniya Hospital, Ministry of Health, Kuwait City, Kuwait;Department of Nuclear Medicine, Adan Hospital, Ministry of Health, Kuwait City, Kuwait;Department of Obstructive and Gynecology, Maternity Hospital, Ministry of Health, Kuwait City, Kuwait;Department of Ophthalmology, Al-Bahar Eye Center, Ministry of Health, Kuwait City, Kuwait;Department of Otolaryngology, Head, and Neck Surgery, Zain and Al-Sabah Hospitals, Ministry of Health, Kuwait City, Kuwait;Medical Division, Dasman Diabetes Institute, Kuwait City, Kuwait;

关键词: obstructive sleep apnea;    risk factors;    comorbidities;    prevalence;    Kuwait;    adults;   

DOI  :  10.3389/fneur.2021.620799

来源: DOAJ

【 摘 要 】

Background: Obstructive sleep apnea (OSA) affects a considerable proportion of adults globally and is associated with elevated morbidity and mortality. Given the lack of epidemiologic data on the burden of OSA in Kuwait, this study sought to estimate its prevalence, associated risk factors, and comorbid conditions among a working population in Kuwait.Methods: This was a cross-sectional study of a sample of working adults (n = 651) from public institutions in Kuwait. High/low risk for OSA was ascertained according to the Berlin Questionnaire criteria. Participants self-reported their coexisting health conditions. Associations were assessed using Poisson regression with robust variance estimation; adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) were estimated.Results: Overall, 20.0% (130/651) of participants were classified as being at high risk for OSA, with more male than female subjects being at high risk (24.0% [56/233] vs. 17.7% [74/418], P = 0.053), though this difference did not gain statistical significance. Moreover, a high risk for OSA was more common among older and obese subjects. Factors associated with increased prevalence of a high risk for OSA included current smoking status (aPR = 1.58, 95% CI: 1.02–2.06), longer hours spent watching television (1.76, 1.10–2.81), and lower self-perceived physical health (2.11, 1.15–3.87). However, decreasing trends in the prevalence of high risk for OSA were observed with frequent engagement in vigorous physical activity and longer nightly sleep duration. Compared to those at a low risk for OSA, the subjects at high risk for OSA were more likely to have insomnia disorder (2.83, 1.81–4.41), diabetes (1.94, 1.15–3.27), hypertension (3.00, 1.75–5.16), and depression (4.47, 1.80–11.08).Conclusion: This study estimated that 1/5 of working adults in Kuwait were at high risk for OSA, and the prevalence varied according to personal characteristics and lifestyle factors. Also, a high risk for OSA classification was associated with multiple comorbid health conditions.

【 授权许可】

Unknown