Prevalence of high-risk group for obstructive sleep apnea using the STOP-Bang questionnaire and its association with cardiovascular morbidity

被引:0
作者
Kang, Jieun [1 ]
Koo, Hyeon-Kyoung [1 ]
Kang, Hyung Koo [1 ]
Seo, Woo Jung [1 ]
Kang, Jiyeon [1 ]
Kim, Jinseob [2 ]
机构
[1] Inje Univ, Div Pulm & Crit Care Med, Dept Internal Med, Ilsan Paik Hosp,Sch Med, Goyang, South Korea
[2] Zarathu Co Ltd, Seoul, South Korea
来源
FRONTIERS IN NEUROLOGY | 2024年 / 15卷
关键词
obstructive sleep apnea; STOP-Bang questionnaire; risk assessment; morbidity; cardiovascular disease; DISEASE; STROKE; MEN; SCREEN; HEALTH;
D O I
10.3389/fneur.2024.1394345
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder, yet many cases remain undiagnosed. The STOP-Bang questionnaire was developed to identify individuals at high risk of OSA. We aimed to investigate the prevalence of individuals with suspected OSA using the STOP-Bang risk stratification in the general population of South Korea. Additionally, we determined if the STOP-Bang risk stratification independently predicts cardiovascular morbidity.Methods Data from the eighth Korea National Health and Nutrition Examination Survey (2019-2020) were used. Participants aged >= 40 with complete data for STOP-Bang questionnaire were included. A STOP-Bang score of >= 5 classified individuals as high-risk whereas scores of 3-4 and less than 3 classified them as intermediate- and low-risk, respectively. The association between the high-risk group and cardiovascular morbidity was analyzed using complex sample logistic regression.Results Among the 6,630 participants included, approximately 6.7% were classified as high-risk based on the STOP-Bang questionnaire. The prevalence of diagnosed OSA in the high-risk group was 4.0%. The high-risk group showed a significantly higher prevalence of cardiovascular morbidity (11.9%) compared to those in the low- and intermediate-risk groups (3.0 and 8.1%, respectively). After adjusting for variables associated with cardiovascular risk, the high-risk group remained an independent predictor of increased likelihood of cardiovascular morbidity compared to the low-risk group (odds ratio, 2.05; p = 0.002). When stratified by sex, STOP-Bang high-risk was significantly associated with cardiovascular morbidity in men; however, the same trend was not observed in women.Conclusion We found a significant proportion of individuals at high risk of OSA is likely to remain undiagnosed in the general population of South Korea. The high-risk group demonstrated a higher burden of cardiovascular morbidity, and the STOP-Bang high-risk group was an independent predictor of cardiovascular morbidity.
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