Self-Reported Sleepiness, Fatigue and Risk of Obstructive Sleep Apnea Using the STOP BANG Components: Women’s Perspective

Authors

  • Jasmine M Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India
  • Suganthi S Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India
  • Manoj P Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India
  • Divya Ilanchoorian Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India
  • Vijayalakshmi Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India

DOI:

https://doi.org/10.55489/njcm.141120233284

Keywords:

Obstructive sleep apnea, hypoxia, screening, STOP BANG questionnaire

Abstract

Introduction: About 2-4% of adults have obstructive sleep apnoea (OSA), a frequent chronic condition. The disorder is characterised by recurrent bouts of whole or partial collapse of the upper airway, primarily the oropharyngeal tract, while sleeping, which results in a decrease or stoppage of airflow. The aim of the study is to assess the relationship between the self-reported sleepiness, fatigue and the risk of Obstructive Sleep Apnea among the midlife women aged 40 to 65 years

Methodology: This was a cross sectional study conducted in the field practice area of rural and urban health and training centre of a tertiary care teaching hospital, Chengalpattu district, Tamilnadu among 380 women aged 40 to 65 years.

Results: Mean age of the study population was 49.69 (± 11.2). On risk categorization by STOP-BANG Questionnaire, it was found that 72.9% (277), 26.1% (99) and 1.1% (4) had low, intermediate and high risk for sleep apnea. 16.9% of the study participants had excessive daytime sleepiness. Fatigue severity scale of more than or equal to 36 was seen among 34.5% of the study participants.

Conclusion: The STOP-Bang questionnaire has been shown in studies to be a quick, efficient, and accurate OSA screening tool. It can make it easier to allocate resources effectively for detecting and treating OSA that had not yet been recognised.

References

Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proceedings of the American Thoracic Society. 2008 Feb 15;5(2):136-43. Doi: https://doi.org/10.1513/pats.200709-155MG PMid:18250205 PMCid:PMC2645248

Obstructive sleep apnea [Internet]. Aasm.org. [cited 31 July 2023]. Available from: https://aasm.org/resources/factsheets/sleepapnea.pdf

Wimms A, Woehrle H, Ketheeswaran S, Ramanan D, Armitstead J. Obstructive sleep apnea in women: specific issues and interven-tions. BioMed research international. 2016 Oct;2016. Doi: https://doi.org/10.1155/2016/1764837 PMid:27699167 PMCid:PMC5028797

Kapsimalis F, Kryger M. Sleep breathing disorders in the U.S. female population. J Womens Health (Larchmt). 2009;18(8):1211-19 Doi: https://doi.org/10.1089/jwh.2008.1054 PMid:19627224 PMCid:PMC2825714

Otto ME, Belohlavek M, Romero-Corral A, et al. Comparison of cardiac structural and functional changes in obese otherwise healthy adults with versus without obstructive sleep apnea. Am J Cardiol. 2007;99(9):1298-302. Doi: https://doi.org/10.1016/j.amjcard.2006.12.052 PMid:17478161

Kaufmann CN, Susukida R, Depp CA. Sleep apnea, psychopathology, and mental health care. Sleep health. 2017 Aug 1;3(4):244-9. Doi: https://doi.org/10.1016/j.sleh.2017.04.003 PMid:28709510 PMCid:PMC5560422

Jenner R, Lorenzi-Filho G, Drager LF. Cardiovascular impact of obstructive sleep apnea: does gender matter?. Expert Rev Cardiovasc Ther. 2014;12(3):281-83. Doi: https://doi.org/10.1586/14779072.2014.884460 PMid:24490783

Perger E, Mattaliano P, Lombardi C. Menopause and sleep apnea. Maturitas. 2019 Jun 1;124:35-81. Doi: https://doi.org/10.1016/j.maturitas.2019.02.011 PMid:31097176

Lee J, Han Y, Cho HH, Kim MR. Sleep disorders and menopause. Journal of menopausal medicine. 2019 Aug 1;25(2):83-7. Doi: https://doi.org/10.6118/jmm.19192 PMid:31497577 PMCid:PMC6718648

Lemoine P, Nir T, Laudon M, Zisapel N. Prolonged-release melatonin improves sleep quality and morning alertness in insomnia pa-tients aged 55 years and older and has no withdrawal effects. J Sleep Res 2007;16:372-380. Doi: https://doi.org/10.1111/j.1365-2869.2007.00613.x PMid:18036082

de Carvalho MM, Coutinho RQ, Barros IM, Costa LO, Medeiros AK, Lustosa TC, Medeiros CA, França MV, Couto TL, Montarroyos UR, Somers VK. Prevalence of obstructive sleep apnea and obesity among middle-aged women: implications for exercise capacity. Jour-nal of Clinical Sleep Medicine. 2018 Sep 15;14(9):1471-5. Doi: https://doi.org/10.5664/jcsm.7316 PMid:30176969 PMCid:PMC6134251

Chung F, Abdullah HR, Liao P. STOP-Bang questionnaire: a practical approach to screen for obstructive sleep apnea. Chest. 2016 Mar 1;149(3):631-8. Doi: https://doi.org/10.1378/chest.15-0903 PMid:26378880

Boyes J, Drakatos P, Jarrold I, Smith J, Steier J. The use of an online Epworth Sleepiness Scale to assess excessive daytime sleepiness. Sleep and Breathing. 2017 May 1;21(2):333-40. Doi: https://doi.org/10.1007/s11325-016-1417-x PMid:27837377 PMCid:PMC5399063

Rosti‐Otajärvi E, Hämäläinen P, Wiksten A, Hakkarainen T, Ruutiainen J. Validity and reliability of the Fatigue Severity Scale in Finn-ish multiple sclerosis patients. Brain and behavior. 2017 Jul;7(7):e00743. Doi: https://doi.org/10.1002/brb3.743 PMid:28729945 PMCid:PMC5516613

Venkatrao M, Nagarathna R, Majumdar V, Patil SS, Rathi S, Nagendra H. Prevalence of obesity in India and its neurological implica-tions: a multifactor analysis of a nationwide cross-sectional study. Annals of Neurosciences. 2020 Jul;27(3-4):153-61. Doi: https://doi.org/10.1177/0972753120987465 PMid:34556954 PMCid:PMC8455012

National Family Health Survey [Internet]. [cited 2023 Jun 20]. Available from: http://rchiips.org/nfhs/NFHS-4Report.shtml

National Family Health Survey (NFHS-5) INDIA Report | International Institute for Population Sciences (IIPS) [Internet]. [cited 2023 June 20]. Available from: https://iipsindia.ac.in/content/national-family-health-survey-nfhs-5-india-report

Obesity [Internet]. [cited 2023 Jun 20]. Available from: https://www.who.int/news-room/facts-in-pictures/detail/6-facts-on-obesity

Ahirwar R, Mondal PR. Prevalence of obesity in India: A systematic review. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019 Jan 1;13(1):318-21. Doi: https://doi.org/10.1016/j.dsx.2018.08.032 PMid:30641719

Wimms A, Woehrle H, Ketheeswaran S, Ramanan D, Armitstead J. Obstructive sleep apnea in women: specific issues and interven-tions. BioMed research international. 2016 Oct;2016. Doi: https://doi.org/10.1155/2016/1764837 PMid:27699167 PMCid:PMC5028797

Jaffe F, Markov D, Doghramji K. Sleep-disordered breathing: in depression and schizophrenia. Psychiatry (Edgmont). 2006 Jul 1;3(7):62.

Depression, Obstructive Sleep Apnea and Psychosocial Health - PMC [Internet]. [cited 2023 Jun 20]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836734/

Maurer JT. Early diagnosis of sleep related breathing disorders. GMS current topics in otorhinolaryngology, head and neck surgery. 2008;7.

Pivetta B, Chen L, Nagappa M, Saripella A, Waseem R, Englesakis M, Chung F. Use and performance of the STOP-Bang questionnaire for obstructive sleep apnea screening across geographic regions: a systematic review and meta-analysis. JAMA network open. 2021 Mar 1;4(3):e211009-. Doi: https://doi.org/10.1001/jamanetworkopen.2021.1009 PMid:33683333 PMCid:PMC7941199

Timofticiuc DP, Vladu IM, Stefan AG, Forțofoiu MC, Mitrea A, Fortofoiu M, Mota M. STOP-BANG QUESTIONNAIRE-AN EASY TOOL FOR IDENTIFYING OBSTRUCTIVE SLEEP APNEA SYNDROME IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. Acta Endocrino-logica (Bucharest). 2022 Jan;18(1):49. Doi: https://doi.org/10.4183/aeb.2022.49 PMid:35975264 PMCid:PMC9365405

Pattanaik S, Rajagopal R, Mohanty N, Pattanaik S. Prevalence of obstructive sleep apnea in an Indian population: using stop-bang questionnaire. Asian J Pharm Clin Res. 2018 Nov;11(11):100-3. Doi: https://doi.org/10.22159/ajpcr.2018.v11i11.27598

Jyothi RK, Mathangi DC, Chellaiyan VG, Remya KJ. Is Mallampati scoring and PPNC an easier and better predictor for Obstructive Sleep Apnea (OSA)?.

Selvamuthukumaran S, S J. Observational study to determine the pattern of distribution of stop - bang score in predicting OSA and its implication among female health care providers. International Journal of Medical Research and Review. 2019 Jun 30;7(3):170-5. Doi: https://doi.org/10.17511/ijmrr.2019.i03.04

K D, Yuvarajan S, Radhakrishnan P, Selvam AM, Selvaraj A, Krishnadas V. Study on assessment of Obstructive sleep apnea (OSA) risk in Obese pregnant women. IP Indian Journal of Immunology and Respiratory Medicine. 2020 Oct 15;5(3):181-4. Doi: https://doi.org/10.18231/j.ijirm.2020.054

Jyothi RK, Chandrasekhar MD, Devanbu VC. Lifestyle Behaviour and Obstructive Sleep Apnea (OSA): An Association Study Among Young Adults. National Journal of Community Medicine. 2022 Jun 30;13(06):400-3. Doi: https://doi.org/10.55489/njcm.13062022628

Martins EF, Martinez D, Cortes AL, Nascimento N, Brendler J. Exploring the STOP-BANG questionnaire for obstructive sleep apnea screening in seniors. Journal of Clinical Sleep Medicine. 2020 Feb 15;16(2):199-206. Doi: https://doi.org/10.5664/jcsm.8166 PMid:31992408 PMCid:PMC7053028

COMAN AC, BORZAN C, VESA CS, TODEA DA. Obstructive sleep apnea syndrome and the quality of life. Clujul Med. 2016;89(3):390-5. Doi: https://doi.org/10.15386/cjmed-593 PMid:27547059 PMCid:PMC4990435

Downloads

Published

2023-11-01

How to Cite

1.
Jasmine M, Suganthi S, Manoj P, Divya Ilanchoorian, Vijayalakshmi. Self-Reported Sleepiness, Fatigue and Risk of Obstructive Sleep Apnea Using the STOP BANG Components: Women’s Perspective. Natl J Community Med [Internet]. 2023 Nov. 1 [cited 2024 Dec. 22];14(11):717-22. Available from: https://njcmindia.com/index.php/file/article/view/3284

Issue

Section

Original Research Articles