Lifestyle Behaviour and Obstructive Sleep Apnea (OSA): An Association Study Among Young Adults
DOI:
https://doi.org/10.55489/njcm.13062022628Keywords:
Lifestyle factors, Obstructive Sleep Apnea, Smoking, Alcoholism, Physical ActivityAbstract
Introduction: Lifestyle changes like low physical activity, smoking and consumption of alcohol have been reported to have an impact on Obstructive Sleep Apnea. Smoking was found to be associated with nocturnal hypoxemia and disturbed sleep. Apneic episodes are increased after alcohol consumption.
Objectives: To determine the risk of developing Obstructive Sleep Apnea among young adults.
Material and Methods: Participants were asked to fill in an online generated questionnaire on lifestyle habits in addition to the modified Berlin questionnaire and Epworth questionnaire. A total of 209 study participants were included in the study. A Chi-square test was applied.
Results: Among 209 participants, 47(22.5%) were females and 162 (77.5%) were males. Snoring was reported in 90 (43.1%) of study participants. Around thirty-three, percent of participants were at higher risk of developing Obstructive Sleep Apnea and Obstructive Sleep Apnea was predicted in 21.5%. No association was found between the lifestyle behavioural factors and Obstructive Sleep Apnea.
Conclusion: Though a significant association was not found between selected lifestyle factors and Obstructive Sleep Apnea risk, the role of lifestyle factors could not be undermined. A healthy lifestyle helps in preventing the occurrence of Obstructive Sleep Apnea.
References
Larcher S, Benhamou PY, Pépin JL, Borel AL. Sleep habits and diabetes. Diabetes Metab. 2015;41(4):263-271. Doi: https://doi.org/10.1016/j.diabet.2014.12.004 PMid:25623152
Killick R, Hoyos CM, Melehan KL, Dungan GC 2nd, Poh J, Liu PY. Metabolic and hormonal effects of 'catch-up' sleep in men with chronic, repetitive, lifestyle-driven sleep restriction. Clin Endocrinol (Oxf). 2015;83(4):498-507. Doi: https://doi.org/10.1111/cen.12747 PMid:25683266 PMCid:PMC4858168
Young T, Shahar E, Nieto FJ, et al. Predictors of sleep-disordered breathing in community-dwelling adults: the Sleep Heart Health Study. Arch Intern Med. 2002;162(8):893-900. Doi: https://doi.org/10.1001/archinte.162.8.893 PMid:11966340
Grimm W, Becker HF. Obesity, sleep apnea syndrome, and arrhythmogenic risk. Herz. 2006;31(3):213-219. Doi: https://doi.org/10.1007/s00059-006-2800-3 PMid:16770557
Wang SH, Keenan BT, Wiemken A, et al. Effect of Weight Loss on Upper Airway Anatomy and the Apnea-Hypopnea Index. The Im-portance of Tongue Fat. Am J Respir Crit Care Med. 2020;201(6):718-727. Doi: https://doi.org/10.1164/rccm.201903-0692OC PMid:31918559 PMCid:PMC7068828
Zhang L, Samet J, Caffo B, Punjabi NM. Cigarette smoking and nocturnal sleep architecture. Am J Epidemiol. 2006;164(6):529-537. Doi: https://doi.org/10.1093/aje/kwj231 PMid:16829553
Lin YN, Zhou LN, Zhang XJ, Li QY, Wang Q, Xu HJ. The combined effect of obstructive sleep apnea and chronic smoking on cognitive impairment. Sleep Breath. 2016;20(1):51-59. Doi: https://doi.org/10.1007/s11325-015-1183-1 PMid:25903076
Peppard PE, Austin D, Brown RL. Association of alcohol consumption and sleep-disordered breathing in men and women. J Clin Sleep Med. 2007;3(3):265-270. Doi: https://doi.org/10.5664/jcsm.26795 PMid:17561593 PMCid:PMC2564771
Pan Y, Wang W, Wang KS. Associations of Alcohol Consumption and Chronic Diseases With Sleep Apnea Among US Adults. Int J High-Risk Behav Addict. 2014;3(2):e19088. Doi: https://doi.org/10.5812/ijhrba.19088 PMid:25032163 PMCid:PMC4080510
Teschler H, Berthon-Jones M, Wessendorf T, Meyer HJ, Konietzko N. Influence of moderate alcohol consumption on obstructive sleep apnoea with and without AutoSet nasal CPAP therapy. European Respiratory Journal. 1996;9(11):2371-2377. Doi: https://doi.org/10.1183/09031936.96.09112371 PMid:8947088
Sharma SK, Kumpawat S, Banga A, Goel A. Prevalence and risk factors of obstructive sleep apnea syndrome in a population of Delhi, India. Chest. 2006 Jul;130(1):149-56. Doi: https://doi.org/10.1378/chest.130.1.149 PMid:16840395
WHO STEPS Surveillance Manual: The WHO STEPwise Approach to Chronic Disease Risk Factor Surveillance. Geneva, Switzerland: World Health Organization; 2008
Sharma SK, Vasudev C, Sinha S, Banga A, Pandey RM, Handa KK. Validation of the modified Berlin questionnaire to identify patients at risk for the obstructive sleep apnoea syndrome. Indian J Med Res. 2006 Sep;124(3):281-90
Lapin BR, Bena JF, Walia HK, Moul DE. The Epworth Sleepiness Scale: Validation of One-Dimensional Factor Structure in a Large Clin-ical Sample. J Clin Sleep Med. 2018 Aug 15;14(8):1293-1301. Doi: https://doi.org/10.5664/jcsm.7258 PMid:30092893 PMCid:PMC6086944
Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment. J Clin Sleep Med. 2019;15(2):301-334. Doi: https://doi.org/10.5664/jcsm.7638 PMid:30736888 PMCid:PMC6374080
Simou E, Britton J, Leonardi-Bee J. Alcohol and the risk of sleep apnoea: a systematic review and meta-analysis. Sleep Med. 2018;42:38-46. Doi: https://doi.org/10.1016/j.sleep.2017.12.005 PMid:29458744 PMCid:PMC5840512
Ahmad L, Kapoor P, Bhaskar S, Khatter H. Screening of obstructive sleep apnea (OSA) risk in adolescent population and study of as-sociation with craniofacial and upper airway morphology. J Oral BiolCraniofac Res. 2020;10(4):807-813. Doi: https://doi.org/10.1016/j.jobcr.2020.10.006 PMid:33224724 PMCid:PMC7666333
Mendelson M, Bailly S, Marillier M, et al. Obstructive Sleep Apnea Syndrome, Objectively Measured Physical Activity and Exercise Training Interventions: A Systematic Review and Meta-Analysis. Front Neurol. 2018;9:73 doi: https://doi.org/10.3389/fneur.2018.00073 PMid:29520251 PMCid:PMC5827163
Van Offenwert E, Vrijsen B, Belge C, Troosters T, Buyse B, Testelmans D. Physical activity and exercise in obstructive sleep apnea. Acta Clin Belg. 2019;74(2):92-101. Doi: https://doi.org/10.1080/17843286.2018.1467587 PMid:29726745
Andrade FM, Pedrosa RP. The role of physical exercise in obstructive sleep apnea. J Bras Pneumol. 2016;42(6):457-464. Doi: https://doi.org/10.1590/s1806-37562016000000156 PMid:28117479 PMCid:PMC5344097
Simou E, Britton J, Leonardi-Bee J. Alcohol and the risk of sleep apnoea: a systematic review and meta-analysis. Sleep Med. 2018;42:38-46. Doi: https://doi.org/10.1016/j.sleep.2017.12.005 PMid:29458744 PMCid:PMC5840512
Wang X, Li W, Zhou J, et al. Smoking and sleep apnea duration mediated the sex difference in daytime sleepiness in OSA patients. Sleep Breath. 2021;25(1):289-297. Doi: https://doi.org/10.1007/s11325-020-02109-x PMid:32529520
Hsu WY, Chiu NY, Chang CC, Chang TG, Lane HY. The association between cigarette smoking and obstructive sleep apnea. TobInduc Dis. 2019;17:27. Doi: https://doi.org/10.18332/tid/105893 PMid:31582938 PMCid:PMC6751985
Shao C, Qi H, Fang Q, Tu J, Li Q, Wang L. Smoking history and its relationship with comorbidities in patients with obstructive sleep apnea. TobInduc Dis. 2020;18:56. Doi: https://doi.org/10.18332/tid/123429 PMid:32641922 PMCid:PMC7336864
Misra A. Ethnic-Specific Criteria for Classification of Body Mass Index: A Perspective for Asian Indians and American Diabetes Asso-ciation Position Statement. Diabetes TechnolTher. 2015 Sep;17(9):667-71. Doi: https://doi.org/10.1089/dia.2015.0007 PMid:25902357 PMCid:PMC4555479
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Copyright (c) 2022 Remya Krishnan Jyothi, Mathangi Damal Chandrasekhar, Vinoth Chellaiyan Devanbu
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