Is the clinical presentation different between men and women admitting to the sleep laboratory?

Autor: Sibel Özkurt, Nese Dursunoglu, Serdar Sarıkaya
Rok vydání: 2009
Předmět:
libido
Male
heartburn
morning headache
insomnia
Polysomnography
Severity of Illness Index
Sleep medicine
Body Mass Index
apnea hypopnea index
Patient Admission
polysomnography
Prevalence
sleep parameters
sleep apnea syndrome
xerostomia
Depression (differential diagnoses)
sleep disorder
Sleep Apnea
Obstructive
Sleep disorder
medicine.diagnostic_test
adult
Epworth Sleepiness Scale
daytime somnolence
article
Headache
blood pressure
primary medical care
Sleep apnea
Sleep disorders
memory disorder
Middle Aged
stroke
female
priority journal
depression
diabetes mellitus
Hypopnea
mood change
nocturia
Sleep Wake Disorders
medicine.medical_specialty
hypertension
sex difference
sleep interruption
Disorders of Excessive Somnolence
Sleep Apnea Syndromes
night sweat
Internal medicine
medicine
Humans
controlled study
human
airway obstruction
hypopnea
business.industry
Gender
Epworth sleepiness scale
apnea
asthma
medicine.disease
Obstructive sleep apnea
ischemic heart disease
major clinical study
body mass
oxygen saturation
clinical feature
respiratory tract diseases
Otorhinolaryngology
Symptoms
Physical therapy
heart palpitation
fatigue
hypothyroidism
Neurology (clinical)
Laboratories
business
chronic obstructive lung disease
snoring
Zdroj: Sleep and Breathing. 13:295-298
ISSN: 1522-1709
1520-9512
DOI: 10.1007/s11325-008-0243-1
Popis: Objectives: Sleep and sleep disorders are different in several important ways between men and women. We aimed to investigate gender differences in initial symptoms and associating medical diseases of patients admitting to our sleep clinic. Methods: Ninety-one patients, 20 women (22%) and 71 men (78%), admitting consecutively to the sleep clinic were studied. A detailed sleep and medical history of the patients was recorded. All patients were questioned for Epworth Sleepiness Scale (ESS) and underwent an entire night of diagnostic polysomnography. Apnea-hypopnea index (AHI) was identified as the total number of apnea and hypopnea per hour of sleep. Hypopnea was defined as a decrease of airflow by at least 50% and desaturations were defined as ≥4% decrease in oxygen saturation. Results: The mean values for age, body mass index, blood pressures and ESS score did not significantly differ between men and women, but AHI (events/h) was significantly higher in men (29.1 ± 22.7) than women (17.9 ± 17.7, p < 0.05). Snoring was the most common symptom in both men (95%) and women (90%). Among the main presenting complaints, only morning headache (12 of women 60%, 31 of men 43%, p = 0.04) and dry mouth on awakening (ten of women 50%, 57 of men 80%, p = 0.02) showed a significant difference between the two genders, while among the medical diseases only hypothyroidism (four of women 20% and three of men 4%, p = 0.03) and depression (nine of women 45% and 16 of men 22%, p = 0.02) were seen as statistically higher in women than in men. Conclusions: Primary care physicians should be aware of obstructive sleep apnea (OSA) in women and the importance of referring women for sleep studies when they complain of symptoms associated with OSA, even if other non-specific symptoms such as morning headaches are reported. Also, hypothyroidism and depression are accompanied with sleep disorders especially in women. © Springer-Verlag 2009.
Databáze: OpenAIRE
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