Obesity and obstructive sleep apnea risk among Nigerians
Autor: | Zumnan M Gimba, Christiana O Ukoli, Amaka N Ocheke, Obianuju B. Ozoh, Patricia A. Agaba, Maxwell O. Akanbi, Emmanuel I Agaba |
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Rok vydání: | 2017 |
Předmět: |
obesity
medicine.medical_specialty Population Article 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine 030212 general & internal medicine education 2. Zero hunger education.field_of_study obstructive sleep apnea hypopnea syndrome business.industry Nigerians Sleep apnea sleep apnea medicine.disease Obesity stop-bang Confidence interval nigeria 3. Good health Obstructive sleep apnea Africa Physical therapy business Risk assessment Body mass index 030217 neurology & neurosurgery |
Zdroj: | Journal of medicine in the tropics |
ISSN: | 2276-7096 |
DOI: | 10.4103/jomt.jomt_17_17 |
Popis: | Background The contribution of obesity to obstructive sleep apnea (OSA) is poorly described in Nigeria. We aimed to compare OSA risk between obese and nonobese adults in urban Nigeria. Materials and Methods An analytic cross-sectional study was conducted. Participants were interviewed using the World Health Organization Non-Communicable Disease questionnaire. OSA risk assessment was performed using the STOP-BANG questionnaire. A total score of ≥3 on the STOP-BANG questionnaire indicated OSA risk, whereas a score ≥5 indicated high OSA risk. Obesity was defined as body mass index (BMI) >30 kg/m2. Relationship between obesity and OSA was tested using chi-square and logistic regression models used to control for confounding factors. Results There were 744 respondents, with a mean age of 44 (standard deviation 10) years. A total of 206 [27.7%, 95% confidence interval (CI) 24.46–30.9] respondents were obese (BMI ≥30 kg/m2). A total of 307 (41.3%, 95% CI 37.7–44.9) respondents scored ≥3 on the STOP-BANG questionnaire, whereas 37 (4.9%, 95% CI 3.6–6.7) scored ≥5. More number of obese than nonobese [57.8% (119/206) versus 34.9% (188/538)] respondents met the criteria for OSA risk (P < 0.001). Similarly, more obese persons [10.3% (21/206)] met the criteria for high-risk OSA compared to the nonobese [3% (16/538)]; P < 0.001. In logistic regression models adjusted for cigarette smoking and alcohol consumption, the odds for OSA risk was 15.76 (95% CI 7.44–33.9) in persons with BMI >35 kg/m2 compared to those with a BMI range of 18.5–24.99. Conclusion Obesity and OSA may be more prevalent in Nigeria than previously predicted. Obesity independently increased OSA risk in this population. |
Databáze: | OpenAIRE |
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