Ubiquity of Undiagnosed Sleep Disordered Breathing in Community-Dwelling Older Male Veterans

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Navneet IqbalJamie M Zeitzer

Abstract

To determine the point prevalence of sleep disordered breathing (SDB) in a community-based sample of older male veterans and to determine if common markers of SDB apply to this population. Two hundred fourteen older male Veterans (age 55-89 years) were recruited for a study on post-traumatic stress disorder and cognitive decline. Questionnaires concerning anthropomorphic and psychological variables were obtained, as was an overnight polysomnographic examination of sleep. Only 13% of the participants lacked clinically meaningful SDB, whereas 33% had moderate SDB and 54% had severe SDB. Being overweight, self-reported snoring, and excessive daytime sleepiness all had good sensitivity (0.86-0.92) but very poor specificity (0.10-0.28) for the prediction of SDB. Undiagnosed SDB was more than threefold higher than expected in these community-dwelling older veterans. Traditional markers of SDB were not specific for predicting clinically relevant SDB.

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Citations

Nov 15, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Stephanie A Ward, Matthew P Pase
Feb 16, 2021·Current Neurology and Neuroscience Reports·Andrée-Ann BarilNadia Gosselin

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