@article {Mehra:September 2007:0002-8614:1356,
author = "Mehra, Reena",
author = "Stone, Katie L.",
author = "Blackwell, Terri",
author = "Ancoli Israel, Sonia",
author = "Dam, Thuy-Tien L.",
author = "Stefanick, Marcia L.",
author = "Redline, Susan",
title = "Prevalence and Correlates of Sleep-Disordered Breathing in Older Men: Osteoporotic Fractures in Men Sleep Study",
journal = "Journal of the American Geriatrics Society",
volume = "55",
year = "September 2007",
abstract = "OBJECTIVES: To determine the prevalence and distribution of sleep-disordered breathing and associated correlates in a large cohort of older men using several standardized definitions. DESIGN: Cross-sectional analyses. SETTING: Six U.S. communities. PARTICIPANTS: Polysomnography was performed on 2,911 participants of the Outcomes of Sleep Disorders in Older Men Sleep Study (mean age±standard deviation 76.38±5.53; body mass index 27.17±3.8 kg/m2). MEASUREMENTS: Three outcomes were assessed: sleep-disordered breathing (respiratory disturbance index ≥15), obstructive apnea (obstructive apnea index ≥5), and central apnea (central apnea index ≥5). RESULTS: The prevalence of moderate-severe sleep-disordered breathing was estimated to be 21.4% to 26.4%. Multivariable logistic regression models demonstrated that age (adjusted odds ratio (AOR) per 5-year increase =1.24, 95% confidence interval (CI)=1.15-1.34), obesity (AOR=2.54, 95% CI=2.09-3.09), Asian versus Caucasian race (AOR=2.14, 95% CI=1.33-3.45), snoring (AOR=2.01, 95% CI=1.62-2.49), sleepiness (AOR=1.41, 95% CI=1.11-1.79), hypertension (AOR=1.26, 95% CI=1.06-1.50), cardiovascular disease (AOR=1.24, 95% CI=1.19-1.29), and heart failure (AOR=1.81, 1.31-2.51) were independently associated with sleep-disordered breathing; snoring (AOR=2.10, 95% CI=1.67-2.70), age (AOR per 5-year increase=1.27, 95% CI=1.18-1.38), obesity (AOR=1.48, 95% CI=1.21-1.82), and heart failure (AOR=1.60, 95% CI=1.15-2.24) were associated with obstructive apnea; and age (AOR=1.33, 1.17-1.50) and heart failure (AOR=1.88, 95% CI=1.17-3.04) were associated with central apnea. CONCLUSION: Regardless of definition, a high prevalence of sleep disorders is observed in community-dwelling older men. Qualitatively similar associations were observed between sleep disorders and snoring, obesity, and comorbidities, as reported for middle aged populations. Asian race was associated with sleep-disordered breathing.",
pages = "1356-1364(9)",
url = "http://www.ingentaconnect.com/content/bsc/jgs/2007/00000055/00000009/art00005"
doi = "doi:10.1111/j.1532-5415.2007.01290.x"
}