Alharthi, F., Masoodi, I., Alomairi, N., Almuntashiri, A., Alfaifi, A. (2018). The Predictors of Obstructive Sleep Apnea at A High Altitude: Results of a Population-based Study in the Western region of Saudi Arabia. The Egyptian Journal of Hospital Medicine, 73(1), 5818-5827. doi: 10.21608/ejhm.2018.12045
Fahad Rajallah Alharthi; Ibrahim Masoodi; Naif Alomairi; Abdullah Hassan Almuntashiri; Abdulaziz Alfaifi. "The Predictors of Obstructive Sleep Apnea at A High Altitude: Results of a Population-based Study in the Western region of Saudi Arabia". The Egyptian Journal of Hospital Medicine, 73, 1, 2018, 5818-5827. doi: 10.21608/ejhm.2018.12045
Alharthi, F., Masoodi, I., Alomairi, N., Almuntashiri, A., Alfaifi, A. (2018). 'The Predictors of Obstructive Sleep Apnea at A High Altitude: Results of a Population-based Study in the Western region of Saudi Arabia', The Egyptian Journal of Hospital Medicine, 73(1), pp. 5818-5827. doi: 10.21608/ejhm.2018.12045
Alharthi, F., Masoodi, I., Alomairi, N., Almuntashiri, A., Alfaifi, A. The Predictors of Obstructive Sleep Apnea at A High Altitude: Results of a Population-based Study in the Western region of Saudi Arabia. The Egyptian Journal of Hospital Medicine, 2018; 73(1): 5818-5827. doi: 10.21608/ejhm.2018.12045
The Predictors of Obstructive Sleep Apnea at A High Altitude: Results of a Population-based Study in the Western region of Saudi Arabia
1Dept of Internal Medicine College of Medicine, Taif University
2Dept of Internal Medicine King Abdul Aziz Specialist hospital, Taif ,KSA
Abstract
Background: The sleep disturbances are common at high altitudes. This study aimed to determine the prevalence and predictors of obstructive sleep apnea at high altitudes. Methods: This cross-sectional observational study was conducted from March 2018 to June 2018 to assess the predictors of obstructive sleep apnea based on Berlin, Stop-Bang and Epworth sleepiness scale questionnaire from adult population of Taif City at an altitude of 1879 m from sea level in Saudi Arabia. Results: Of 1002 participants, the majority (614 participants, 61.3%) was males and the mean± SD age of participants was 30.6± 10.3 years (Range 11 - 67 years). In this study 24.9% participants were found to be at a high risk of having sleep apnea. Male gender, older age and smoking were found to be significantly associated with higher risk of sleep apnea according to Berlin, Stop-Bang and Epworth sleepiness scale questionnaire. Diseases found to be associated with a high risk of developing sleep apnea included hypertension (p<0.001), hyperlipidemia (p<0.001), diabetes (p<0.001), psychological disorders (p<0.001) and asthma (p<0.001) .On the other hand, cardiac disorders were found to have an insignificant effect on sleep apnea (p=0.076) in this study. Almost one-third of the participants (34.9%; 95% CI= 32.0% to 37.9%) were found to have an abnormal level of daytime sleepiness according to Epworth Sleepiness Scale (ESS). These results were comparable to the previous studies at low altitude. Conclusions: Our study demonstrated that the predictors of OSA at high altitudes are comparable to those at low altitudes.
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