Prevalence Of Obstructive Sleep Apnea Hypopnea Syndrome In Adults Over 20 Years In Haiyuan

Objective To investigate the prevalence of snoring and obstructive sleep apnea hypopnea syndrome in adults aged over 20 years in Haiyuan and providing the basis data for prevention and controlling of chronic diseases.Methods 2000subjects(aged ≥20 years)were derived from a stratified cluster and random sampling of the population living in four districts in Haiyuan.They were asked to answer the questions from a questionnaire concerning snoring,daytime sleepiness,and habits such as smoking and drinking,etc.According to the degree of snoring,Epworth scores and a history of sleep apnea,101 were selected to be tested by portable sleep monitor in 202 suspicious OSAHS staff.The prevalence of OSAHS was conservatively calculated from the result.Result A total of 1760(88.0%)validated questionnaires was collected,including urban areas736 people and rural1024 people;Average age is 43.65 years old,including males971(55.17%),females 789(44.83%);Hui 1002(56.93%),Han 758(43.07%).The incidence of snoring was about 24.09%.50 years of age with age increased the proportion of snorers showed an upward trend,51 to 70 years old tends to flat,71 years of age or more decline.The prevalence higher in males(28.63%)than in females(18.63%);Drinking and snoring were closely related;varying degrees of snorer,Epworth sleepiness score were significantly different.Only 15.11% of which people are acquainted with snoring.87 people were diagnosed OSAHS in 101 suspicious staff sampling by portable sleep monitor.The estimated prevalence of OSAHS was 9.88% by apnea hypopnea index(AHI)≥5 / h,oxygen saturation(SaO2)≤90%,Epworth sleepiness score(ESS)≥9.It was fond that nasal obstruction,smoking,pharyngeal stenosis,family history,drinking,body mass index(BMI)≥ 28 and mandibular retrusion were the risk factors for OSAHS in the survey population by Logistic regression analysis.Conclusion The incidence of snoring was 24.09% in Haiyuan;The prevalence of OSAHS was 9.88%;Nasal obstruction,smoking,pharyngeal stenosis,family history,drinking,body mass index(BMI)≥ 28 and mandibular retrusion were the risk factors for OSAHS in the survey population.It is expected to reduce the occurrence and harm of the disease through the implementation of comprehensive chronic disease prevention and control strategy with the control of risk factors as the core.