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Prevalence of symptoms and risk of obstructive sleep apnea in Saudi pregnant women.
Annals of Thoracic Medicine ( IF 2.1 ) Pub Date : 2020-07-01 , DOI: 10.4103/atm.atm_59_20 Aljohara S Almeneessier 1, 2 , Mohammed Alangari 1 , Abdulmalik Aldubayan 1 , Abdulrahman Alsharidah 1 , Aamer Altaki 1 , Awad H Olaish 1 , Yasser S Sabr 3 , Ahmed S BaHammam 1, 4
BACKGROUND: This case-control study aimed to assess the prevalence of symptoms and risk of obstructive sleep apnea (OSA) among Saudi pregnant women.
METHODS: The study included consecutive Saudi pregnant women attending the antenatal service between July 2015 and December 2016. Pregnant women were compared with an age-matched group of nonpregnant women. OSA symptoms and risk were assessed using a validated Arabic version of the Berlin questionnaire (BQ).
RESULTS: The study included 742 pregnant women and 742 age-matched nonpregnant women. At the time of the survey, 8.2% were in the first trimester; 33.4% in the second trimester; and 58.4%in third trimester. Snoring was reported by 14% of pregnant women, and 5% reported breathing pauses during sleep. Based on the BQ stratification for risk of OSA, 19.3% of pregnant women and 16.6% of the control group were at high risk for OSA. A comparison between the high OSA-risk and low OSA-risk pregnant women revealed that the pregnant women in high risk group were older (30.9 ± 5.9 years vs. 29 ± 5.4 years, P = 0.001), had a higher body mass index (BMI) (34.3 ± 5.2 kg/m2 vs. 28.7 ± 5.8 kg/m2,P < 0.001), and higher parity (1.9 ± 2 vs. 1.5 ± 1.7, P = 0.020). A multivariate logistic regression analysis revealed the following independent variables, BMI (odds ratio [OR] 1.173 [95% confidence interval [CI] 1.129–1.219],P < 0.001), pregnancy-induced hypertension (OR 7.85 [95% CI 1.691–36.447], P = 0.013), and the presence of restless legs syndrome (OR 2.209 [95% CI 1.332–3.279],P < 0.001).
CONCLUSIONS: OSA symptoms and risk were relatively common among Saudi pregnant women. Increasing the awareness among physicians about this association is essential to improve early detection of the disorder.
中文翻译：
沙特孕妇的症状流行率和阻塞性睡眠呼吸暂停风险。
背景：这项病例对照研究旨在评估沙特孕妇的症状患病率和阻塞性睡眠呼吸暂停（OSA）风险。
方法：该研究包括2015年7月至2016年12月间连续接受沙特产前检查的沙特孕妇。将孕妇与年龄匹配的非孕妇组进行比较。OSA症状和风险使用柏林问卷的经过验证的阿拉伯语版本（BQ）进行评估。
结果：该研究包括742名孕妇和742名年龄匹配的非孕妇。在调查时，早孕期为8.2％。孕中期占33.4％；妊娠中期占58.4％。据报告有14％的孕妇打，有5％的人报告在睡眠中出现呼吸暂停。根据对OSA风险的BQ分层，有19.3％的孕妇和16.6％的对照组有OSA的高风险。高OSA风险孕妇和低OSA风险孕妇的比较显示，高风险组的孕妇年龄较大（30.9±5.9岁vs. 29±5.4岁，P = 0.001），且体重指数较高（ BMI）（34.3±5.2公斤/米2 VS 。 28.7±5.8千克/米2，P<0.001）和更高的奇偶校验（1.9±2 vs. 1.5±1.7，P = 0.020）。多元逻辑回归分析显示以下独立变量：BMI（比值比[OR] 1.173 [95％置信区间[CI] 1.129-1.219]，P <0.001），妊娠高血压（OR 7.85 [95％CI 1.691-] [36.447]，P = 0.013），以及存在不安腿综合征（OR 2.209 [95％CI 1.332–3.279]，P <0.001）。
结论： OSA症状和风险在沙特孕妇中相对普遍。提高医师对这种关联的认识对于改善疾病的早期发现至关重要。
更新日期：2020-07-01
Annals of Thoracic Medicine ( IF 2.1 ) Pub Date : 2020-07-01 , DOI: 10.4103/atm.atm_59_20 Aljohara S Almeneessier 1, 2 , Mohammed Alangari 1 , Abdulmalik Aldubayan 1 , Abdulrahman Alsharidah 1 , Aamer Altaki 1 , Awad H Olaish 1 , Yasser S Sabr 3 , Ahmed S BaHammam 1, 4
Affiliation
BACKGROUND: This case-control study aimed to assess the prevalence of symptoms and risk of obstructive sleep apnea (OSA) among Saudi pregnant women.
METHODS: The study included consecutive Saudi pregnant women attending the antenatal service between July 2015 and December 2016. Pregnant women were compared with an age-matched group of nonpregnant women. OSA symptoms and risk were assessed using a validated Arabic version of the Berlin questionnaire (BQ).
RESULTS: The study included 742 pregnant women and 742 age-matched nonpregnant women. At the time of the survey, 8.2% were in the first trimester; 33.4% in the second trimester; and 58.4%in third trimester. Snoring was reported by 14% of pregnant women, and 5% reported breathing pauses during sleep. Based on the BQ stratification for risk of OSA, 19.3% of pregnant women and 16.6% of the control group were at high risk for OSA. A comparison between the high OSA-risk and low OSA-risk pregnant women revealed that the pregnant women in high risk group were older (30.9 ± 5.9 years vs. 29 ± 5.4 years, P = 0.001), had a higher body mass index (BMI) (34.3 ± 5.2 kg/m2 vs. 28.7 ± 5.8 kg/m2,P < 0.001), and higher parity (1.9 ± 2 vs. 1.5 ± 1.7, P = 0.020). A multivariate logistic regression analysis revealed the following independent variables, BMI (odds ratio [OR] 1.173 [95% confidence interval [CI] 1.129–1.219],P < 0.001), pregnancy-induced hypertension (OR 7.85 [95% CI 1.691–36.447], P = 0.013), and the presence of restless legs syndrome (OR 2.209 [95% CI 1.332–3.279],P < 0.001).
CONCLUSIONS: OSA symptoms and risk were relatively common among Saudi pregnant women. Increasing the awareness among physicians about this association is essential to improve early detection of the disorder.
中文翻译：
沙特孕妇的症状流行率和阻塞性睡眠呼吸暂停风险。
背景：这项病例对照研究旨在评估沙特孕妇的症状患病率和阻塞性睡眠呼吸暂停（OSA）风险。
方法：该研究包括2015年7月至2016年12月间连续接受沙特产前检查的沙特孕妇。将孕妇与年龄匹配的非孕妇组进行比较。OSA症状和风险使用柏林问卷的经过验证的阿拉伯语版本（BQ）进行评估。
结果：该研究包括742名孕妇和742名年龄匹配的非孕妇。在调查时，早孕期为8.2％。孕中期占33.4％；妊娠中期占58.4％。据报告有14％的孕妇打，有5％的人报告在睡眠中出现呼吸暂停。根据对OSA风险的BQ分层，有19.3％的孕妇和16.6％的对照组有OSA的高风险。高OSA风险孕妇和低OSA风险孕妇的比较显示，高风险组的孕妇年龄较大（30.9±5.9岁vs. 29±5.4岁，P = 0.001），且体重指数较高（ BMI）（34.3±5.2公斤/米2 VS 。 28.7±5.8千克/米2，P<0.001）和更高的奇偶校验（1.9±2 vs. 1.5±1.7，P = 0.020）。多元逻辑回归分析显示以下独立变量：BMI（比值比[OR] 1.173 [95％置信区间[CI] 1.129-1.219]，P <0.001），妊娠高血压（OR 7.85 [95％CI 1.691-] [36.447]，P = 0.013），以及存在不安腿综合征（OR 2.209 [95％CI 1.332–3.279]，P <0.001）。
结论： OSA症状和风险在沙特孕妇中相对普遍。提高医师对这种关联的认识对于改善疾病的早期发现至关重要。
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