Ubiquity of Undiagnosed Sleep Disordered Breathing in Community-Dwelling Older Male Veterans
- PMID: 26778348
- DOI: 10.1016/j.jagp.2015.08.004
Ubiquity of Undiagnosed Sleep Disordered Breathing in Community-Dwelling Older Male Veterans
Abstract
Objective: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
Keywords: aging; sleep; sleep-disordered breathing; veterans.
Published by Elsevier Inc.
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