Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Prevalence, Correlates of OSA in African Americans

Sleep; ePub 2018 Sep 5; Johnson, Guo, et al

There was a high prevalence of objectively measured but undiagnosed obstructive sleep apnea (OSA) in African Americans. This according to a recent study that aimed to determine the prevalence and correlates of OSA overall and by sex among African Americans in the Jackson Heart Sleep Study. Snoring, body mass index (BMI), and neck circumference were important markers of OSA for men and women. Participants (n=852) underwent a type 3 in-home sleep apnea study, 7-day wrist actigraphy, and completed standardized measurements and questionnaires. Average age was 63.1 (SD = 10.7), 66% were female, and mean BMI was 32.0 (6.9) kg/m2. Researchers found:

  • Approximately 24% had an apnea–hypopnea index (AHI) ≥ 15; of those, 5% had a physician diagnosis of OSA.
  • Prevalence of OSA increased across BMI categories, but not age groups.
  • Men had a 12% higher prevalence of OSA compared with women.
  • Older age, male sex, higher BMI, larger neck circumference, and report of habitual snoring were independently associated with higher odds of OSA.
  • Sleepiness and waist circumference were not associated with OSA.
Citation:

Johnson DA, Guo N, Rueschman M, Wang R, Wilson JG, Redline S. Prevalence and correlates of obstructive sleep apnea among African Americans: The Jackson Heart Sleep Study. [Published online ahead of print September 5, 2018]. Sleep. doi:10.1093/sleep/zsy154.

This Week's Must Reads

Vegetable/Fruit Intake Benefits Cognitive Function, Neurology; ePub 2018 Nov 21; Yuan, Fondell, et al

Alzheimer Dementia and Age-Related Neuropathologies, Ann Neurol; ePub 2018 Nov 12; Boyle, Yu, et al

Kidney Function and Post-Stroke Mortality Examined, Stroke; ePub 2018 Nov 9; El Husseini, Fonarow, et al

Meditation May Help to Alleviate US Stroke Burden, J Stroke Cerebrovasc Dis; ePub 2018 Nov 24; Ambavane, et al

Must Reads in Sleep Medicine

Later School Start Times, Sleep Health Evaluated , Sleep; ePub 2018 Nov 3; Nahmod, Lee, et al

Short Sleep Duration Linked with Poor Hydration, Sleep; ePub 2018 Nov 5; Rosinger, Chang, et al

Sleep Apnea Associated with Less Healthful Diet, Sleep; ePub 2018 Oct 22; Reid, Maras, Shea, et al

Sleep Duration/Stroke Link Differs by Race and Sex, Neurology; ePub 2018 Oct 3; Petrov, Howard, et al

Probable OSA Common in Refractory Epilepsy, Epilepsia; ePub 2018 Sep 24; McCarter, et al