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BLOOD PRESSURE AND OBSTRUCTIVE SLEEP APNEA TRACKED BY STOP-BANG AND EPWORTH SLEEPINESS SCALE IN A YOUNG POPULATION ASSISTED BY A FAMILY HEALTHCARE UNIT - LAPARC STUDY

2019; Lippincott Williams & Wilkins; Volume: 37; Linguagem: Inglês

10.1097/01.hjh.0000573896.63259.c4

1473-5598

L. Villa, L. Zarur, R. Bellotti, M.F. Reis, Rodrigo Lemos Da Silva, Bruna Rafaele Vieira Pedrosa, Maria Eduarda A Ramos, Luciano Gama da Silva Gomes, Poma Pacheco, Luciane Bizari Coin de Carvalho, Gustavo d Ganem, Brenda Moura, Stephanie Si Min Lilienwald Oei, Ana Mallet, A.C. Fernandes, Inah Maria Drummond Pecly, Elizabeth Silaid Muxfeldt,

Obstructive Sleep Apnea Research

Objective: To establish the relationship between blood pressure (BP) levels and high risk of obstructive sleep apnea (OSA) in a young adult population assisted by a Family Health Program unit in Rio de Janeiro. Design and method: This is a cross-sectional population study enrolling adult between 20–50 years. CV risk factors, demographic and anthropometric characteristics were registered. All patients underwent to office blood pressure (OBP) and Home Blood Pressure Monitoring (HBPM), EKG, and application of OSA screening tools. STOP-BANG stands for: snoring, tired during the day, observed stop breathing, high BP, body mass index (BMI), age>50 years, neck circumference>40 cm and male gender. ESS is an 8-item questionnaire asking the subject how likely he/she is to doze or fall asleep in situations of daily life. STOP-BANG score > = 3 and/or ESS score > = to 10 identify patients at high risk for OSA. Results: A total of 391 subjects were enrolled [152 (39%) males, mean age: 39 ± 9 years]. The most common condition was physical inactivity (44%), followed by obesity (25%), dyslipidemia (35%) and hypertension (14%). A total of 45 (12%) subjects were at high risk for OSA by two questionnaires; 96 (25%) subjects were found with high OSA risk by STOP-BANG and 143 (37%) by ESS. Patients with high risk by STOP-BANG are frequently male, younger, obese and with high Cornell index. The mean value of systolic and diastólica OBP and HBPM were higher in this group. High OSA risk by ESS were associated with obesity. Being male (OR: 6,17; IC: 2,49–15,3, p < 0,001) and obese (OR: 6,89; IC: 3,07–15,4, p < 0,001) were correlated independently with risk of OSA. Conclusions: This population, although young and apparently health, already has high cardiovascular risk, associated mostly with modifiable habits like obesity and physical inactivity and an unexpectedly high risk for OSA. In this way, there is a clear association between higher BP and the risk of OSA by STOP-BANG, when compared with ESS.