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Obstructive sleep apnoea in the obese: underestimated and undertreated.
Obstructive sleep apnoea in the obese: underestimated and undertreated. -- Posted by Sweet Zombie Jesus! on 06-08-05 06:26
The obstructive sleep apnoea syndrome (OSAS) was first identified only
40 years ago and its clinical importance is increasingly recognized.
Although now acknowledged as a worldwide problem, which in Western
countries affects 2-4% of middle-aged men and 1-2% of middle-aged
women, the majority of affected individuals remain undiagnosed. OSAS is
strongly associated with obesity but is also increasingly identified in
the less obese, in whom a particular craniofacial structure is an
important contributory factor. The prevalence of OSAS is likely to be
increasing in parallel with the epidemic of obesity currently occurring
in many countries. The common presenting complaints are excessive
daytime sleepiness and loud snoring. The sleepiness impairs social
functioning, work performance and driving ability, and accounts for a
large socio-economic burden on the community. Hypertension is an
important independent association. The treatment of choice is nocturnal
continuous positive airway pressure which is highly effective and is
also cost effective.
Br Med Bull. 2005 Mar 29;72:49-65. Obstructive sleep apnoea syndrome:
underestimated and undertreated.Gibson GJ.Department of Respiratory
Medicine, Freeman Hospital Newcastle upon Tyne, ND7 7DN, UK.
g.j.gibson@ncl.ac.uk
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