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Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city

INTRODUCTION: diabetes mellitus (DM) and Obstructive Sleep Apnea (OSA) are two major and interconnected non-communicable diseases. Both negatively impact on sleep quality. This study aimed to determine among persons with type 2 DM, the proportions at high risk of OSA and of self-reported poor sleep...

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Autores principales: Ade, Serge, Alassani, Adebayo Cossi, Wachinou, Prudence Ablo, Youzeu, Audrey Tchemoua, Imorou, Abdoulaye, Fanou, Lionelle, Flatin, Marius Claude, Hounkpatin, Spero, Agodokpessi, Gildas, Harries, Anthony David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856968/
https://www.ncbi.nlm.nih.gov/pubmed/35251458
http://dx.doi.org/10.11604/pamj.2021.40.264.28310
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author Ade, Serge
Alassani, Adebayo Cossi
Wachinou, Prudence Ablo
Youzeu, Audrey Tchemoua
Imorou, Abdoulaye
Fanou, Lionelle
Flatin, Marius Claude
Hounkpatin, Spero
Agodokpessi, Gildas
Harries, Anthony David
author_facet Ade, Serge
Alassani, Adebayo Cossi
Wachinou, Prudence Ablo
Youzeu, Audrey Tchemoua
Imorou, Abdoulaye
Fanou, Lionelle
Flatin, Marius Claude
Hounkpatin, Spero
Agodokpessi, Gildas
Harries, Anthony David
author_sort Ade, Serge
collection PubMed
description INTRODUCTION: diabetes mellitus (DM) and Obstructive Sleep Apnea (OSA) are two major and interconnected non-communicable diseases. Both negatively impact on sleep quality. This study aimed to determine among persons with type 2 DM, the proportions at high risk of OSA and of self-reported poor sleep quality along with their associated-factors in Parakou city, Benin. METHODS: this was a cross-sectional prospective study of 100% (n=383) outpatient adults with type 2 DM, conducted between April and August 2019 in the three top centres managing diabetic persons in Parakou city. They were interviewed, examined and investigated using capillary fasting blood glucose tests. The STOP-Bang Questionnaire (SBQ) was used to determine the risk of OSA. RESULTS: overall, their mean age was 57.37 (11.45) years. They were 61.62% (n=236) females and 38.38% (n=147) males. Sleep duration was insufficient in 26.89% (n=103). Nocturia was reported in 49.35% (n=189). The risk of OSA was high in 14.10% (n=54), intermediate in 24.80% (n=95) and low in 61.10% (n=234). Friedman Position Tongue Grade 3 (Adjusted Odds Ratio, aOR=2.48; 95%CI=1.11 - 5.55; p=0.025) and 4 (aOR=4.65; 95%CI=1.26 - 15.90; p=0.015) were independently associated with a high risk of OSA. The prevalence of reported poor sleep quality was 27.42% (n=105). Female gender (aOR=2.08; 95%CI=1.18-3.83; p=0.014), diabetic foot (aOR=5.07; 95%CI=1.15-23.63; p=0.031), nocturia (aOR=1.96; 95%CI=1.18-3.29; p=0.010), tiredness (aOR=2.77; 95%CI=1.26-6.23; p=0.012) and a high risk of OSA (aOR=3.31; 95%CI=1.28-8.93; p=0.015) were independently associated with a greater risk of reported poor sleep quality. CONCLUSION: in Parakou, the proportions of patients with type 2 DM at increased risk of OSA and with poor quality of sleep are relatively high. There is need for better systematic screening of OSA in persons with DM.
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spelling pubmed-88569682022-03-04 Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city Ade, Serge Alassani, Adebayo Cossi Wachinou, Prudence Ablo Youzeu, Audrey Tchemoua Imorou, Abdoulaye Fanou, Lionelle Flatin, Marius Claude Hounkpatin, Spero Agodokpessi, Gildas Harries, Anthony David Pan Afr Med J Research INTRODUCTION: diabetes mellitus (DM) and Obstructive Sleep Apnea (OSA) are two major and interconnected non-communicable diseases. Both negatively impact on sleep quality. This study aimed to determine among persons with type 2 DM, the proportions at high risk of OSA and of self-reported poor sleep quality along with their associated-factors in Parakou city, Benin. METHODS: this was a cross-sectional prospective study of 100% (n=383) outpatient adults with type 2 DM, conducted between April and August 2019 in the three top centres managing diabetic persons in Parakou city. They were interviewed, examined and investigated using capillary fasting blood glucose tests. The STOP-Bang Questionnaire (SBQ) was used to determine the risk of OSA. RESULTS: overall, their mean age was 57.37 (11.45) years. They were 61.62% (n=236) females and 38.38% (n=147) males. Sleep duration was insufficient in 26.89% (n=103). Nocturia was reported in 49.35% (n=189). The risk of OSA was high in 14.10% (n=54), intermediate in 24.80% (n=95) and low in 61.10% (n=234). Friedman Position Tongue Grade 3 (Adjusted Odds Ratio, aOR=2.48; 95%CI=1.11 - 5.55; p=0.025) and 4 (aOR=4.65; 95%CI=1.26 - 15.90; p=0.015) were independently associated with a high risk of OSA. The prevalence of reported poor sleep quality was 27.42% (n=105). Female gender (aOR=2.08; 95%CI=1.18-3.83; p=0.014), diabetic foot (aOR=5.07; 95%CI=1.15-23.63; p=0.031), nocturia (aOR=1.96; 95%CI=1.18-3.29; p=0.010), tiredness (aOR=2.77; 95%CI=1.26-6.23; p=0.012) and a high risk of OSA (aOR=3.31; 95%CI=1.28-8.93; p=0.015) were independently associated with a greater risk of reported poor sleep quality. CONCLUSION: in Parakou, the proportions of patients with type 2 DM at increased risk of OSA and with poor quality of sleep are relatively high. There is need for better systematic screening of OSA in persons with DM. The African Field Epidemiology Network 2021-12-28 /pmc/articles/PMC8856968/ /pubmed/35251458 http://dx.doi.org/10.11604/pamj.2021.40.264.28310 Text en Copyright: Serge Ade et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Ade, Serge
Alassani, Adebayo Cossi
Wachinou, Prudence Ablo
Youzeu, Audrey Tchemoua
Imorou, Abdoulaye
Fanou, Lionelle
Flatin, Marius Claude
Hounkpatin, Spero
Agodokpessi, Gildas
Harries, Anthony David
Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title_full Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title_fullStr Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title_full_unstemmed Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title_short Risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-Saharan Africa city
title_sort risk of obstructive sleep apnea and quality of sleep among adults with type 2 diabetes mellitus in a sub-saharan africa city
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856968/
https://www.ncbi.nlm.nih.gov/pubmed/35251458
http://dx.doi.org/10.11604/pamj.2021.40.264.28310
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