Age- and gender-related differences of CPAP acceptance for obstructive sleep apnea syndrome in Taiwan

  • Yi-Chih Huang
  • Chou-Chin Lan
  • Yao-Kuang Wu
  • Wen-Lin Su
  • Mei-Chen Yang
Original Article
  • 10 Downloads

Abstract

In our previous study, we observed younger OSAS patients had higher CPAP acceptance but similar compliance as older OSAS patients, suggesting gender factor might play an important role on CPAP acceptance. Hence, we aimed to evaluate the influences of both gender and age on CPAP acceptance and compliance in Taiwanese OSAS patients. This retrospective study included 371 subjects which were subdivided by gender and age (younger: age < 55 years, and older: age ≥ 55 years) (n = 24 for younger women, n = 67 for older women, n = 131 for younger men; and n = 149 for older men). Anthropometric parameters, blood pressures, Epworth sleepiness scale, polysomnography variables, CPAP acceptance, and CPAP compliance were collected and compared. Univariate analysis evaluated the influence of different variables on CPAP acceptance. Due to the presence of multicollinearity for N3 sleep and AHI, as well as N3 sleep and DI, multivariate logistic regression models were conducted using three different models with N3 sleep, AHI, and DI included separately. Univariate analysis found women had less CPAP acceptance than men. Multivariate logistic regression analysis indicated younger women had lower CPAP acceptance, but in contrast younger men had higher CPAP acceptance. No difference was observed among the four subgroups for long-term CPAP compliance. In conclusion, our findings suggest that both age and gender impact CPAP acceptance for treating OSAS in Taiwan, with women having lower CPAP acceptance than men regardless of age. No apparent influence of age and gender on CPAP compliance was observed.

Keywords

Obstructive sleep apnea syndrome Continuous positive airway pressure Acceptance Compliance Age Gender 

Abbreviations

AHI

Apnea/hypopnea index

CAD

Coronary artery disease

CPAP

Continuous positive airway pressure

CVD

Cardiovascular disease

CVA

Cerebrovascular accident

DBP

Diastolic blood pressure

DI

Desaturation index

EDS

Excessive daytime sleepiness

EEG

Electroencephalography

ESS

Epworth sleepiness scale

HTN

Hypertension

MAP

Mean arterial pressure

OSAS

Obstructive sleep apnea syndrome

PSG

Polysomnography

REM

Rapid eye movement

SaO2

Oxygen saturation

SBP

Systolic blood pressure

Supplementary material

41105_2017_132_MOESM1_ESM.doc (66 kb)
Supplementary material 1 (DOC 65 KB)

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Copyright information

© Japanese Society of Sleep Research 2017

Authors and Affiliations

  • Yi-Chih Huang
    • 1
    • 2
  • Chou-Chin Lan
    • 1
    • 2
  • Yao-Kuang Wu
    • 1
    • 2
  • Wen-Lin Su
    • 1
    • 2
  • Mei-Chen Yang
    • 1
    • 2
  1. 1.Division of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu-Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei CityTaiwan
  2. 2.The School of MedicineTzu-Chi UniversityHualienTaiwan

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