Skip to main content
Log in

Prevalence and risk factors for sleep disordered breathing in a Puerto Rican middle-aged population

  • Original Article
  • Published:
Sleep and Breathing Aims and scope Submit manuscript

Abstract

Background

The Berlin Questionnaire [an outcome of a primary care physicians’ conference held in Berlin, Germany, in 1996 that was created to identify patients at high risk for sleep disordered breathing (SDB)] was administered to a representative sample of middle-age population in Puerto Rico in order to document the prevalence of SDB and its associated risk factors.

Materials and methods

The island was divided in six regions to maintain heterogeneity and to have a representative sample of the population per region. Puerto Rican subjects between 30–60 years old were recruited in shopping malls, and questionnaires were filled. For each subject, body weight, neck circumference, and height were measured. Information regarding the diagnosis of hypertension was based upon a positive or negative response from study subject in a questionnaire. Data was collected for 6 months.

Results

A total of 290 subjects, all of Puerto Rican origin, were interviewed. Fifty-eight percent of the evaluated sample was found at high risk of SDB. Being male, hypertensive, and obese were the strongest risk factors for the development of SDB. In women, a neck size above 15 cm was a significant risk factor.

Conclusions

This is the first time a prevalence study for SDB is done among a representative sample of subjects of Puerto Rican origin. It is the first step in documenting how SDB affects this ethnic group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Young T, Palta M, Dempsey J et al (1993) The occurrence of sleep-disordered breathing among middle aged adults. N Engl J Med 328:1230–1235 doi:10.1056/NEJM199304293281704

    Article  PubMed  CAS  Google Scholar 

  2. Artz M, Young T et al (2005) Association of sleep-disordered breathing and the occurrence of stroke. Am J Respir Crit Care Med 172:1447–1451 doi:10.1164/rccm.200505-702OC

    Article  Google Scholar 

  3. Shahar E, Whitney C, Redline S et al (2001) Sleep-disordered breathing and cardiovascular disease. Am J Respir Crit Care Med 163:19–25

    PubMed  CAS  Google Scholar 

  4. Peppard P, Young T, Palta M et al (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342:1378–1384 doi:10.1056/NEJM200005113421901

    Article  PubMed  CAS  Google Scholar 

  5. Nieto J, Young T, Lind B et al (2000) Association of sleep-disordered breathing, sleep apnea and hypertension in a large community-based study. JAMA 283:1829–1836 doi:10.1001/jama.283.14.1829

    Article  PubMed  CAS  Google Scholar 

  6. Blondet M, Perez J, Rodriguez W (2001) Continuous positive airway pressure and obstructive sleep apnea in a Hispanic population. Sleep Breath 5:109–114 doi:10.1055/s-2001-17435

    Article  PubMed  CAS  Google Scholar 

  7. Namen AM, Dunagan DP, Fleischer A et al (2002) Increased physician-reported sleep apnea: the National Ambulatory Medical Care Survey. Chest 121:1741–1747 doi:10.1378/chest.121.6.1741

    Article  PubMed  Google Scholar 

  8. Kohler D, Schonhofer B (1997) How important is the differentiation between apnea and hypopnea. Respiration 64(Suppl 2):15–21

    PubMed  Google Scholar 

  9. AASM Task Force (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. AASM Task Force report. Sleep 22:667–90

    Google Scholar 

  10. Netzer N, Stoohs R, Netzer C et al (1999) Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 131:485–491

    PubMed  CAS  Google Scholar 

  11. Redline S, Tishler P, Hans M et al (1997) Racial differences in sleep-disordered breathing in African-Americans and Caucasians. Am J Respir Crit Care Med 155:186–192

    PubMed  CAS  Google Scholar 

  12. Palmer LJ, Buxbaum SG et al (2004) Whole genomes scan for obstructive sleep apnea and obesity in African-American families. Am J Respir Crit Care Med 169:1314–1321 doi:10.1164/rccm.200304-493OC

    Article  PubMed  Google Scholar 

  13. Okosun I, Tedders S, Choi S et al (2000) Abdominal adiposity values associated with established body mass indexes in the white, black and Hispanic Americans. Int J Obes Metab Disord 24(10):1279–1285 doi:10.1038/sj.ijo.0801414

    Article  CAS  Google Scholar 

  14. Ostir G, Markides K, Freeman D et al (2000) Obesity and health conditions in elderly Mexican Americans: the Hispanic EPSE. Ethn Dis 10(1):31–38

    PubMed  CAS  Google Scholar 

  15. Okosun I, Liao Y, Rotimi C et al (2000) Abdominal adiposity and clustering of multiple metabolic syndromes in white, black and Hispanic Americans. Ann Epidemiol 10(5):263–270 doi:10.1016/S1047-2797(00)00045-4

    Article  PubMed  CAS  Google Scholar 

  16. Wang J, Thornton J, Burastero S et al (1996) Comparisons for body mass index and body fat percent among Puerto Ricans, blacks, whites and Asians living in the New York City area. Obes Res 4(4):377–384

    PubMed  CAS  Google Scholar 

  17. Dwyer E, Asif M, Ippolito T et al (2000) Role of hypertension, diabetes, obesity and race in the development of symptomatic myocardial dysfunction in a predominantly minority population with normal coronary arteries. Am Heart J 139:297–304 doi:10.1016/S0002-8703(00)90239-4

    Article  PubMed  CAS  Google Scholar 

  18. Sacco R (2001) Newer risk factors for stroke. Neurology 57(Suppl 2):S31–S34

    PubMed  CAS  Google Scholar 

  19. Guilleminault C, Quera-Salva MA, Partinen M, Jamieson A (1988) Women and obstructive sleep apnea syndrome. Chest 93:104–109 doi:10.1378/chest.93.1.104

    Article  PubMed  CAS  Google Scholar 

  20. Bliwise D, Feldman D, Bliwise N et al (1987) Risk factors for sleep disordered breathing in heterogeneous geriatric populations. J Am Geriatr Soc 35:132–141

    PubMed  CAS  Google Scholar 

  21. Katz I, Stradling J, Slutsky AS et al (1990) Do patients with obstructive sleep apnea has thick necks. Am Rev Respir Dis 141(141):1228–1231

    PubMed  CAS  Google Scholar 

  22. Ferguson KA, Ono T, Lowe AA et al (1995) The relationship between obesity and craniofascial structure in obstructive sleep apnea. Chest 108:375–381 doi:10.1378/chest.108.2.375

    Article  PubMed  CAS  Google Scholar 

  23. Gonzalez E, Borell LN, Choudhry C et al (2005) Latino populations: a unique opportunity for the study of race, genetics, and social environment in epidemiological research. Am J Public Health 95:2161–2168 doi:10.2105/AJPH.2005.068668

    Article  Google Scholar 

  24. Smith R, Ronald J, Delaive K et al (2002) What are obstructive sleep apnea patients being treated for prior to this diagnosis. Chest 121:164–172 doi:10.1378/chest.121.1.164

    Article  PubMed  Google Scholar 

  25. Young T, Peppard P, Gottlieb D (2002) Epidemiology of obstructive sleep apnea. Am J Respir Crit Care Med 165:1217–1239 doi:10.1164/rccm.2109080

    Article  PubMed  Google Scholar 

  26. Nowell C, Stanley LR (1991) Length-biased sampling in mall intercept survey. J Mark Res 28:475–479 doi:10.2307/3172787

    Article  Google Scholar 

Download references

Acknowledgment

This study was supported by Sociedad de Investigación Científica, Inc. (SODEINC), P.O. Box 33060, Veterans Plaza Station, San Juan, P uerto Rico, 00933-0060.

Conflict of interest

No affiliations with organizations with financial interest and no conflicts of interest were involved in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to William Rodríguez-Cintrón.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blondet, M., Yapor, P., Latalladi-Ortega, G. et al. Prevalence and risk factors for sleep disordered breathing in a Puerto Rican middle-aged population. Sleep Breath 13, 175–180 (2009). https://doi.org/10.1007/s11325-008-0216-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-008-0216-4

Keywords

Navigation