Chronic diseases and excessive daytime sleepiness in older adults

Objective: To assess the level of Excessive Daytime Sleepiness (EDS), Obstructive Sleep Apnea Syndrome (OSAS) and health conditions in older adults. Methods: This is a quantitative cross-sectional study carried out with older adults enrolled in the Family Health Strategy in a municipality in Rio Gra...

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Bibliographic Details
Authors: Silva, José Felipe Costa da, Marques, Edson Mendes, Nobre, Thaiza Teixeira Xavier, Bezerra, Isaac Newton Machado, Lima, Jônia Cybele Santos
Format: article
Status:Published version
Publication Date:2018
Country:Brasil
Institution:Universidade de Fortaleza (Unifor)
Repository:Revista Brasileira em Promoção da Saúde
Language:Portuguese
English
OAI Identifier:oai:ojs.ojs.unifor.br:article/8205
Online Access:https://ojs.unifor.br/RBPS/article/view/8205
Access Level:Open access
Keyword:Disorders of Excessive Somnolence
Primary Health Care
Chronic Disease
Aged.
Trastornos de Somnolencia Excesiva
Atención Primaria de Salud
Enfermedad Crónica
Anciano.
Distúrbios do Sono por Sonolência Excessiva
Atenção Primária à Saúde
Doença Crônica
Idoso.
Description
Summary:Objective: To assess the level of Excessive Daytime Sleepiness (EDS), Obstructive Sleep Apnea Syndrome (OSAS) and health conditions in older adults. Methods: This is a quantitative cross-sectional study carried out with older adults enrolled in the Family Health Strategy in a municipality in Rio Grande do Norte, Brazil, from September 2015 to January 2016. A sociodemographic questionnaire (with questions related to: sex, marital status, type of housing, address, income, education and profession) and a health conditions questionnaire (with questions related to presence of diseases, sequelae and use of medications) were used. Excessive daytime sleepiness (EDS) was measured using the Epworth scale and sleep apnea obstructive syndrome (OSAS) was measured using the Berlin questionnaire. Results: Participants were 61 older adults with a mean age of 68.5 years, 46 of whom were women (75.4%). In all, 56 (91.8%) participants reported having some disease, with systemic arterial hypertension (SAH) being the most common (57.4%; n=35), followed by type 2 diabetes (24.6%, n=15), and arthritis or arthrosis (34.4%, n=21). There was a positive correlation between SAH and OSAS (p=0.001), DM and OSAS (p=0.018) and between EDS and respiratory diseases (p=0.010). Conclusion: The most prevalent diseases in the older adults analyzed were systemic arterial hypertension and diabetes mellitus. The majority did not present excessive daytime sleepiness, and some presented very low levels of such condition. Despite that, there was a positive association of chronic diseases with obstructive sleep apnea syndrome and excessive daytime sleepiness.