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. 2018 May-Jun;60(3):347-355.
doi: 10.21149/9280.

[Prevalence of sleep symptoms and risk of obstructive sleep apnea in Mexico]

[Article in Spanish]
Selene Guerrero-Zúñiga  1 , Elsa Berenice Gaona-Pineda  2 , Lucía Cuevas-Nasu  2 , Luis Torre-Bouscoulet  1 , Margarita Reyes-Zúñiga  1 , Teresa Shamah-Levy  2 , Rogelio Perez-Padilla  1
Affiliations

[Prevalence of sleep symptoms and risk of obstructive sleep apnea in Mexico]

[Article in Spanish]
Selene Guerrero-Zúñiga et al. Salud Publica Mex. 2018 May-Jun.

Abstract
in English, Spanish

Objective: To estimate the prevalence of sleep related symptoms (SRS) in Mexico, and their distribution by region, urbanization and gender.

Materials and methods: Cross-sectional study using a national probabilistic sample among adults over 20 years old. We applied the Berlin questionnaire for sleep apnea risk (OSA) and questions on sleep duration, insomnia and sedative use.

Results: The most frequent SRS were snoring 48.5% and difficulty falling asleep 36.9%. High risk for OSA was found in 27.3% of adults, increases with BMI (OR=1.1), age (OR=1.03) and urban residence (OR=1.37). Insomnia was in 18.8% with female predominance (OR=1.91). Average sleep time was 7.6 ±3 hours; 28.4% of adults sleep <7 h/night.

Conclusions: SRS are highly prevalent. One in four Mexican adults have an elevated risk for OSA. Their detection and treatment could minimize detrimental health outcomes for them.

Objetivo: Estimar la prevalencia nacional de síntomas asociados con el sueño (SAS) en México, y su distribución por región, localidad y sexo.

Material y métodos: Estudio transversal con muestreo probabilístico, representativo a nivel nacional en adultos mayores de 20 años. Se aplicó un cuestionario sobre duración de sueño, insomnio, uso de hipnóticos y riesgo de síndrome de apnea obstructiva del sueño (SAOS).

Resultados: Los SAS más frecuentes fueron ronquido (48.5%) y dificultad para dormir (36.9%). Se identificó riesgo elevado de SAOS en 27.3% de los adultos, y se incrementa por índice de masa corporal (RM=1.1), edad (RM=1.03) y habitar zona urbana (RM=1.37). Se reportó insomnio en 18.8% de los participantes, que predomina en mujeres (RM=1.88). La duración promedio de sueño fue de 7.6 ± 3 horas; 28.4% de los adultos duermen <7 horas/ noche.

Conclusiones: Existe una elevada prevalencia de SAS. Uno de cada cuatro adultos mexicanos tiene elevada probabilidad de padecer SAOS. La detección y tratamiento de SAS pudieran minimizar los efectos deletéreos en la salud.

Keywords: obstructive sleep apnea; prevalence; sleep initiation and maintenance disorders.

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Conflict of interest statement

Declaration of conflict of interests. The authors declare that they have no conflict of interests.

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