Resumo - SIICUSP - Ingles Final

SLEEP RESPIRATORY DISORDERS IN
MEDICAL STUDENTS
Maxwel Pereira da Costa
Maria Noel Marzano Rodrigues Petruzzi
Sérgio Henrique Kiemle Trindade
Bauru School of Dentistry/University of São Paulo

[email protected]
and NoSAS (4.68%). Those with excessive

Objectives diurnal sleep and overweight presented an
The present study aimed to investigate the increased relative risk of having mild/moderate
occurrence of obstructive sleep apnea (OSA) OSA (P ≤0,05), which was diagnosed in 4.68%
and related symptoms in young adults through of the sample through a home monitoring sleep
alternative screening parameters. test (Picture 1). There was a moderate and
statistically significant positive correlation
Materials and Methods between: ODI vs. BQ (r=0.313) and vs. NoSAS
This prospective and cross-sectional study (r=0.427), ESS vs. BQ (0.400), BQ vs. STOP-
included 64 undergraduate medical students. Bang (r=0.386) and vs. NoSAS (0,327), and
Sociodemographic (sex and age) and STOP-Bang vs. NoSAS (r=0.461) (Pearson
anthropometric data (NC = neck circumference correlation, P≤0.05).
and BMI = body mass index) were
systematically collected. The survey was self-
administered, including the Epworth sleepiness
scale (ESS), Berlin questionnaire (BQ), STOP-
Bang and NoSAS. The same day they
underwent portable home sleep monitoring
using the BiologixTM (Oxistar™, Biologix
Sistemas Ltd., Brazil) device. Scoring of the
oxygen desaturation index (ODI) events/hour
were: <5 without OSA, 5 ≤ ODI <15 = mild or
moderate OSA, ODI ≥15 = severe OSA. Picture 1: Graphic representation (colorblind safe) of
the association between (A) sleep propensity in daily
Descriptive and inferential statistics were
situations vs. oxygen desaturation index (ODI)
performed for data analysis (P ≤0,05). events/hour; and (B) body mass index (≥ 25kg/m2)
vs. ODI events/hour. The analysis was made using
Results Fisher's exact test. *P≤0.05.
The evaluated sample comprised 38 (59.37%)
males, aged 22.28±2.34 years (table 1). Males Conclusions
presented higher values of BMI, NC, ODI Despite a low occurrence of OSA among young
events/hour, and continuous values in BQ, adults, males presented a higher prevalence of
STOP-Bang, and NoSAS than females (P OSA's associated factors than females,
≤0,05). A high risk for OSA frequency was indicating that they should be early and
detected in BQ (10.93%), STOP-Bang (4.68%),
systematically screened for this disorder. medical students based on type-3 out-of-center
Considering their discriminatory ability, sleep test. Sleep Med. 2018 Jan;41:9-14. doi:
questionnaires and a home monitoring sleep 10.1016/j.sleep.2017.09.023.
tests together, should be considered in low-
3. Veugen CCAFM, Teunissen EM, den Otter
income settings as an alternative screening
LAS, Kos MP, Stokroos RJ, Copper MP.
resource for OSA. Educational strategies to
Prediction of obstructive sleep apnea:
raise awareness about OSAS should be
comparative performance of three screening
encouraged in university settings.
instruments on the apnea-hypopnea index and
References the oxygen desaturation index. Sleep Breath.
2020 Oct 24. doi: 10.1007/s11325-020-02219-
1. Migacz E, Wichniak A, Kukwa W. Are 6.
questionnaires reliable in diagnosing sleep-
disordered breathing in university students? J 4. Rashid NH, Zaghi S, Scapuccin M, Camacho
Laryngol Otol. 2017 Nov;131(11):965-971. doi: M, Certal V, Capasso R. The Value of Oxygen
10.1017/S0022215117001839. Desaturation Index for Diagnosing Obstructive
Sleep Apnea: A Systematic Review.
2. Nishijima T, Kizawa T, Hosokawa K, Endo F, Laryngoscope. 2021 Feb;131(2):440-447. doi:
Kasai Y, Yamashiro Y, Sakurai S. Prevalence 10.1002/lary.28663.
of sleep-disordered breathing in Japanese
Table 1: Mean and median values [95% CI] of the assessed variables compared by sex, age, and BMI ranges.
Sex Age BMI
Variables Male Female <25 years ≥25 years <25kg/m2 ≥25kg/m2

(N=64) (N=38) (N=26) (N=56) (N=8) (N=46) (N=18)
Age 22.00 20.00 22.00a 27.00a 22.00 22.00
BMI 23,97±3,41 21,46±3,16b 23,09±3,50 22,00±3,66 20,91±1,96c 27,14±1,85c
b
NC 37,00d 31,00d 36,00e 30,50e 34,00f 38,00f

ODM:
RT 378,20±74, 433,70±77,7 396,50±70, 430,40±131, 406,30±73, 388,20±406,30
22g 3g 55 21 41
ODI 2,20h 1,10h 1,50 2,00 1,50i 1,80i
SpO2min 92,00 92,00 92,00 90,25 92,00 92,00
SpO2médio 97,00j 98,00j 96,50 96,00 97,00 96,00
ESS 7,71±4,22k 10,42±4,45k 8,76±4,48 9,12±4,85 8,88±4,67 8,67±4,19
BQ 1,47±1,70 1,73±1,58 1,57±1,65 1,62±1,76 1,37±1,51 2,00±1,87
SB 1,47±0,64l 0,38±0,57l 0,87±0,83 1,03±0,80 0,93±0,79 1,19±0,81
NoSAS 4,21±2,38m 1,19±1,74m 3,00±2,56 2,87±3,04 1,48±1,31n 6,04±1,74n

BMI = body mass index, NC = neck circumference, ODM = overnight digital monitoring, RT = recording time,
ODI = oxygen desaturation index, SPO2 min = minimum oxygen saturation, ESS= Epworth sleepiness scale, BQ
= Berlin questionnaire, SB = STOP-Bang. Letters indicate statistical significant differences (P≤0.05). Mann-
Whitney and t-test were used to compare medians and means, respectively.

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SLEEP RESPIRATORY DISORDERS IN

Maxwel Pereira da Costa

Maria Noel Marzano Rodrigues Petruzzi

Sérgio Henrique Kiemle Trindade

Bauru School of Dentistry/University of São Paulo

and NoSAS (4.68%). Those with excessive

Variables Male Female <25 years ≥25 years <25kg/m2 ≥25kg/m2

NC 37,00d 31,00d 36,00e 30,50e 34,00f 38,00f

ESS 7,71±4,22k 10,42±4,45k 8,76±4,48 9,12±4,85 8,88±4,67 8,67±4,19

BQ 1,47±1,70 1,73±1,58 1,57±1,65 1,62±1,76 1,37±1,51 2,00±1,87

SB 1,47±0,64l 0,38±0,57l 0,87±0,83 1,03±0,80 0,93±0,79 1,19±0,81

NoSAS 4,21±2,38m 1,19±1,74m 3,00±2,56 2,87±3,04 1,48±1,31n 6,04±1,74n

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