Factors associated with high obstructive sleep apnea risk among adult patients attending UiTM primary care clinic / Sharifah Azimah Wan Ali

Wan Ali, Sharifah Azimah (2019) Factors associated with high obstructive sleep apnea risk among adult patients attending UiTM primary care clinic / Sharifah Azimah Wan Ali. Masters thesis, Universiti Teknologi MARA (Kampus Sg. Buloh).

Abstract

Obstructive sleep apnea (OSA) increases risk of cardiovascular diseases (CVD), yet underdiagnosed. Presence of OSA and metabolic syndrome (MetS) synergistically increase CVD morbidity and mortality. At present, data is scarce on prevalence and factors associated with high OSA risk including Mets. Hence, this study aimed to determine the prevalence and factors associated with high OSA risk including MetS using a validated Malay version of Berlin Questionnaire (BQ-M) among patients attending primary care clinics. MetS will be defined by the latest Joint Interim Statement (JIS) criteria. A cross-sectional study was conducted at UiTM Primary Care Clinics between June 2018-August 2018. Adults aged ?:18 years old who fulfilled the inclusion and exclusion criteria were recruited using systematic random sampling. Socio-demographic, clinical parameters, fasting lipid profile and fasting blood glucose data were obtained. BQ-M was self-administered. A total of 408 participants with a response rate of93.8% participated in the study. The mean age was 56.04 ± 13.00 years, with more males (n = 209, 51.2%), Malays (n= 346, 84.8%) and non-smokers (n= 283, 69.4%). The overall prevalence of high OSA risk was 39.7% (95% CI: 34.94%,44.47%). There were high proportion of MetS in the overall study population (60%, n = 245) and among high OSA risk group (75.3%, n = 122). Being male [OR 2.16, (CI:1.41,3.31)], having visceral obesity [OR 2.07, (CI:1.12,3.84)] and clinically diagnosed with MetS [OR 2.06, CI: (1.24, 3.43)] were more likely to have high OSA risk. As a conclusion, patients attending sub-urban primary care clinics are at risk of having high OSA risk. Thus, it is imperative to screen for OSA particularly among high risk groups attending the primary care clinics especially male, individuals with visceral obesity and MetS.

Metadata

Item Type: Thesis (Masters)
Creators:
Creators
Email / ID Num.
Wan Ali, Sharifah Azimah
2013148041
Contributors:
Contribution
Name
Email / ID Num.
Thesis advisor
Abdul Razak, Suraya
UNSPECIFIED
Subjects: Q Science > QP Physiology > Neurophysiology and neuropsychology > Nervous system > Central nervous system
R Medicine > RA Public aspects of medicine > Public health. Hygiene. Preventive Medicine > Personal health and hygiene. Including clothing, bathing, exercise, travel, nutrition, sleep, sex hygiene
Divisions: Universiti Teknologi MARA, Selangor > Sungai Buloh Campus > Faculty of Medicine
Programme: Master of Medicine (Family Medicine)
Keywords: Obstructive sleep apnea, adult patients, UiTM primary care clinic, sleep apnea
Date: November 2019
URI: https://ir.uitm.edu.my/id/eprint/64417
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