STOP-BANG Questionnaire in university students: preliminary study to detect risk for obstructive sleep apnea
DOI:
https://doi.org/10.21270/archi.v14i1.5438Keywords:
Sleep, Surveys and Questionnaires, Sleep Apnea, ObstructiveAbstract
Introduction: The STOP-Bang (QSB) Questionnaire is a widespread instrument to measure the risk for obstructive sleep apnea (OSA). However, it is questioned whether this instrument is applicable to the entire population, for example young people, without comorbidities. Objective: To evaluate the applicability of QSB in detecting OSA risk in university students. Materials and Methods: The QSB was used to evaluate the risk for OSA in university students in the countryside of the state of São Paulo, Brazil. The questionnaire consists of 8 items, with responses of the type yes (score=1) or no (score=0), its sum of 0-2 was considered indicative of low risk for OSA, 3-4 intermediate risk and 5 high risks. Data were described and correlated. Results: In total, 270 university students were evaluated, of which 207 (77%) were female. The mean age of the students was 23+6 years (17-57 years) and the mean BMI was 24+5kg/m2. It was observed that 258 (96%) individuals had an indicative score of low risk for OSA, 9(3%) indicative of intermediate risk and 3 (1%) indicatives of high risk. From the questionnaire, it was also observed that 11(4%) of the participants had snoring complaints, 20 (7%) of breathing breaks during sleep. Conclusion: The results showed that 4% of the university students evaluated presented risk for OSA. Complaints of breathing breaks during sleep were reported by a higher percentage of individuals (7%), which suggests that the instrument is not ideal for being applied in the young population, without risk factors. Low risk for OSA in QSB, therefore, does not necessarily exclude the risk of complaints of sleep breathing disorders.
Downloads
References
American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Westchester IL: American Academy of Sleep Medicine, 2018.
Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: A systematic review. Sleep Med Rev. 2017;34:70-81.
Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive sleep apnea syndrome in the Sao Paulo Epidemiologic Sleep Study. Sleep Med. 2010;11(5):441-6.
Duarte RLM, Fonseca LBM, Magalhães-da-Silveira FJ, Silveira EA, Rabahi MF. Validação do questionário STOP-Bang para a identificação de apneia obstrutiva do sono em adultos no Brasil. J bras pneumol. 2017;43(6):456-463.
Bruin PFC, Bagnato MC. Alterações cognitivas na SAOS. J bras pneumol. 2010;36(suppl.2):32-37.
Drager LF, Ladeira RT, Brandão-Neto RA, Lorenzi-Filho G, Benseñor IM. Síndrome da Apnéia Obstrutiva do Sono e sua Relação com a Hipertensão Arterial Sistêmica: Evidências Atuais. Arq Bras Cardiol. 2002;78(5):531-536.
Chiu HY, Chen PY, Chuang LP, Chen NH, Tu YK, Hsieh YJ, et al. Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: A bivariate meta-analysis. Sleep Med Rev. 2017;36:57-70.
Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest. 2016;149(3):631-8.
Abreu CB. Distúrbios respiratórios do sono na infância e na vida adulta: preditores de apneia obstrutiva do sono e qualidade de vida [tese]. Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Programa de Pós-Graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares, Porto Alegre, BR-RS, 2018.
Silva A, Pereira H, Xará D, Mendonça J, Cunha I, Santos A, et al. Síndrome da Apneia Obstrutiva do Sono e complicações respiratórias pós-operatórias. Rev Soc Port Anestesiol. 2014;22(3):66-73.
Pera MH, Tardelii MA, Novo NF, Juliano Y, Silva HCA. Correlation between obstructive apnea syndrome and difficult airway in ENT surgery. Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. 2017
Montanari CC. Acurácia diagnóstica de questionários para identificar apneia do sono em idosos [dissertação]. Porto Alegre: Universidade Federal do Rio Grande do Sul, Faculdade de Medicina; 2015.
Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP Questionnaire: a tool to screen obstructive sleep apnea. Anesthesiology. 2008;108(5):812–821.
Fonseca LBM, Silveira EA, Lima NM, Rabahi MF. Tradução e adaptação transcultural do questionário STOP-Bang para a língua portuguesa falada no Brasil. J Bras Pneumol 2016;42(4):266-72.
Diretrizes Brasileiras de Obesidade 2009/2010 / ABESO - Associação Brasileira para o estudo da Obesidade e da Síndrome Metabólica. São Paulo: AC Farmacêutica; 2016.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328(17):1230-5.
Bixler EO, Vgontzas AN, Ten Have T, Tyson K, Kales A. Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med. 1998;157(1):144-8.
Perceval AH, Meucci RD. Prevalência de alto risco para a síndrome da apneia obstrutiva do sono na população idosa residente na área rural de Rio Grande-RS. Cad saúde colet. 2020;28(2):241-250.
Machado AKF. Problemas de sono em população rural do sul do Brasil: um estudo de base populacional [dissertação]. Pelotas: Universidade Federal de Pelotas, Faculdade de Medicina - Programa de Pós-Graduação em Epidemiologia; 2017
Togeiro SMG, Smith AK. Métodos diagnósticos nos distúrbios do sono. Rev Bras Psiquiatr. 2005;27( Supl 1):8-15.
Corrêa CC, Weber SAT, Evangelisti M, Villa MP. Sleep Clinical Record application in Brazilian children and its comparison with Italian children. Sleep Med X. 2019;1:100008.
Corrêa CC, Weber SAT, Evangelisti M, Villa MP. The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea. Int J Pediatr Otorhinolaryngol. 2020;137:110240.
Migacz E, Wichniak A, Kukwa W. Are questionnaires reliable in diagnosing sleep-disordered breathing in university students? J Laryngol Otol. 2017;131(11):965-971.
Pasha SN, Khan UA. Frequency of snoring and symptoms of sleep apnea among Pakistani medical students. J Ayub Med Coll Abbottabad. 2003;15(1):23-5.
Brockmann PE, Damiani F, Gozal D. Sleep-Disordered Breathing in Adolescents and Younger Adults: A Representative Population-Based Survey in Chile. Chest. 2016;149(4):981-90.