Sleep-Disordered Breathing in Community-Dwelling Elderly

TLDR

The study randomly sampled 427 adults aged 65+ in San Diego, California. Among 427 elderly participants, 24% had an apnea index ≥5 and 62% had a respiratory disturbance index ≥10, with modest associations to weight, snoring, nocturnal confusion, daytime sleepiness, depression, BMI, inappropriate sleep timing, male gender, alcohol abstinence before bed, and napping, but no reliable predictive model was identified.

Abstract

These are the final results of a survey of sleep-disordered breathing, which examined objective and subjective information from a large randomly selected elderly sample. We randomly selected 427 elderly people aged 65 yr and over in the city of San Diego, Califomia. Twenty-four percent had an apnea index, AI, ≥5 and 62% had a respiratory disturbance index, RDI, ≥ 10. Correlates of sleep-disordered breathing induded high relative weight and reports of snoring, breathing cessation at night, noctumal wandering or confusion, daytime sleepiness and depression. Body mass index, falling asleep at inappropriate times, male gender, no alcohol within 2 hr of bedtime and napping were the best predictors of sleep-disordered breathing. Despite statistical significance, all of the associations between interview variables and apnea indices were small. No combination of demographic variables and symptoms allowed highly reliable prediction of AI or RDI.