A Comparison of Sleep Apnea Syndrome in Military Veterans with Control Group
Fariba Rezaeetalab, Fariborz Rezaeitalab, Amir Rezaei Ardani, Yalda Ravanshad, Mohammad Reza Sobhani, Saeidehanvari
Citation Information :
Rezaeetalab F, Rezaeitalab F, Ardani AR, Ravanshad Y, Sobhani MR, S. A Comparison of Sleep Apnea Syndrome in Military Veterans with Control Group. Indian Sleep Med 2017; 12 (1):29-34.
Introduction: Sleep is frequently complicated in military veterans with post-traumatic stress disorder (PTSD). Obstructive sleep apnea (OSA), a common sleep disordered breathing which affects mostly middle aged men, may be an important reason for sleep disturbances symptoms in military veterans. This study was conducted to compare the clinical features and polysomnographic parameters of OSA in PTSD veterans and control group.
Materials: 26 PTSD veterans diagnosed with OSA by standard polysomnography were studied. Body mass index (BMI) was recorded and Epworth Sleepiness Scale, a questionnaire for evaluation of daytime sleepiness was applied. The control group was consisting of men matched for age who diagnosed also with OSA.
Results: The mean age of veterans was 53.73 ± 8.7, and of the control group was 52.11 ± 6.2 years. The most common initial complaint in veterans was insomnia (57.5%) following by aggressiveness (14.5%), while non-veterans mostly complained from snoring (53.8%) and sleepiness (23%). Apnea-hypopnea index (AHI) was on average 38.8 ± 27.2. Mean BMI of veterans was 28.5 ± 5.7 and it was not related with AHI.
Conclusions: Unlike most of patients with sleep apnea, veterans mainly complain of insomnia and aggression. Moreover, BMI cannot predict the severity of sleep apnea in such patients. Therefore, it is recommended that veterans should be carefully investigated for OSA, even in the absence of typical presentation of OSA.
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