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Sleep Disorders Breathing In IRAN

Sleep Disorders Breathing In IRAN. Parisa Adimi M.D,Pulmonologist ,Internist Director of sleep disorder medicine of Massih Daneshvari Hospital National Research Institute of Lung and Tuberculosis of IRAN. Obstructive Sleep Apnea Syndrome (OSAS).

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Sleep Disorders Breathing In IRAN

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  1. Sleep Disorders Breathing In IRAN

  2. Parisa Adimi M.D,Pulmonologist ,InternistDirector of sleep disorder medicine of Massih Daneshvari HospitalNational Research Institute of Lung and Tuberculosisof IRAN

  3. Obstructive Sleep ApneaSyndrome (OSAS) OSAS is a common medical condition that is underrecognized and, therefore, undiagnosed in many adults. • Definite risk factors for OSAS include obesity and craniofacial or upper airway soft tissue abnormalities. Potential risk factors include heredity, smoking, and nasal congestion. • A significant number of obese individuals (57%) were at high risk for OSAS.* • The risk of OSAS increased up to age 65 years. *Prevalence of symptoms and risk of sleep apnea in the US population: Results from the national sleep foundation sleep in America 2005 poll.

  4. First nationwide survey of prevalence of overweight, underweight ,and abdominal obesity in Iranian adults • BMI≥25 :42.8% in Men ,57% in women. Age adjusted • BMI≥30 :11.1% in MEN, 25.2% in Woman Age adjusted • Excess body weight is common in Iran. • More women than men present with overweight and abdominal obesity.

  5. Conclusion • Accordingly: • Approximately 9-18% of Iranian population are at risk of OSA . • May be woman are more prone to OSA. • So we need another studies in order to consider other risk factors in addition to obesity for better estimation.

  6. Palace of Great Kourosh

  7. Ongoing studies in Iran • Survey of Insomnia and hypersomnia in adult population in Tehran • Childhood and adolescence Insomnia and Hypersomnia in Tehran

  8. Methodology • Adult study • Study of a representative sample of housholds living in Tehran using Cluster random sampling Technique. • Child and Adolescents • Study of a representative sample of students in different categories(Primary,Guidence and Highschool) using cluster random sampling.

  9. SECOND PHASE Following finding abnormality in this population,24 hour pulse oximetry will be done. Oxygen Saturation base lower than 90% or 4% desaturation were considered abnormal and further investigations will be performed by polysomnography.

  10. Instrument • A 16-item Insomnia (ASSM 2nd edition 2005) Questionnaire • Epworth sleep scale Questionnaire

  11. Polysomnography in Massih Daneshvary Hospital6months Study

  12. Polysomnography report

  13. According to ASSM (American Society of sleep Medicine)

  14. AHI>=15 versus AHI<15

  15. Hypertension and Diabetes Mellitus in All of the patients

  16. Discussion • AHI (Mean)=20.9/h • PAP (Pulmonary Arterial Pressure with Doppler Echocardiography)=45 • BMI (mean)=34 Kg/m2 Most of the patients should be treated with positive airway pressure. patients were diagnosed with delay and complication. We should prepare screening method in population.

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