By Alon Y. Avidan MD MPH, Phyllis C. Zee MD PhD
This pocket-sized instruction manual is a realistic advisor to the evaluate and administration of sleep problems. it really is written by means of exclusive sleep medication specialists and covers a extensive, multidisciplinary variety of issues in neurology, pulmonary medication, psychiatry and pediatrics.
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Additional info for Handbook of Sleep Medicine
Epidemiological studies indicate that 2% to 5% of the population meet the criteria for this syndrome (15). Men are more likely to have sleep apnea than premenopausal women; however, the incidence increases in postmenopausal women. Indeed, the prevalence of sleep apnea increases with increasing age. Studies of clinical populations tend to ﬁnd a peak prevalence of clinically signiﬁcant SDB in middle age, but population-based studies typically report increasing levels of SDB with aging; this occurs even though obesity is less prevalent with aging (16).
Netzer NC, Eliasson AH, Strohl KP. Women with sleep apnea have lower levels of sex hormones. Sleep Breath 2003;7(1):25–29. 13. Bixler EO, Vgontzas AN, Lin HM, et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med 2001;163(3 Pt 1):608–613. 14. Guilleminault C, Quera-Salva MA, Partinen M, Jamieson A. Women and the obstructive sleep apnea syndrome. Chest 1988;93(1):104–109. 15. Young T, Finn L, Austin D, Peterson A. Menopausal status and sleep-disordered breathing in the Wisconsin Sleep Cohort Study.
The relationship between OSAHS and other medical diseases such as hypertension, ischemic heart disease, asthma, arrhythmias, stroke, and others have been examined. An increase in motor vehicle accidents related to daytime sleepiness has been noted. , achondroplastic dwarfism), arterial hypertension, neuromuscular disorders] BMI, body mass index. indd 20 4/1/11 8:11:43 AM Chapter 2 Sleep-Disordered Breathing 21 motor vehicle accidents (MVA). All of these factors should be evaluated in the initial examination.