L. Ferinistrambi et al., SNORING AND NOCTURNAL OXYGEN DESATURATIONS IN AN ITALIAN MIDDLE-AGED MALE-POPULATION - EPIDEMIOLOGIC-STUDY WITH AN AMBULATORY DEVICE, Chest, 105(6), 1994, pp. 1759-1764
Recent studies have suggested that portable monitoring may be a valid
means of finding respiratory disturbances in epidemiologic research on
a large scale. The aim of this cross-sectional study was to evaluate
by means of an appropriately validated portable instrument (MESAM 4) t
he nocturnal oxygen desaturations in a representative sample of adult
male population in North Italy. We randomly chose 750 subjects: 399 su
bjects (53.2 percent) agreed to participate and a complete evaluation
of nocturnal recording was possible in 349 subjects (87.5 percent). Se
venteen percent of subjects were every-night snorers; a number of oxyg
en desaturations per hour (ODI) >10 was found in 13.7 percent, and an
ODI >20 resulted in 4.8 percent. Age, neck circumference corrected for
height,snoring time (measured by MESAM), and self-reported snoring we
re the variables best explaining ODI in our multivariate approach. Thi
s study reports the highest prevalence, using nocturnal oxygen desatur
ation indices as marker, of sleep-disordered breathing than any report
ed until now in a general population.