There is a growing recognition of sleep-disordered breathing (SDB) in patie
nt groups and in the general population. This article reviews issues relate
d to recognizing the disorder, including the problems of relying on narrowl
y defined polysomnographic data for case findings and for assessment of dis
ease severity. The distributions of symptoms and physiologic measurements o
f SDB in the population and their inter-relationships are reviewed. The epi
demiological data that address risk factors and consequences of sleep apnea
hypopnea syndrome (SAHS) also are discussed, with recommendations regardin
g recognition priorities.