In a study that examined the relationship between race, menopausal status and symptoms of obstructive sleep apnea (OSA), middle-aged black women were found to be more likely to experience OSA symptoms than their white counterparts.
The study’s author, Elizabeth Beothy of the University of Pennsylvania, administered a questionnaire to 269 subjects with an average age of 48. In the study group, 49.4 percent of the women were black. Overall, 37.5 percent of the women were were pre-menopausal, 43 percent in the menopausal transition, and 19.5 percent post-menopausal.
The mean apnea score among black women was nearly double that of white women, according to a research abstract presented at Sleep 2007, the 21st Annual Meeting of the Associated Professional Sleep Societies (APSS), by Beothy.
According to her findings, menopausal status was not a significant predictor of OSA symptoms. Race remained a significant predictor of OSA symptoms after adjustment for current body mass index (BMI), BMI change over time and menopausal status.
“Although menopausal status did not predict OSA symptoms, OSA symptoms on our cohort of menopausal women increased with higher BMI and larger BMI increases over time,” said Beothy, who added that studies to document whether OSA is more common among black women than white women should be performed to further investigate these findings.
OSA affects an estimated 20 million Americans, as well as millions more who remain undiagnosed and untreated.
Scientific evidence shows that CPAP or BiPAP, depending on the patient’s needs, is the best treatment for sleep apnea. CPAP or BiPAP devices help alleviate, and, in most cases, prevent apneic events by maintaining a patent, or well-maintained airway during sleep. With the air from the CPAP, tissues in the airway which would collapse and causes the actual apneas, are prevented from doing so by a constant flow of air delivered into the airway, generally through a mask worn over the nose or nose and mouth, during sleep. This airflow, in addition to preventing the apneas — pauses in breathing for at least 10 seconds, but often as long as 90 seconds or longer — but also helps maintain normal oxygen levels.
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