Feasibility of portable sleep monitors to detect obstructive sleep apnea (OSA) in a vulnerable urban population. Academic Article uri icon

Overview

MeSH

  • Adult
  • Aged
  • Equipment Design
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Life Style
  • Male
  • Middle Aged
  • Pilot Projects
  • Prospective Studies
  • Reproducibility of Results
  • United States

MeSH Major

  • Polysomnography
  • Sleep Apnea, Obstructive
  • Urban Population
  • Vulnerable Populations

abstract

  • Portable sleep monitors may offer a convenient method to expand detection of obstructive sleep apnea (OSA), yet few studies have evaluated this technology in vulnerable populations. We therefore aimed to assess the feasibility and acceptability of portable sleep monitors for detection of OSA in a prediabetic, urban minority population. We recruited a convenience sample of participants at their 12-month follow-up for a community-partnered, peer-led lifestyle intervention aimed to prevent diabetes in prediabetic and overweight patients in this prospective mixed-methods pilot study. All participants wore portable sleep monitors overnight at home. We qualitatively explored perceptions about OSA and portable monitors in a subset of participants. We tested 72 people, predominantly non-White, female, Spanish speaking, uninsured, and of low income. Use of portable sleep monitors was feasible: 100% of the monitors were returned and all participants received results. We detected OSA in 49% (defined as an Apnea-Hypopnea Index [AHI] >5) and moderate-severe OSA in 14% (AHI >15) requiring treatment in 14%. In 21 qualitative interviews, participants supported increased use of portable sleep monitors in their community, were appropriately concerned that OSA could cause progression to diabetes, and thought weight loss could prevent or improve OSA. Portable sleep monitors may represent a feasible method for detecting OSA in high-risk urban minority populations. © Copyright 2015 by the American Board of Family Medicine.

publication date

  • April 2015
  • March 2015

has subject area

  • Adult
  • Aged
  • Equipment Design
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Life Style
  • Male
  • Middle Aged
  • Pilot Projects
  • Polysomnography
  • Prospective Studies
  • Reproducibility of Results
  • Sleep Apnea, Obstructive
  • United States
  • Urban Population
  • Vulnerable Populations

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC4377645

Digital Object Identifier (DOI)

  • 10.3122/jabfm.2015.02.140273

PubMed ID

  • 25748767

Additional Document Info

start page

  • 257

end page

  • 264

volume

  • 28

number

  • 2