RESEARCH ARTICLE


Prevalence of Obstructive Sleep Apnoea Syndrome (OSAS) and Its Association with Hypertension in Jatinangor West Java



Badai B. Tiksnadi1, Arief Taufiqurrohman1, Agung D. Permana2, Faris Y. Fihaya3, *, Yulia Sofiatin4, Kurnia Wahyudi4, M. Rizki Akbar1, Rully M.A. Roesli5
1  Department of Cardiology and Vascular Medicine, University of Padjadjaran, Bandung , Indonesia
2  Departement of Otorhinolaryngology Head and Neck Surgery, University of Padjadjaran, Bandung , Indonesia
3  Study Center of Health System, University of Padjadjaran, Bandung , Indonesia
4  Epidemiology and Biostatistics, University of Padjadjaran, Bandung , Indonesia
5  Departement of Internal Medicine, Faculty of Medicine, University of Padjadjaran, Bandung , Indonesia

Article Information


Identifiers and Pagination:

Year: 2019
Volume: 11
First Page: 11
Last Page: 18
Publisher Id: TOHYPERJ-11-11
DOI: 10.2174/1876526201911010011

Article History:

Received Date: 10/07/2019
Revision Received Date: 15/8/2019
Acceptance Date: 20/09/2019
Electronic publication date: 15/11/2019
Collection year: 2019

© 2019 Tiksnadi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Study Center of Health System, Padjadjaran University, Bandung Indonesia; E-mail: faris.yf@gmail.com


Abstract

Background:

Hypertension is a global health problem, with the prevalence increasing by 30% from 2013 to 2018 in Indonesia. Furthermore, obesity, a major risk factor for hypertension, has also escalated by 50%. Hence, the incidence of Obstructive Sleep Apnoea Syndrome (OSAS), which is strongly associated with hypertension and obesity, is expected to increase. OSAS is part of the complex sleep disorder breathing syndrome, but there is a lack of data regarding its prevalence and association with hypertension.

Objective:

To investigate the prevalence of OSAS and its association with hypertension in Jatinangor, West Java, Indonesia.

Methods:

A cross-sectional study was conducted from September to October 2018 of subjects from two villages in Indonesia selected by purposive sampling. Fifteen neighbourhoods were chosen by the cluster random sampling method, with a total of 1,308 respondents included in this study. Inclusion criteria were age > 17 years old and resident in the village for more than one year. OSAS was determined by a 4-variable screening tool questionnaire (4-V) and hypertension was measured by a standardised method (average of three measurements in each session with a one-minute break using a digital device); both measurements were performed by trained health cadres. All results were statistically analysed using chi-square and logistic regression.

Results:

Of the total of 1308 respondents included in this study, 33 (2.5%) had OSAS and 299 respondents (22.8%) had hypertension. In the population with OSAS, 18 respondents (54.5%) had hypertension, significantly higher (p<0.001) compared to the non-OSAS group (22%). After adjustment for age, gender, and Body Mass Index (BMI), OSAS was still an independent predictor of hypertension (OR = 4.3, p = 0.000).

Conclusion:

The prevalence of OSAS in the Jatinangor district of Indonesia is 2.5% and it is significantly associated with hypertension.

Keywords: Hypertension, OSAS, Population-based study, Jatinangor, West Java, Cardiovascular disorder.