Cross-sectional observational study of the sleep disorders in subjects assisted in the Basic Health Units and Family Health Program in Divinopolis, Brazil – a protocol study
Pasqualotto, Luísa Teixeira; Santos, Walquíria da Mata; Santos, Cíntia Aparecida; Camilo, Ingrid Jordana Silva; Faria, Marcos Eugenio Mattos Rocha; Alves, Jacqueline; Seixas, Marco Tulio Tavares; Silva, Rogerio Júnior Esteves e; Santana, Caroline Alvarenga de Assis; Faria Júnior, Newton Santos de
Abstract
Introduction: Sleep disorders have a high prevalence in the general population being currently considered as a major public health problem. In the last four decades, scientific interest in sleep patterns has steadily grown. Such studies may contribute to a better understanding of the clinical course to explore potential therapeutic interventions. This study will aim to verify the prevalence of sleep disorders in subjects assisted at the Basic Health Units (UBS’s) and Family Health Program (PSF’s) in Divinópolis, MG, Brazil. Methods: This research will be an observational, cross-sectional study carried out by professors and students from the University of State of Minas Gerais - UEMG, Divinópolis Unit, with subjects recruited from the UBS’s and PSF’s in Divinópolis-MG, between March 2016 and December 2017. These subjects will be assessed clinically and respond to the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Berlin Questionnaire, SF-36 Quality of Life Questionnaire, evaluating the quality of sleep, presence of sleep disorders, excessive daytime sleepiness, risk for obstructive sleep apnea and quality of life. Discussion: Recently, sleep disorders were considered a global public health problem, affecting the quality of life of the population and influencing morbidity and mortality. The results of epidemiological studies are not only applicable in clinical practice but also in the planning and implementation of public policies and programs aimed at controlling sleep disorders and their impact on individuals and societies.
Keywords
References
1. Dement, W. C. A personal history of sleep disorders medicine. J. Clin. Neurophysiol. 1990; 7(1):17-47.
2. Lanfranchi P, Braghiroli A, Giannuzzi P. La valutazione del respiro durante il sonno: curiosità o necessità clinica? Ital Heart J. 2000; 1(5):641-654 Suppl.
3. Kryger MH, Roth T, Dement WC. Principles and Practice of Sleep Medicine: Elsevier Saunders, 2005.
4. AASM. American Academy of Sleep Medicine. The AASM Manual for the scoring of sleep and associated events. Rules, terminology and technical especifications. 2007.
5. Sateia MJ. International Classification of Sleep Disorders – Third Edition. Highlights and Modifications. Chest. 2014: 146(5):1387-94.
6. AASM. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of na American Academy of Sleep Medicine Task Force. Sleep. 1999; 22:667-89.
7. Fernandez-Mendoza J, Vgontzas AN, Kritikou I, Calhoun SL, Liao D, Bixler EO. Natural history of excessive daytime sleepiness: role of obesity, weight loss, depression, and sleep propensity. Sleep. 2015;38 (3):351–360.
8. Mcnicholas WT, Bonsignore MR. Sleep Apnoea. Sheffield: European Respiratory Society Monograph; 2010.
9. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002; 165 (9):1217-39.
10. Stranges S, Tigbe W, Gomez-Olive FX, Thorogood M, Kandala NB. Sleep problems: an emerging global epidemic? Findings from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia. Sleep. 2012; 35(8):1173–1181.
11. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep disordered breathing among middle-aged adults. N Engl J Med. 1993; 328(17):1230-5.
12. Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008; 5 (2):136-43
13. Tufik S, Silva RS, Taddei JA, Bittencourt LRA. Obstructive Sleep Apnea Syndrome in the São Paulo Epidemiologic Sleep Study. Sleep Medice. 2010; 11(5):441-6.
14. Buysse DJ, Reynolds CF, Monk TH, BermanSR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatr Res. 1989;28 (2):193-213.
15. Bertolazi AN, Fagondes SC, Holf LS, Dartora EG, Miozzo IC, de Barba ME, Barreto SS. Validation of the Brazilian portuguese language of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5.
16. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806-8.
17. Malta M, Cardoso LO, Bastos FI, Magnanini MMF, da Silva CMFP. STROBE initiative: guidelines on reporting observational studies. Rev Saúde Pública. 2010; 44(3):559-65.
18. WHO. Obesity : preventing and managing the global epidemic. Report of a WHO Consultation. World Health Organization, Geneva, 2000 ; 894 ; i-xii,1-253.
19. Zen V, Fuchs FD, Wainstein MV,Gonçalves SC, Biavatti K, Riedner CE, Fuchs FC, Wainstein RV, Rhoden EL, Ribeiro JP, Fuchs SC. Neck circumference and central obesity are independent predictors of coronary artery disease in patients. Am J Cardiovasc Dis. 2012; 2 (4):323-30.
20. Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep. 1991; 14(6):540-45.
21. Johns MW. Reliability and factor analysis of Epworth Sleepiness Scale. Sleep. 1992; 15(4):376-81.
22. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Menna-Barreto SS, Johns MW. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. J Bras Pneumol. 2009; 35(9):877-83.
23. Slater G, Steier J. Excessive daytime sleepiness in sleep disorders. J Thorac Dis. 2012; 4(6):608-16.
24. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohj KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999; 131(7): 485-91.
25. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). Conceptual framework and item selection. Med Care. 1992; 30(6):473-83.
26. Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. BrazilianPortuguese version of the SF-36. A reliable and valid quality of life outcome measure. Rev Bras Reumatol. 1999;39(3)143-150.