HALK SAĞLIĞI SORUNU OLARAK UYKU APNE SENDROMU Sleep Apnea Syndrome as a Public Health Problem

Year 2018, Uyku Hastalıkları Özel Sayı, 83 - 86, 27.04.2018

Vugar Ali Türksoy

Abstract

ÖZET

Uyku, her bireyin hayatının doğal bir parçası olan davranışsal bir durumdur. Uyku bozukluğu,

motorlu araç kazaları, endüstriyel felaketler ve tıbbi ve diğer mesleki hatalarla bağlantılı olduğu

için önemli halk sağlığı sorunudur. Uyku yetersizliği kronik uykusuzluk, huzursuz bacaklar

sendromu, uyku apnesi veya narkolepsi gibi uyku bozukluklarından kaynaklanabilir. Uyku apne

sendromu veya diğer adıyla obstrüktif uyku apne sendromu (OSAS) hastalığı en sık görülen aşırı

uykululuk nedenidir. Bununla birlikte, epidemiyolojik gözlemler, klinik olarak anlamlı OSAS’a

sahip kişilerin yaklaşık % 90’ınında tanımlanmadığını ortaya koymaktadır.

Sağlıklı uykunun tüm toplumlarda yaşam kalitesinin ayrılmaz bir parçası olması gerektiğinin

farkındalığı artmakla birlikte, aşırı beslenme ve obezite oranlarının artmasıyla artan dünya sorunları

nedeniyle ileride daha yüksek oranda uyku apne sendromu olguları beklenmektedir.

Obstrüktif uyku apne sendromunun yaşam kalitesi ve süresini tehdit eden önemli bir halk sağlığı

sorunudur. Gerek hasta gerek toplum sağlığı açısından uygun şekilde tanınması ve tedavi

edilmesi gerekmektedir.

Anahtar Sözcükler: Obstrüktif Uyku Apne Sendromu (OSAS), Halk sağlığı

ABSTRACT

Sleep is a behavioral condition that is a natural part of every person’s life. Sleep disturbance

is increasingly recognized as major to public health, with sleep insufficiency linked to motor

vehicle crashes, industrial disasters, and medical and other occupational errors. Sleep

insufficiency can be caused by sleep disturbances such as chronic insomnia, restless legs

syndrome, sleep apnea or narcolepsy. Sleep apnea syndrome or, in other words, obstructive

sleep apnea syndrome (OSAS) is the most common cause of excessive sleepiness. However,

epidemiological observations reveal that it is not identified in approximately 90 % of persons

with clinically significant.

There is a growing awareness that healthy sleep should be an integral part of the quality of

life in all societies. Higher rates of sleep apnea syndrome are expected in the future due to

increasing world problems due to increased nutrition and obesity rates. Obstructive sleep

apnea syndrome is an important public health problem that threatens the quality and duration

of life. It needs to be recognized and treated appropriately in terms of patient and community

health.

Keywords: Obstructive Sleep Apnea Syndrome (OSAS), Public health

Keywords

HALK SAĞLIĞI SORUNU OLARAK UYKU APNE SENDROMU Sleep Apnea Syndrome as a Public Health Problem

References

• 1. Institute of Medicine. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington, DC: The National Academies Press; 2006. 2. Ram S, Seirawan H, Kumar SK, Clark GT. Prevalence and impact of sleep disorders and sleep habits in the United States. Sleep Breath 2010; 14:63–70. 3. CDC. Public health surveillance for behavioral risk factors in a changing environment: recommendations from the Behavioral Risk Factor Surveillance Team. MMWR 2003; 52 4. National Highway Traffic Safety Administration and National Center on Sleep Disorders Research. Drowsy driving and automobile crashes. Washington, DC: National Highway Traffic Safety Administration. https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/808707.pdf. Erişim: Haziran 25, 2017. 5. Todea D, Herescu A, Roşca L. Obstructive sleep apnea syndrome – a matter of public health. Transylvanian Review of Administrative Sciences 2012; 37E: 186-201. 6. Bixler EO, Vgontzas AN, Lin HM, Have TT, Rein J, Vela-Bueno A, Kales A. Prevalence of Sleep-disordered Breathing in Women Effects of Gender. Am J Respir Crit Care Med 2001;163: 608–613. 7. Ohayon MM, Guilleminault C, Priest RG, Caulet M. Snoring and breathing pauses during sleep: telephone interview survey of a United Kingdom population sample. BMJ 1997;314:860–863. 8. Lichtblau M, Bratton D, Giroud P, Weiler T, Bloch KE, Brack T. Risk of Sleepiness-Related Accidents in Switzerland: Results of an Online Sleep Apnea Risk Questionnaire and Awareness Campaigns. Front Med 12 April 2017 | https://doi.org/10.3389/fmed.2017.00034. 9. Soltani M, Haytabakhsh MR, Najman JM, Williams GM, O’Callaghan MJ, Bor W, Clavarino A. Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women. Arch Women’S Ment Health 2012;15(4):237–247. 10. Martins AJ, Vasconcelos SP, Skene DJ, Lowden A, Moreno CRC. Effects of physical activity at work and life-style on sleep in workers from an Amazonian Extractivist Reserve. Sleep Science 2016; 9:289–294.