Enter your email address
Submit
Write your message
Fri, Feb 26, 2021
[Archive]
Volume 6, Issue 1 (Winter 2021)
J Obstet Gynecol Cancer Res 2021, 6(1): 29-34 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Saraei M, Estakhrian Haghighi P, Amirifard H, Najafi A. Association between Gestational Hypertension and Obstructive Sleep Apnea: A Case- Control Study. J Obstet Gynecol Cancer Res. 2021; 6 (1) :29-34
URL: http://jogcr.com/article-1-308-en.html
URL: http://jogcr.com/article-1-308-en.html
1- Occupational Medicine Department, Tehran University of Medical Sciences, Tehran, Iran
2- Resident, Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran
3- Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Assistant Professor, Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran , najafeeaz@gmail.com
2- Resident, Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran
3- Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Assistant Professor, Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran , najafeeaz@gmail.com
Abstract: (167 Views)
Background & Objective: Gestational hypertension (GH) is considered as one of the important health-related issues of pregnant women. One of the raised problems in the pathogenesis of GH is obstructive sleep apnea (OSA). This study aimed to evaluate associated factors of OSA among an employed pregnant population.
Materials and Methods: In this study, 200 employed pregnant women with GH as the case group and 200 healthy pregnant ones as the control group were enrolled. Blood pressure >140/90 after 20 weeks of gestational age without proteinuria was defined as GH. Chi-square and Mann-Whitney tests were applied for statistical analysis.
Results: Mean ± SD of age and body mass index (BMI) were 32.85 ± 5.45 (years) and 31.85±5.97 (kg/m2) among the case group, respectively. Participants with GH had higher mean BMI, neck circumference, and more frequency of snoring than the control group, which was statistically significant (P<0.012, P<0.025, and P<0.007, respectively). Sales and service occupations consisted the group with the highest frequency of GH.
Conclusion: Participants with GH had higher BMI, snoring, observed apnea, and neck circumference. This observation warrants comprehensive assessment of OSA and related risk factors among patients with GH.
Materials and Methods: In this study, 200 employed pregnant women with GH as the case group and 200 healthy pregnant ones as the control group were enrolled. Blood pressure >140/90 after 20 weeks of gestational age without proteinuria was defined as GH. Chi-square and Mann-Whitney tests were applied for statistical analysis.
Results: Mean ± SD of age and body mass index (BMI) were 32.85 ± 5.45 (years) and 31.85±5.97 (kg/m2) among the case group, respectively. Participants with GH had higher mean BMI, neck circumference, and more frequency of snoring than the control group, which was statistically significant (P<0.012, P<0.025, and P<0.007, respectively). Sales and service occupations consisted the group with the highest frequency of GH.
Conclusion: Participants with GH had higher BMI, snoring, observed apnea, and neck circumference. This observation warrants comprehensive assessment of OSA and related risk factors among patients with GH.
Keywords: |obstructive sleep apnea|Hypertension|Pregnancy ,
Systematic Review: Original Research |
Subject:
Maternal Fetal Medicine
Received: 2020/09/5 | Accepted: 2020/12/19 | Published: 2021/01/10
Received: 2020/09/5 | Accepted: 2020/12/19 | Published: 2021/01/10
References
1. Lalooha F, ELMIZADEH K, Javadi A, DABBAGHI GT, KERMANSHAHI B. ASSOCIATION BETWEEN ABNORMAL GLUCOSE CHALLENGE TEST AND PREGNANCY OUTCOMES. 2013.
2. Venkata C, Venkateshiah SB. Sleep-disordered breathing during pregnancy. J Am Board Fam Med. 2009;22(2):158-68. [DOI:10.3122/jabfm.2009.02.080057] [PMID]
3. Genta-Pereira DC, Pedrosa RP, Lorenzi-Filho G, Drager LF. Sleep disturbances and resistant hypertension: association or causality? Curr Hypertens Rep. 2014;16(8):459. [DOI:10.1007/s11906-014-0459-3] [PMID]
4. Nikpour S, Atarodi Kashani Z, Mokhtarshahi S, Parsay S, Nooritajer M, Haghani H. Study of the Correlation of the Consumption of Vitamin C-Rich Foods with Preeclampsia and Eclampsia in Women Referred to Shahid Akbar Abadi Hospital in Tehran, 2004. Razi Journal of Medical Sciences. 2007;14(54):179-92.
5. Tobias DK, Hu FB, Forman JP, Chavarro J, Zhang C. Increased risk of hypertension after gestational diabetes mellitus: findings from a large prospective cohort study. Diabetes Care. 2011;34(7):1582-4. [DOI:10.2337/dc11-0268] [PMID] [PMCID]
6. Student ZCP, Student BOEM, Student ZMB, Student RSNB. Prevalence of preeclampsia and eclampsia in Iran. Archives of Iranian medicine. 2016;19(1):64.
7. Hutchison BL, Stone PR, McCowan LM, Stewart AW, Thompson JM, Mitchell EA. A postal survey of maternal sleep in late pregnancy. BMC Pregnancy Childbirth. 2012;12(1):144. [DOI:10.1186/1471-2393-12-144] [PMID] [PMCID]
8. Izci-Balserak B, Pien GW. Sleep-disordered breathing and pregnancy: potential mechanisms and evidence for maternal and fetal morbidity. Curr Opin Pulm Med. 2010;16(6):574-82. [DOI:10.1097/MCP.0b013e32833f0d55] [PMID] [PMCID]
9. Bourjeily G, Raker CA, Chalhoub M, Miller MA. Pregnancy and fetal outcomes of symptoms of sleep-disordered breathing. Eur Respir J. 2010;36(4):849-55. [DOI:10.1183/09031936.00021810] [PMID]
10. Qiu C, Enquobahrie D, Frederick IO, Abetew D, Williams MA. Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: a pilot study. BMC Womens Health. 2010;10(1):17. [DOI:10.1186/1472-6874-10-17] [PMID] [PMCID]
11. Roush SF, Bell L. Obstructive sleep apnea in pregnancy. J Am Board Fam Pract. 2004;17(4):292-4. [DOI:10.3122/jabfm.17.4.292] [PMID]
12. Izci B, Riha RL, Martin SE, Vennelle M, Liston WA, Dundas KC, et al. The upper airway in pregnancy and pre-eclampsia. Am J Respir Crit Care Med. 2003;167(2):137-40. [DOI:10.1164/rccm.200206-590OC] [PMID]
13. Edwards N, Middleton PG, Blyton DM, Sullivan CE. Sleep disordered breathing and pregnancy. Thorax. 2002;57(6):555-8. [DOI:10.1136/thorax.57.6.555] [PMID] [PMCID]
14. Ursavas A, Karadag M, Nalcı N, Ercan I, Gozu RO. Self-reported snoring, maternal obesity and neck circumference as risk factors for pregnancy-induced hypertension and preeclampsia. Respiration. 2008;76(1):33-9. [DOI:10.1159/000107735] [PMID]
15. Phillips B. Sleep-disordered breathing and cardiovascular disease. Sleep Med Rev. 2005;9(2):131-40. [DOI:10.1016/j.smrv.2004.09.007] [PMID]
16. Pien GW, Pack AI, Jackson N, Maislin G, Macones GA, Schwab RJ. Risk factors for sleep-disordered breathing in pregnancy. Thorax. 2014;69(4):371-7. [DOI:10.1136/thoraxjnl-2012-202718] [PMID] [PMCID]
17. Sarberg M, Svanborg E, Wiréhn A-B, Josefsson A. Snoring during pregnancy and its relation to sleepiness and pregnancy outcome - a prospective study. BMC Pregnancy and Childbirth. 2014;14(1):15. [DOI:10.1186/1471-2393-14-15] [PMID] [PMCID]
18. O'Brien LM, Bullough AS, Owusu JT, Tremblay KA, Brincat CA, Chames MC, et al. Pregnancy-onset habitual snoring, gestational hypertension, and preeclampsia: prospective cohort study. Am J Obstet Gynecol. 2012;207(6):487 e1-9. [DOI:10.1016/j.ajog.2012.08.034] [PMID] [PMCID]
19. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP QuestionnaireA Tool to screen patients for obstructive sleep apnea. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2008;108(5):812-21. [DOI:10.1097/ALN.0b013e31816d83e4] [PMID]
20. Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, Ghajarzadeh M, Alemohammad ZB, Aminian O, et al. The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population. Qual Life Res. 2015;24(8):2025-30. [DOI:10.1007/s11136-015-0923-9] [PMID]
21. Reid J, Skomro R, Cotton D, Ward H, Olatunbosun F, Gjevre J, et al. Pregnant women with gestational hypertension may have a high frequency of sleep disordered breathing. Sleep. 2011;34(8):1033-8. [DOI:10.5665/SLEEP.1156] [PMID] [PMCID]
22. Champagne K, Schwartzman K, Opatrny L, Barriga P, Morin L, Mallozzi A, et al. Obstructive sleep apnoea and its association with gestational hypertension. Eur Respir J. 2009;33(3):559-65. [DOI:10.1183/09031936.00122607] [PMID]
23. Wu R, X Z, L H, E J. Relationship between obstructive sleep apnea hypopnea syndrome and cardiovascular disorders in adult snorers. Journal of Nanjing Medical University. 2009;1(23):59-63. [DOI:10.1016/S1007-4376(09)60028-9]
24. Franklin KA, Holmgren PA, Jonsson F, Poromaa N, Stenlund H, Svanborg E. Snoring, pregnancy-induced hypertension, and growth retardation of the fetus. Chest. 2000;117(1):137-41. [DOI:10.1378/chest.117.1.137] [PMID]
25. O'Brien LM, Bullough AS, Chames MC, Shelgikar AV, Armitage R, Guilleminualt C, et al. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study. BJOG. 2014;121(13):1685-93. [DOI:10.1111/1471-0528.12885] [PMID] [PMCID]
26. Logan AG, Tkacova R, Perlikowski SM, Leung RS, Tisler A, Floras JS, et al. Refractory hypertension and sleep apnoea: effect of CPAP on blood pressure and baroreflex. Eur Respir J. 2003;21(2):241-7. [DOI:10.1183/09031936.03.00035402] [PMID]
27. Banno K, Kryger MH. Sleep apnea: clinical investigations in humans. Sleep Med. 2007;8(4):400-26. [DOI:10.1016/j.sleep.2007.03.003] [PMID]
Send email to the article author
Copyright Policy
Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Based on a work at http://jogcr.com/.
