Association of Obstructive Sleep Apnoea Risk and Severity of Psoriasis Vulgaris in Adults
https://doi.org/10.47836/mjmhs.19.1.22
- Author:
Wei Hsi Chang
1
;
Ting Guan Ng
1
Author Information
1. Hospital Tengku Ampuan Rahimah, Jalan Langat, 41200 Klang, Selangor, Malaysia
- Publication Type:Journal Article
- Keywords:
Psoriasis, Obstructive sleep apnoea, Obesity, Diabetes mellitus
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.1):158-164
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Psoriasis vulgaris has a significant association with obstructive sleep apnoea (OSA). The study intended
to explore the relation between the severity of psoriasis vulgaris and OSA risk, and to identify the factors that are attributed to increased risk of OSA. Methods: A cross sectional, observational study was carried out from October 2020
until April 2021 at the dermatology clinic of Hospital Tengku Ampuan Rahimah, Malaysia. All study participants
were evaluated for OSA risk using the STOP-Bang and Epworth Sleepiness Scale questionnaires. Results: Our study
recruited 237 participants and the results revealed a higher percentage of moderate to severe psoriasis participants
with intermediate to high risk of OSA than participants with mild psoriasis (35.3% versus 17.7%, respectively). There
was also a 2.3 times higher incidence of daytime sleepiness among participants with moderate to severe psoriasis as
opposed to participants with mild psoriasis (44.1% versus 19.2%, respectively). We have also detected a significantly
higher probability for OSA in psoriasis patients with diabetes mellitus versus those without (odds ratio: 2.09). We
also noticed that for every unit rise in body mass index (BMI), there seemed to be a 1.06 times higher risk of OSA.
Furthermore, patients with moderate to severe psoriasis were found to possess 3.32 times increased odds to have
OSA. Conclusion: Our results suggest that psoriasis severity and the existence of comorbidities i.e. diabetes mellitus
and high BMI are linked with an enhanced risk of OSA in adults with psoriasis.
- Full text:11.2023my1422.pdf