Co-existence of OSA and respiratory diseases and the influence of gender

Expert Rev Respir Med. 2023 Dec;17(12):1221-1235. doi: 10.1080/17476348.2024.2304065. Epub 2024 Feb 6.

Abstract

Introduction: Sleep-disordered breathing (SDB), especially obstructive sleep apnea (OSA), is commonly associated with respiratory diseases, such as COPD, asthma and interstitial lung disease.

Areas covered: This narrative review aims to comprehensively synthesize the existing information on SDB in respiratory diseases, investigate the role of gender in this association, and highlight the importance of OSA management in improving sleep, quality of life, and disease prognosis in these specific patient populations.

Expert opinion: Research indicates a synergistic link between OSA and chronic respiratory diseases, which leads to greater morbidity and mortality compared to each disorder alone. Given the lack of an optimal OSA screening tool for these patients, a comprehensive patient approach and overnight diagnostic sleep study are imperative. Despite the limited evidence available, it seems that gender has an impact on the prevalence, severity, and susceptibility of this coexistence. Recognizing the role of gender in the coexistence of OSA and other respiratory diseases can enhance everyday medical practice and enable clinicians to adopt a more personalized approach toward optimal screening and diagnosis of these patients.

Keywords: Asthma; chronic obstructive pulmonary disease; gender; interstitial lung disease obstructive sleep apnea; respiratory disease.

Publication types

  • Review

MeSH terms

  • Asthma* / complications
  • Humans
  • Pulmonary Disease, Chronic Obstructive*
  • Quality of Life
  • Sleep Apnea Syndromes* / complications
  • Sleep Apnea, Obstructive* / complications
  • Sleep Apnea, Obstructive* / diagnosis
  • Sleep Apnea, Obstructive* / epidemiology