Does gender matter: sex-specific aspects of symptoms, outcome, and therapy of obstructive sleep apnea.

Abstract:

PURPOSE OF REVIEW:Obstructive sleep apnea (OSA) has historically been considered as a male disease. As a result, female individuals with OSA were often under-diagnosed and under-treated compared with male individuals. However, recent data suggest that several OSA-associated adverse cardiovascular outcomes are more pronounced in women. RECENT FINDINGS:This review provides a summary of the most relevant recent evidence with regard to sex-specific OSA characteristics, including atypical symptoms, greater quality of life impairment and several more pronounced adverse outcomes in female individuals compared with male individuals. It also provides updated evidence on the influence of female gender on under-treatment of OSA with limited evidence supporting gender differences in the effects of OSA treatment. SUMMARY:There is evidence suggesting gender-based differences in the frequency, severity, clinical presentation, and outcomes of OSA. The recognition of these gender differences could improve screening with development of female-specific screening instruments, early diagnosis, and individualized therapeutic plans towards better disease management and its outcomes.

journal_name

Curr Opin Pulm Med

authors

Schiza SE,Bouloukaki I

doi

10.1097/MCP.0000000000000728

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

642-649

issue

6

eissn

1070-5287

issn

1531-6971

journal_volume

26

pub_type

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