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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Snoring | Research

Snoring is associated with hypertension and diabetes mellitus among adults in north Sudan: a cross-sectional study

Authors: Amal O. Bashir, Mousab A. Elimam, Mohamed A. Elimam, Ishag Adam

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Different levels of association between snoring, hypertension, and diabetes mellitus (DM) are reported. There are few published studies on this topic in African countries, and no investigation was conducted in Sudan. This study aimed to assess the prevalence and factors associated with snoring and the association between snoring, hypertension, and type 2 DM (T2DM) in northern Sudan.

Methods

A community-based cross-sectional study using a multistage sampling technique was conducted in four villages in the River Nile state of northern Sudan from July to September 2021. Sociodemographic characteristics were collected using a questionnaire. Body mass index (BMI) was measured using standard methods, and a multivariate analysis was conducted using the Statistical Package for the Social Sciences® (SPSS®) for Windows, version 22.0.

Results

Of the 384 adults, 193 (50.3%) were males and 191 (49.7%) were females. Of the adults, 38 (9.9%) were underweight, 121 (31.5%) had average weight, 113 (29.4%) were overweight, and 112 (29.2%) were obese. One hundred and six (27.6%) adults were snorers. Multivariate analysis showed that increasing age (adjusted odds ratio [AOR] = 1.02, 95% confidence interval [CI] = 1.01‒1.04), increasing BMI (AOR = 1.04, 95 CI = 1.01‒1.08), obesity (AOR = 2.0, 95% CI = 1.10‒3.69), and alcohol consumption (AOR = 2.32, 95% CI = 1.14‒4.74) were positively associated with snoring. Of the 384 adults, 215 (56.0%) had hypertension. Multivariate analysis showed that increasing age (AOR = 1.04, 95% CI = 1.02‒1.06), increasing BMI (AOR = 1.08, 95% CI = 1.04‒1.13), female sex (AOR = 1.7, 95% CI = 1.08‒2.73), and snoring (AOR = 1.69, 95% CI = 1.02‒2.82) were positively associated with hypertension. One hundred and six (27.6%) adults had T2DM. Multivariate analysis showed that increasing age (AOR = 1.03, 95% CI = 1.01‒1.05) and snoring (AOR = 1.78, 95% CI = 1.09‒2.91) were associated with T2DM.

Conclusion

Around one-fourth of the adults in Northern Sudan are snorers. Snoring is more common among obese adults. Snoring is associated with increased odds of hypertension and T2DM. Adults who snore must pay close attention to their blood pressure and blood glucose levels to prevent hypertension and DM.
Literature
1.
go back to reference Dalmasso F, Prota R. Snoring: analysis, measurement, clinical implications and applications. Eur Respir J. 1996;9:146–59.CrossRefPubMed Dalmasso F, Prota R. Snoring: analysis, measurement, clinical implications and applications. Eur Respir J. 1996;9:146–59.CrossRefPubMed
2.
go back to reference Ouédraogo AR, Tiendrebeogo A, Boncoungou K, Birba E, Ouédraogo GA, Neino MMA, et al. Prevalence of obstructive sleep apnoea in sleep consultations in Burkina Faso: Implications for monitoring. African J Thorac Crit care Med. 2020;26:74–80.CrossRef Ouédraogo AR, Tiendrebeogo A, Boncoungou K, Birba E, Ouédraogo GA, Neino MMA, et al. Prevalence of obstructive sleep apnoea in sleep consultations in Burkina Faso: Implications for monitoring. African J Thorac Crit care Med. 2020;26:74–80.CrossRef
3.
go back to reference Zarhin D. Sleep as a gendered family affair: snoring and the “dark side” of relationships. Qual Health Res. 2016;26:1888–901.CrossRefPubMed Zarhin D. Sleep as a gendered family affair: snoring and the “dark side” of relationships. Qual Health Res. 2016;26:1888–901.CrossRefPubMed
4.
go back to reference Campos AI, García-Marín LM, Byrne EM, Martin NG, Cuéllar-Partida G, Rentería ME. Insights into the aetiology of snoring from observational and genetic investigations in the UK Biobank. Nat Commun. 2020;11:817.CrossRefPubMedPubMedCentral Campos AI, García-Marín LM, Byrne EM, Martin NG, Cuéllar-Partida G, Rentería ME. Insights into the aetiology of snoring from observational and genetic investigations in the UK Biobank. Nat Commun. 2020;11:817.CrossRefPubMedPubMedCentral
5.
go back to reference Adebusoye LA, Ogunbode AM, Olowookere OO. Factors associated with reported snoring among elderly patients attending the geriatric centre in Nigeria. Pan Afr Med J. 2014;19:309.CrossRefPubMedPubMedCentral Adebusoye LA, Ogunbode AM, Olowookere OO. Factors associated with reported snoring among elderly patients attending the geriatric centre in Nigeria. Pan Afr Med J. 2014;19:309.CrossRefPubMedPubMedCentral
6.
go back to reference Poka-Mayap V, Adamou DB, Massongo M, Sonwa SV, Alime J, Moutlen BPM, et al. Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: prevalence and associated factors. PLoS ONE. 2020;15:e0227778.CrossRefPubMedPubMedCentral Poka-Mayap V, Adamou DB, Massongo M, Sonwa SV, Alime J, Moutlen BPM, et al. Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: prevalence and associated factors. PLoS ONE. 2020;15:e0227778.CrossRefPubMedPubMedCentral
7.
go back to reference Dosman JA, Karunanayake CP, McMullin K, Abonyi S, Rennie D, Lawson J, et al. Risk factors for snoring in two Canadian first nations communities. Clocks & sleep. 2019;1:117–25.CrossRef Dosman JA, Karunanayake CP, McMullin K, Abonyi S, Rennie D, Lawson J, et al. Risk factors for snoring in two Canadian first nations communities. Clocks & sleep. 2019;1:117–25.CrossRef
8.
go back to reference Krupp K, Wilcox M, Srinivas A, Srinivas V, Madhivanan P, Bastida E. Snoring is associated with obesity among middle aged Slum-dwelling women in Mysore. India Lung India. 2020;37:210–9.CrossRefPubMed Krupp K, Wilcox M, Srinivas A, Srinivas V, Madhivanan P, Bastida E. Snoring is associated with obesity among middle aged Slum-dwelling women in Mysore. India Lung India. 2020;37:210–9.CrossRefPubMed
9.
go back to reference Ma J, Zhang H, Wang H, Gao Q, Sun H, He S, et al. Association between self-reported snoring and metabolic syndrome: a systematic review and meta-analysis. Front Neurol. 2020;11:517120.CrossRefPubMedPubMedCentral Ma J, Zhang H, Wang H, Gao Q, Sun H, He S, et al. Association between self-reported snoring and metabolic syndrome: a systematic review and meta-analysis. Front Neurol. 2020;11:517120.CrossRefPubMedPubMedCentral
10.
go back to reference Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A, Kiyama M, et al. Risk factors for snoring among Japanese men and women: a community-based cross-sectional study. Sleep Breath. 2011;15:63–9.CrossRefPubMed Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A, Kiyama M, et al. Risk factors for snoring among Japanese men and women: a community-based cross-sectional study. Sleep Breath. 2011;15:63–9.CrossRefPubMed
11.
go back to reference Dai N, Shi Q, Hua Y, Guo Y, Bian Z, Li L, et al. Snoring frequency and risk of type 2 diabetes mellitus: a prospective cohort study. BMJ Open. 2021;11:e042469.CrossRefPubMedPubMedCentral Dai N, Shi Q, Hua Y, Guo Y, Bian Z, Li L, et al. Snoring frequency and risk of type 2 diabetes mellitus: a prospective cohort study. BMJ Open. 2021;11:e042469.CrossRefPubMedPubMedCentral
12.
go back to reference Wei Y, Lv J, Guo Y, Bian Z, Fan J, Du H, et al. Age-specific associations between habitual snoring and cardiovascular diseases in china: a 10-year cohort study. Chest. 2021;160:1053–63.CrossRefPubMed Wei Y, Lv J, Guo Y, Bian Z, Fan J, Du H, et al. Age-specific associations between habitual snoring and cardiovascular diseases in china: a 10-year cohort study. Chest. 2021;160:1053–63.CrossRefPubMed
13.
go back to reference Xiao M, Tang X, Zhang F, Zhou L, Bu X, Liu X, et al. Association between self-reported snoring and hypertension among Chinese Han population aged 30–79 in Chongqing, China. Environ Health Prev Med. 2020;25:78.CrossRefPubMedPubMedCentral Xiao M, Tang X, Zhang F, Zhou L, Bu X, Liu X, et al. Association between self-reported snoring and hypertension among Chinese Han population aged 30–79 in Chongqing, China. Environ Health Prev Med. 2020;25:78.CrossRefPubMedPubMedCentral
14.
go back to reference Lindberg E, Berne C, Franklin KA, Svensson M, Janson C. Snoring and daytime sleepiness as risk factors for hypertension and diabetes in women-A population-based study. Respir Med. 2007;101:1283–90.CrossRefPubMed Lindberg E, Berne C, Franklin KA, Svensson M, Janson C. Snoring and daytime sleepiness as risk factors for hypertension and diabetes in women-A population-based study. Respir Med. 2007;101:1283–90.CrossRefPubMed
15.
go back to reference Tete B, Albdewi MA, Nkodila A, Muhala B, Akilimali P, Bisuta S, et al. Prevalence of risk and factors associated with obstructive sleep apnea-hypopnea syndrome in an adult population in Kinshasa, Democratic Republic of Congo. J Sleep Res. 2023;32:e13637.CrossRefPubMed Tete B, Albdewi MA, Nkodila A, Muhala B, Akilimali P, Bisuta S, et al. Prevalence of risk and factors associated with obstructive sleep apnea-hypopnea syndrome in an adult population in Kinshasa, Democratic Republic of Congo. J Sleep Res. 2023;32:e13637.CrossRefPubMed
16.
go back to reference Fuhrimann S, van den Brenk I, Atuhaire A, Mubeezi R, Staudacher P, Huss A, et al. Recent pesticide exposure affects sleep: a cross-sectional study among smallholder farmers in Uganda. Environ Int. 2022;158:106878.CrossRefPubMed Fuhrimann S, van den Brenk I, Atuhaire A, Mubeezi R, Staudacher P, Huss A, et al. Recent pesticide exposure affects sleep: a cross-sectional study among smallholder farmers in Uganda. Environ Int. 2022;158:106878.CrossRefPubMed
17.
go back to reference Omar SM, Musa IR, Osman OE, Adam I. Prevalence and associated factors of hypertension among adults in Gadarif in eastern Sudan : a community-based study. BMC Public Health. 2020;20:291.CrossRefPubMedPubMedCentral Omar SM, Musa IR, Osman OE, Adam I. Prevalence and associated factors of hypertension among adults in Gadarif in eastern Sudan : a community-based study. BMC Public Health. 2020;20:291.CrossRefPubMedPubMedCentral
18.
go back to reference Ahmed MAA, Ahmed AA, Omar SM, Adam GK, Abdallah TM, Ali AA. Epidemiology of visceral leishmaniasis among children in Gadarif hospital, eastern Sudan. BMC Public Health. 2016;16:1234.CrossRefPubMedPubMedCentral Ahmed MAA, Ahmed AA, Omar SM, Adam GK, Abdallah TM, Ali AA. Epidemiology of visceral leishmaniasis among children in Gadarif hospital, eastern Sudan. BMC Public Health. 2016;16:1234.CrossRefPubMedPubMedCentral
21.
go back to reference Riley L, Guthold R, Cowan M, Savin S, Bhatti L, Armstrong T, et al. The World Health Organization STEPwise Approach to Noncommunicable Disease Risk-Factor Surveillance: Methods, Challenges, and Opportunities. Am J Public Health. 2016;106:74–8.CrossRefPubMedPubMedCentral Riley L, Guthold R, Cowan M, Savin S, Bhatti L, Armstrong T, et al. The World Health Organization STEPwise Approach to Noncommunicable Disease Risk-Factor Surveillance: Methods, Challenges, and Opportunities. Am J Public Health. 2016;106:74–8.CrossRefPubMedPubMedCentral
22.
go back to reference Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens (Greenwich). 2014;16:14–26.CrossRefPubMed Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens (Greenwich). 2014;16:14–26.CrossRefPubMed
24.
go back to reference Omar SM, Musa IR, ElSouli A, Adam I. Prevalence, risk factors, and glycaemic control of type 2 diabetes mellitus in eastern Sudan: a community-based study. Ther Adv Endocrinol Metab. 2019;10:2042018819860071.CrossRefPubMedPubMedCentral Omar SM, Musa IR, ElSouli A, Adam I. Prevalence, risk factors, and glycaemic control of type 2 diabetes mellitus in eastern Sudan: a community-based study. Ther Adv Endocrinol Metab. 2019;10:2042018819860071.CrossRefPubMedPubMedCentral
25.
go back to reference American Diabetes Association. Glycemic targets standards of medical care in Diabetesd2018. Diabetes Care. 2018;41(Suppl 1):S55–64.CrossRef American Diabetes Association. Glycemic targets standards of medical care in Diabetesd2018. Diabetes Care. 2018;41(Suppl 1):S55–64.CrossRef
27.
go back to reference Valham F, Stegmayr B, Eriksson M, Hägg E, Lindberg E, Franklin KA. Snoring and witnessed sleep apnea is related to diabetes mellitus in women. Sleep Med. 2009;10:112–7.CrossRefPubMed Valham F, Stegmayr B, Eriksson M, Hägg E, Lindberg E, Franklin KA. Snoring and witnessed sleep apnea is related to diabetes mellitus in women. Sleep Med. 2009;10:112–7.CrossRefPubMed
28.
go back to reference Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version. www.OpenEpi.com, updated 2013/04/06. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version. www.​OpenEpi.​com, updated 2013/04/06.
29.
go back to reference Omar SM, Taha Z, Hassan AA, Al-Wutayd O, Adam I. Prevalence and factors associated with overweight and central obesity among adults in the Eastern Sudan. PLoS ONE. 2020;15:e0232624.CrossRefPubMedPubMedCentral Omar SM, Taha Z, Hassan AA, Al-Wutayd O, Adam I. Prevalence and factors associated with overweight and central obesity among adults in the Eastern Sudan. PLoS ONE. 2020;15:e0232624.CrossRefPubMedPubMedCentral
30.
go back to reference Niu Y, Sui X, He Y, Xi H, Zhu R, Xu H, et al. Association between self-reported snoring and hypertension: a systematic review and meta-analysis. Sleep Med. 2021;88:140–8.CrossRefPubMed Niu Y, Sui X, He Y, Xi H, Zhu R, Xu H, et al. Association between self-reported snoring and hypertension: a systematic review and meta-analysis. Sleep Med. 2021;88:140–8.CrossRefPubMed
32.
go back to reference Elmasry A, Janson C, Lindberg E, Gislason T, Tageldin MA, Boman G. The role of habitual snoring and obesity in the development of diabetes: A 10-year follow-up study in a male population. J Intern Med. 2000;248:13–20.CrossRefPubMed Elmasry A, Janson C, Lindberg E, Gislason T, Tageldin MA, Boman G. The role of habitual snoring and obesity in the development of diabetes: A 10-year follow-up study in a male population. J Intern Med. 2000;248:13–20.CrossRefPubMed
33.
go back to reference Xiong X, Zhong A, Xu H, Wang C. Association between Self-reported habitual snoring and diabetes mellitus: a systemic review and meta-analysis. J Diabetes Res. 2016;2016:1958981.CrossRefPubMedPubMedCentral Xiong X, Zhong A, Xu H, Wang C. Association between Self-reported habitual snoring and diabetes mellitus: a systemic review and meta-analysis. J Diabetes Res. 2016;2016:1958981.CrossRefPubMedPubMedCentral
34.
go back to reference Bawadi H, Al Sada A, Al Mansoori N, Al Mannai S, Hamdan A, Shi Z, et al. Sleeping duration, napping and snoring in association with diabetes control among patients with diabetes in Qatar. Int J Environ Res Public Health. 2021;18:4017.CrossRefPubMedPubMedCentral Bawadi H, Al Sada A, Al Mansoori N, Al Mannai S, Hamdan A, Shi Z, et al. Sleeping duration, napping and snoring in association with diabetes control among patients with diabetes in Qatar. Int J Environ Res Public Health. 2021;18:4017.CrossRefPubMedPubMedCentral
35.
go back to reference Reutrakul S, Van Cauter E. Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes. Metabolism. 2018;84:56–66.CrossRefPubMed Reutrakul S, Van Cauter E. Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes. Metabolism. 2018;84:56–66.CrossRefPubMed
36.
go back to reference Terrie YC. Snoring: a nuisance or something more? Pharm Times. 2012;78:20. Terrie YC. Snoring: a nuisance or something more? Pharm Times. 2012;78:20.
Metadata
Title
Snoring is associated with hypertension and diabetes mellitus among adults in north Sudan: a cross-sectional study
Authors
Amal O. Bashir
Mousab A. Elimam
Mohamed A. Elimam
Ishag Adam
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18505-x

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