{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T08:26:23Z","timestamp":1788942383287,"version":"build-2803163510"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Australian Aboriginal and Torres Straight Islanders (ATSI) are noted to have a higher burden of chronic health conditions. However, there is a paucity of data on obstructive sleep apnoea (OSA) in this population. In this retrospective study, we evaluated the clinical and polysomnographic (PSG) characteristics of ATSI and non-ATSI adult patients who underwent diagnostic PSG between 2011 and 2015. There were a total of 3078 patients. Of the total, 403 (13%) were of ATSI origin. Among those of ATSI origin, 61% were male and 39% females, while among the non-ATSI cohort, 66% were males. The median age was 47.8 years in ATSI and 51.5 years in the non-ATSI cohort. In the combined cohort, body mass index was more than 30 kg\/m2 (61%), hypertension (14.4%), diabetes (17.8%), and heart disease (23.3%). The ATSI patients had higher rates of class III obesity (27 vs. 15%), hypertension (26 vs. 14%), cardiac disease (34 vs. 23%), and diabetes (37 vs. 17%). Among all the study participants, the PSG confirmed 83.7% of the patients had an apnoea\u2013hypopnea index (AHI) more than 5\/h, mild (AHI 5\u201315\/h) in 28.4%, moderate (AHI 15\u201330\/h) in 22.3%, and severe (AHI &amp;gt; 30\/h) in 33.0%. Among the ATSI patients, 46% had severe OSA. The median total AHI value was higher in the ATSI population (25, interquartile range [IQR]: 11\u201358) compared to the non-ATSI (17, IQR: 7\u201336), and in rural\/remote population (19, IQR: 8\u201342) compared to urban (17, IQR: 7\u201337). This trend was similar for NREM (non-rapid eye movement)-AHI and REM (rapid eye movement)-AHI scores, although statistically significant difference was found only with ATSI status. In the combined cohort the probability of (OR = 1.62, 95% CI: 1.32\u20132.00, p &amp;lt; 0.001) of severe OSA was 62% higher in individual with hypertension, however, when stratified by ATSI status, the association was only significant in the non-ATSI population (OR = 1.53 95% CI: 1.21\u20131.94, p &amp;lt; 0.001). The odds of severe AHI was also significantly associated with heart disease (1.37; 95% CI: 1.14,1.63, p &amp;lt; 0.001), diabetes (1.74; 95% CI: 1.43,2.10; p &amp;lt; 0.001) and smoking (1.28; 95% CI: 1.09,1.50, p = 0.0023) in the overall study cohort. In both ATSI and non-ATSI patients, body mass index, neck circumference, sleep efficiency, wake after sleep onset, and respiratory arousal index were significantly higher and independently associated with severe AHI.<\/jats:p>","DOI":"10.1093\/sleep\/zsz248","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T05:58:52Z","timestamp":1571032732000},"source":"Crossref","is-referenced-by-count":37,"title":["Sleep apnoea among Australian Aboriginal and non-Aboriginal patients in the Northern Territory of Australia\u2014a comparative study"],"prefix":"10.1093","volume":"43","author":[{"given":"Subash S","family":"Heraganahally","sequence":"first","affiliation":[{"name":"Respiratory and Sleep Medicine, Royal Darwin Hospital, Darwin, Northern Territory, Australia"},{"name":"Flinders University, College of Medicine and Public Health, Adelaide, South Australia, Australia"},{"name":"Northern Territory Medical School, Charles Darwin University, Darwin, Australia"},{"name":"Darwin Respiratory and Sleep Health, Darwin, Northern Territory, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuk","family":"Kruavit","sequence":"first","affiliation":[{"name":"Respiratory and Sleep Medicine, Royal Darwin Hospital, Darwin, Northern Territory, Australia"},{"name":"Darwin Respiratory and Sleep Health, Darwin, Northern Territory, Australia"},{"name":"Department of Respiratory and Sleep Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9505-7197","authenticated-orcid":false,"given":"Victor M","family":"Oguoma","sequence":"first","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandran","family":"Gokula","sequence":"first","affiliation":[{"name":"Darwin Respiratory and Sleep Health, Darwin, Northern Territory, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8379-8745","authenticated-orcid":false,"given":"Sumit","family":"Mehra","sequence":"first","affiliation":[{"name":"Respiratory and Sleep Medicine, Royal Darwin Hospital, Darwin, Northern Territory, Australia"},{"name":"Department of Respiratory and Sleep Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Judge","sequence":"first","affiliation":[{"name":"Respiratory and Sleep Medicine, Royal Darwin Hospital, Darwin, Northern Territory, Australia"},{"name":"Darwin Respiratory and Sleep Health, Darwin, Northern Territory, Australia"},{"name":"Cains Base Hospital, Cains, Queensland, Australia"},{"name":"Woolcock Institute of Medical Research, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitar","family":"Sajkov","sequence":"first","affiliation":[{"name":"Flinders University, College of Medicine and Public Health, Adelaide, South Australia, Australia"},{"name":"Department of Respiratory and Sleep Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia"},{"name":"Australian Respiratory and Sleep Medicine Institute, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"issue":"7","key":"2020031204572295900_CIT0001","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1164\/ajrccm.163.7.2004014","article-title":"Relation of measures of sleep-disordered breathing to neuropsychological functioning","volume":"163","author":"Adams","year":"2001","journal-title":"Am J Respir Crit Care Med."},{"issue":"14","key":"2020031204572295900_CIT0002","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1001\/jama.283.14.1829","article-title":"Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. 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