title: Ubiquity of Undiagnosed Sleep Disordered Breathing in Community-Dwelling Older Male Veterans.
abstract: OBJECTIVE
  To determine the point prevalence of sleep disordered breathing (SDB) in a community-based sample of older male veterans and to determine if common markers of SDB apply to this population.
  
  
  METHODS
  Two hundred fourteen older male Veterans (age 55-89 years) were recruited for a study on post-traumatic stress disorder and cognitive decline. Questionnaires concerning anthropomorphic and psychological variables were obtained, as was an overnight polysomnographic examination of sleep.
  
  
  RESULTS
  Only 13% of the participants lacked clinically meaningful SDB, whereas 33% had moderate SDB and 54% had severe SDB. Being overweight, self-reported snoring, and excessive daytime sleepiness all had good sensitivity (0.86-0.92) but very poor specificity (0.10-0.28) for the prediction of SDB.
  
  
  CONCLUSIONS
  Undiagnosed SDB was more than threefold higher than expected in these community-dwelling older veterans. Traditional markers of SDB were not specific for predicting clinically relevant SDB.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA.
authors.forename: Navneet
authors.initials: N
authors.lastname: Iqbal
authors.affiliation: Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Kinoshita
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA.
authors.forename: Art
authors.initials: A
authors.lastname: Noda
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Leah
authors.initials: L
authors.lastname: Friedman
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA.
authors.forename: Jerome A
authors.initials: JA
authors.lastname: Yesavage
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA. Electronic address: jzeitzer@stanford.edu.
authors.forename: Jamie M
authors.initials: JM
authors.lastname: Zeitzer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D003072:Cognition Disorders / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D050177:Overweight; D017286:Polysomnography; D011569:Psychiatric Status Rating Scales; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012891:Sleep Apnea Syndromes / Q000175:diagnosis*; D012913:Snoring; D013313:Stress Disorders, Post-Traumatic / Q000150:complications; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology*
keywords: aging; sleep; sleep-disordered breathing; veterans