Prevalence of sleep related symptoms in four Latin American cities

Luis Torre Bouscoulet, Juan Carlos Vázquez-García, Adriana Muiño, Maria Márquez, Maria Victorina López, Maria Montes de Oca, Carlos Talamo, Gonzalo Valdivia, Julio Pertuze, Ana Maria B. Menezes, Rogelio Pérez-Padilla, Pedro Curi Hallal, Jose Jardim, Elizabeth Chávez-Plascencia, Raúl Peñuelas-Baldenebro, Franco-Marina, Alexander Corcho, Dolores Moreno, Jorge Corcuera, Carmen Lisboa

Research output: Contribution to journalArticlepeer-review


Study Objectives: To estimate the prevalence of the most common sleep related symptoms (SRS) in the metropolitan areas of Mexico City, Montevideo (Uruguay), Santiago (Chile), and Caracas (Venezuela). Methods: The study consisted of a multistage cluster sampling of adults aged ≥ 40 years living in metropolitan areas. All participants completed a questionnaire on sleep related symptoms. Simplified respiratory polygraphy during sleep was conducted on 188 subjects from Mexico City. Obstructive sleep apnea syndrome was defined as Epworth Sleepiness Scale score ≥ 11 and respiratory disturbance index (RDI) ≥ 15 events/h; a cut-off of 15 was chosen because of its high sensitivity and specificity in association with the portable monitor used in the study. Results: The study included 4,533 subjects (1,062 in Mexico City, 941 in Montevideo, 1,173 in Santiago, and 1,357 in Caracas). Snoring was reported by 60.2% (95% CI 58.8% to 61.6%), excessive daytime sleepiness by 16.4% (15.3% to 17.5%), observed apneas by 12.3% (11.4% to 13.3%), insomnia by 34.7% (33.3% to 36%), sedative use by 15.1% (14.1% to 16.2%), daytime napping by 29.2% (27.7% to 30.6%), and a combination of snoring, sleepiness, and observed apneas by 3.4% (2.9% to 4%). Men had a higher frequency of snoring and daytime napping, whereas women reported more insomnia and sedative use. Prevalence of OSAS varied from 2.9% among subjects who denied snoring, excessive daytime sleepiness, and observed apneas, to 23.5% among those reporting these 3 symptoms. Conclusions: A high prevalence of sleep related symptoms and undiagnosed obstructive sleep apnea in Latin America was observed.

Original languageEnglish (US)
Pages (from-to)579-585
Number of pages7
JournalJournal of Clinical Sleep Medicine
Issue number6
StatePublished - Dec 15 2008
Externally publishedYes


  • Epldemiology
  • Insomnia
  • Napping
  • PLATINO Study
  • Prevalence
  • Sleep apnea
  • Sleep related symptoms
  • Sleepiness

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology


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