Characteristics of obstructive and central sleep apnea in the elderly: an interim report

Home sleep recordings were done on 358 randomly selected elderly volunteers (mean age 72.4). When men and women were combined, 62 (17%) had predominantly obstructive sleep apnea, 21 (6%) had predominantly central sleep apnea, and 3 (1%) had mixed sleep apnea. Although the prevalence of sleep apnea in women does increase after menopause, sleep apnea was still significantly more common in older men (31%) than in older women (19%). There were no significant differences in age among groups with different types of apnea. There was a significant correlation of age with increasing apnea index within the obstructive sleep apnea group. Elderly volunteers with central sleep apnea had more midsleep awakenings. Elderly volunteers with obstructive sleep apnea had longer apneas. Unlike previous studies, we found many similarities and only modest differences in the presentations of central and obstructive sleep apnea.