SESSION TYPE: Tobacco Cessation and Prevention Posters
PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM
PURPOSE: To evaluate nicotine dependence in patients with moderate-severe OSA .
METHODS: 64 patients with moderate-severe OSA were studied. The mean age of the patients was 45.5±10.5 years, 39 men-25 women with BMI 29.1± and AHI 63.12± 6.3/h. All patients were cigarette smokers (mean smoking history was 30.4±5.7 pack-years).The Fagerstrom test for nicotine dependence, smoking motivation test and smoking cessation test were performed.
RESULTS: Patients with Epworth scale>12 were mostly heavy smokers, had a late dinner and used to smoke just before bed or interrupt their sleep for smoking in specially in men over 55 years old. High nicotine dependence in particle of 64% was detected in overweigh women with low motivation for smoking cessation. Patients who required CPAP therapy had high motivation for smoking cessation (61%) but low confidence (23%). All the patients smoked 2 hours ahead or before the procedure of polysomnography, while the majority did not know the existence of the smoking cessation clinic in our hospital.
CONCLUSIONS: Physicians should take into consideration the sleepiness induced by OSA in the smoking cessation. It is important to reduce risk factors as smoking which may underlie or exacerbate the disorder in patients with OSA.
CLINICAL IMPLICATIONS: Sleep apnea syndrome is an important risk factor for cardiovascular morbidity and so is cigarette smoking. More recently it has been shown that the degree of sleepiness in OSA may further worse the outcome of smokers patients, so a new tobacco- free behavior must be obtained.
DISCLOSURE: The following authors have nothing to disclose: Stamatoula Tsikrika, Helen Euthimiopoulou, Maria Mpregou, Michalis Patentalakis, Anastasia Amfilochiou
No Product/Research Disclosure InformationSismanoglio, Athens, Greece