• Jan Sundquist, Xinjun Li, Danielle Friberg, Kari Hemminki, and Kristina Sundquist.
• Karolinska Institute, Center for Family and Community Medicine, Huddinge, Sweden.
• Sleep. 2008 Jun 1; 31 (6): 817-23.

BackgroundUnderstanding the genetic transmission of obstructive sleep apnea syndrome (OSAS) will help clinicians identify patients at risk and offer opportunities for intervention and treatment at specialist clinics.ObjectiveTo estimate familial risk of hospitalization for OSAS in the adult population of Sweden, and to determine if there are any differences by age and sex.Design, Setting, And ParticipantsUsing the MigMed database at the Karolinska Institute, we divided the population of Sweden into sibling groups based on a shared mother and father and ascertained the presence or absence of a primary hospital diagnosis of OSAS in each individual during the follow-up period, 1997 to 2004. Individuals were categorized as having or not having a sibling with OSAS, based on the presence or absence of the disorder in at least 1 of their siblings. Standardized incidence ratios (SIRs) with 95% confidence intervals (CIs) were estimated for men and women with a sibling with OSAS, compared with men and women in the reference group (SIR = 1).ResultsAfter accounting for socioeconomic status, age, geographic region, and period of diagnosis, men with at least 1 sibling who had OSAS had a SIR of 3.42 (95% CI, 2.18-5.36); the corresponding SIR in women was 3.25 (95% CI, 1.84-5.65).ConclusionsOur results indicate that physicians should consider family history of OSAS when deciding whether to refer a patient for further sleep examinations.

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