Obstructive Sleep Apnea: Just Who Is at Risk?

You are performing an annual visit evaluation for a 54-year-old sales manager. He has a history of hypertension and hyperlipidemia, both managed. He has no major complaints. He reports restful sleep and no daytime sleepiness. On examination, his BMI is 37 and his blood pressure is 126/82 mm Hg. 

You should consider him to be at high risk for obstructive sleep apnea (OSA) if which of the following also is present: