Coexistence of obesity and sleep-disordered breathing in patients with suspected sleep apnea syndrome polysomnography referred by physicians of different specialties
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 4
Abstract
Sleep-disordered breathing (SBD), particularly in the form of obstructive sleep apnea (OSAS), is highly prevalent in the general population. Obesity is a major risk factor for OSAS. BMI is the most frequently used obesity indicator. The aim of this study was to describe correlation between BMI and AHI in patients referred to sleep laboratory by physicians of different specialties because of suspicion of OSAS. 960 patients were included, all of them underwent polysomnographic evaluation. Polysomnographic parameters were judged in accordance with the recommendations. Mean BMI for the group with AHI < 5: 29.96 kg/m<sup>2</sup> – men; 33.63 kg/m<sup>2</sup> – women; for the group with AHI ≥ 5: 32.05 kg/m<sup>2</sup> – men; 36.38 kg/m<sup>2</sup> – women. The differences in BMI between healthy and patients groups were statistically significant for both sexes (women p = 0.03, men p = 0.00036). A significant positive correlation between AHI and BMI was found in women’s groups of patients (r = 0.168, p = 0.029) and men’s groups of patients (r = 0.2571, p < 0.001). No statistically significant correlations between AHI and BMI in healthy women and men were shown. We used also a division into three age ranges of patients: 35 y ≤ age ≤ 45 y; 45 y < age ≤ 55 y; age > 55 years. In both sex groups statistically significant positive correlation between BMI and AHI women (r = 0.375, p = 0.007) and (r = 0.17; p = 0.041) men (r = 0.296, p = 0.0008) and respectively for men patients in all age groups (35 y ≤ age ≤ 45 y: r=0.27, p = 0.02; 45 y < age ≤ 55 y: r = 0.28, p = 0.004; age > 55 y: r = 0.166; p=0.015). No statistically significant correlation between BMI and AHI for women in groups 45 y < age ≤ 55 y and above 55 y. We conclude that in the general patients population with suspected SBD higher AHI is correlated with also higher BMI which is obesity indicator.
Authors and Affiliations
Monika Kuźmińska, Ewa Marcinowska-Suchowierska
Keywords
Related Articles
- EP ID EP54697
- DOI -
- Views 101
- Downloads 0
Niebezpieczeństwa polipragmazji w neurologii
Polipragmazja jest we współczesnej medycynie coraz częściej normą raczej niż sytuacją wyjątkową. Bywa ona stosowana celowo (zwykle w celu potencjalizacji efektu terapeutycznego), częściej jednak pojawia się w sposób mimo...
Neurofibromatosis typ 1 (NF1, von Recklinghausen disease)
Neurofibromatosis 1 is a relatively frequent autosomal dominant disease (1:3500 live births), its expression depends on the and on an individual. 50% of the cases results from de novo mutations and are non-familial, but...
Hypertension – diagnostic and therapeutic differencies in the elderly
According to WHO experts hypertension is the most common cause of mortality in global population. About 7.5 million people are dying every year because of the complications of hypertension. The frequency of hypertension...
Demodex folliculorum in rosacea based on a modified standardized skin surface biopsy
Introduction. Rosacea is a chronic disease characterized by (depending on the subtype) facial prolonged erythema, sometimes pustules or nodules. Rosacea affects all ages and sex with four subtypes. Pathophysiology aims t...
Fibromialgia – choroba czy zespół bólowy?
Fibromialgia jest niezapalną chorobą z bólem, cechującą się uogólnionym bólem i rozlaną tkliwością. Głównymi objawami towarzyszącymi są: zmęczenie, zaburzenia snu, bóle głowy i zaburzenia pamięci. Przyczyna choroby jest...