scholarly journals HUBUNGAN UKURAN ANTROPOMETRI DENGAN DERAJAT OBSTRUCTIVE SLEEP APNEA

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Marthin Tori ◽  
Herlina Suryawati ◽  
Amin Husni
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Neck Circumference ◽  
Anthropometric Measurements ◽  
International Organization ◽  
Abdominal Circumference ◽  
Apnea Hypopnea Index ◽  
Obstructive Sleep

CORRELATION BETWEEN ANTHROPOMETRIC MEASUREMENTS AND STAGE OF OBSTRUCTIVE SLEEP APNEAABSTRACKIntroduction: Obstructive sleep apnea (OSA) is estimated to occur 2-10% worldwide and associated with various diseases. OSA severity can be assessed by apnea hypopnea index (AHI). Increased anthropometric measurements indicate increased thickness of fatty tissue in the neck, as well as fatty deposits of the abdomen which can cause constriction of the airways. Other variables suspected to have an effect on AHI are age, sex, smoking habit, and Mallampati score.Aims: To analyze the correlation between anthropometric measurements and OSA severity.Methods: Descriptive analytic studies on OSA patients treated at Dr. Kariadi Hospital, Semarang, January- August 2017. Subjects were included in the study if STOPBANG score was >2. Anthropometric measurements (body mass index, neck circumference, abdominal circumference) was performed on the basis of the International Organization for Standardization (ISO) method while AHI was measured with polysomnography.Results: Bivariate correlation test on 23 subjects showed significant correlation between OSA severity with body mass index (BMI) and neck circumference but no significant correlation with abdominal circumference. Multivariate test showed the most influential variable was BMI.Discussion:  There were significant correlations between anthropometric measurements  (BMI  and neck circumference) with OSA severity.Keywords: Abdominal circumference, apnea hypopnea index, body mass index, neck circumference, obstructive sleep apneaABSTRAKPendahuluan: Obstructive sleep apnea (OSA) diperkirakan terjadi 2-10% di seluruh dunia yang berkaitan dengan berbagai macam penyakit. Derajat OSA dinilai dengan indeks apnea-hypopnea (apnea hypopnea index/AHI). Tingginya nilai antropometri tubuh menandakan tebalnya jaringan lemak pada leher, demikian pula deposit lemak pada abdomen dapat menyebabkan penyempitan pada saluran napas. Variabel lain yang diduga berpengaruh terhadap AHI adalah usia, jenis kelamin, kebiasaan merokok, dan skor Mallampati.Tujuan: Menganalisis hubungan ukuran antropometri dengan derajat OSA.Metode: Studi deskriptif analitik secara potong lintang dilakukan terhadap pasien dengan OSA di RSUP Dr. Kariadi, Semarang, pada bulan Januari-Agustus 2017. Kriteria inklusi adalah pasien yang dicurigai OSA berdasarkan skor STOPBANG >2. Pemeriksaan antropometri (indeks massa tubuh/IMT, lingkar leher, dan lingkar perut) berdasarkan metode dari ISO (the International Organization for Standardization), sedangkan pemeriksaan AHI menggunakan polisomnografi.Hasil: Uji korelasi bivariat terhadap 23 subjek menunjukkan hubungan bermakna antara derajat OSA dengan IMT dan lingkar leher, namun tidak berhubungan dengan lingkar perut. Uji multivariat menunjukkan variabel yang paling berhubungan dengan derajat OSA adalah IMT.Diskusi: Terdapat hubungan bermakna antara ukuran antropometri (IMT dan lingkar leher) dengan derajat OSA.Kata kunci: Apnea hypopnea index, indeks massa tubuh, lingkar leher, lingkar perut, obstructive sleep apnea

scholarly journals Polysomnographic and clinical characteristics of positional obstructive sleep apnea patients

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Seda Beyhan Sagmen ◽  
Sevda Cömert
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Severe Disease ◽  
Upper Airway ◽  
Neck Circumference ◽  
Apnea Hypopnea Index ◽  
Obstructive Sleep ◽  
The Mean

Abstract Background Obstructive sleep apnea is a condition characterized by the complete or partial obstruction of the upper airway during sleep. This study aimed to compare the clinical and polysomnographic characteristics of our obstructive sleep apnea patients according to their positional and non-positional features. Results Two hundred eighty patients were included in the study. One hundred two patients (36.43%) were female, while 178 patients (63.57%) were male. While 88 (31.43%) of these patients were defined as positional patients, 192 (68.57%) were defined as non-positional patients. The mean age of the positional patients (46.78 ± 9.66) was lower than the mean age of the non-positional patients (50.90 ± 10.96) (p 0.001). Similarly, the mean body mass index of the positional patients (29.39 ± 3.80) was lower than the mean body mass index of the non-positional patients (33.30 ± 6.45) (p < 0.001). Neck circumference values of the positional patients (40.36 ± 2.65) were lower compared to the non-positional patients (43.32 ± 2.54) (p < 0.001). Sleep values were compared based on the presence of positional sleep apnea. In the positional patients, sleep duration, sleep efficiency (percentage), duration of stage N3, minimum, and mean saturation values were found to be higher compared to the non-positional patients, while nightlong apnea hypopnea index, apnea index, percentage of sleep time with oxygen saturation below 90%, oxygen desaturation index, mean heart rate, and periodic limb movement index values were found to be lower (p < 0.05). The rate of severe sleep apnea (7.95%) in the positional patients was lower than the non-positional patients (53.65%) (p < 0.001). Conclusion In the light of these data, positional OSA is a very important condition presented in 31.43% of OSA patients and it was determined that these patients were younger, had less body mass index, and shorter neck circumference. The rate of severe disease was found to be lower in positional OSA patients

Body Mass Index (BMI) and Neck Circumference (NC) in Diagnosing Obstructive Sleep Apnea

2007 ◽  
Vol 2007 (1) ◽  
pp. 15
Author(s):  
A. Al Ansari ◽  
Hamad Al-Saey ◽  
Mansour Al-Sulaiti ◽  
S. Ganesan ◽  
H. Abdul Sattar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Neck Circumference ◽  
Obstructive Sleep

Expansion Sphincter Pharyngoplasty: A New Technique for the Treatment of Obstructive Sleep Apnea

2007 ◽  
Vol 137 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Kenny P. Pang ◽  
B. Tucker Woodson
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Apnea Hypopnea Index ◽  
Type I ◽  
Pharyngeal Wall ◽  
Obstructive Sleep ◽  
Expansion Sphincter Pharyngoplasty ◽  
Sphincter Pharyngoplasty

OBJECTIVE: In this study, we assessed the efficacy of a new method (expansion sphincter pharyngoplasty [ESP]) to treat obstructive sleep apnea. STUDY DESIGN: We conducted a prospective, randomized controlled trial. METHODS: Forty-five adults with small tonsils, body mass index less than 30 kg/m 2 , of Friedman stage II or III, of type I Fujita, and with lateral pharyngeal wall collapse were selected for the study. RESULTS: The mean body mass index was 28.7 kg/m 2 . The apnea-hypopnea index improved from 44.2 ± 10.2 to 12.0 ± 6.6 ( P < 0.005) following ESP and from 38.1 ± 6.46 to 19.6 ± 7.9 in the uvulopalatopharyngoplasty group ( P < 0.005). Lowest oxygen saturation improved from 78.4 ± 8.52% to 85.2 ± 5.1% in the ESP group ( P = 0.003) and from 75.1 ± 5.9% to 86.6 ± 2.2% in the uvulopalatopharyngoplasty group ( P < 0.005). Selecting a threshold of a 50% reduction in apnea-hypopnea index and apnea-hypopnea index less than 20, success was 82.6% in ESP compared with 68.1% in uvulopalatopharyngoplasty ( P < 0.05). CONCLUSION/SIGNIFICANCE: The ESP may offer benefits in a selected group of OSA patients.

scholarly journals Collar Size as Predictor of Obstructive Sleep Apnea

2008 ◽  
Vol 23 (2) ◽  
pp. 14-16
Author(s):  
Lyra V. Veloro ◽  
Michael Alexius A. Sarte ◽  
Samantha S. Castañeda
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Neck Circumference ◽  
Normal Group ◽  
Physical Measurements ◽  
Obstructive Sleep ◽  
Male Patients ◽  
The Mean

Objective: This study focuses on evaluating the relationship between physical findings, particularly collar size and Body Mass Index (BMI), and polysomnographic parameters in male patients seen at a Sleep Disorders Laboratory, suspected to have Obstructive Sleep Apnea (OSA).    Methods: Design: Cross-sectional study Setting: Academic tertiary private hospital Participants:  Charts of 149 adult male patients referred for polysomnography between July 1, 2005 and June 30, 2006 were reviewed.  Height, weight, and external neck circumference measurements were obtained.  The data from polysomnography results were noted and correlated with the physical measurements.    Results: The mean collar size for the OSA group was 42.03 cm with a mean BMI of 29.14 while the mean collar size for the normal group was 39.05 cm with a mean BMI of 25.36.  A significant difference was noted in both the collar size and body mass index (BMI) between the OSA group and the normal group (p<0.005).  Results showed a significant correlation between collar size and BMI.  Collar size and BMI measurements were also correlated with increasing severity of sleep apnea in the OSA group.  The ³40 cm collar size among male adults with symptoms of OSA was 80% sensitive and 67% specific with a positive predictive value of 94% in predicting true OSA.   Conclusion: This study suggests that the external neck circumference and the degree of obesity determined through BMI measurement may be important predictors of sleep apnea in adult Filipino males suspected to have OSA.  Given the high probability of having true OSA in symptomatic male adults with a collar size ³ 40 cm, outright definitive management may be opted for in these patients, while those with a collar size < 40 cm may need to undergo further confirmatory tests.     Keywords: obstructive sleep apnea, external neck circumference, collar size, body mass index, polysomnography, obesity  

Body Mass Index and Neck Circumference in Patients with Obstructive Sleep Apnea-Hypopnea Syndrome

2004 ◽  
Vol 1 (2) ◽  
pp. 37-41 ◽  
Author(s):  
Sun Jung Han ◽  
Eun Yeon Joo ◽  
Jee Hyun Kim ◽  
Min Sung Kim ◽  
Seung Bong Hong
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Body Mass ◽  
Neck Circumference ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

Long-term Effects of Gastric Bypass Surgery in Patients with Obstructive Sleep Apnea

2020 ◽  
Vol 16 (1) ◽  
pp. 34-38
Author(s):  
Nathir Obeidat ◽  
Saif Aldeen AlRyalat ◽  
Khaled Al Oweidat ◽  
Mahmoud Abu-Khalaf ◽  
Asma Btoush ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Gastric Bypass ◽  
Sleep Apnea ◽  
Body Mass ◽  
Apnea Hypopnea Index ◽  
Obstructive Sleep ◽  
The Mean

Background: Obstructive sleep apnea is a common disorder involving, intermittent mechanical obstruction of the upper airway during sleep. Obesity is the most powerful risk factor for obstructive sleep apnea. Objective: This study aimed to investigate the long-term effect of Roux-en-Y gastric bypass bariatric surgery on patients with obstructive sleep apnea. Methods: This study included patients were referred for bariatric surgery (Roux-en-Y gastric bypass) to control symptoms and complications of obesity during a 5-year period. An overnight sleep study was performed for each patient before and after the bariatric surgery, to study its effect on different obstructive sleep apnea-related variables. Results: This study included 179 patients (mean age 35.9 ± 10.7 years). The mean duration from preoperative assessment to postoperative assessment was 2.4 ± 2.2 years. The mean change in body mass index and weight showed a decrease of 16.0 ± 16.0 kg/m2 and48.7 ± 25.9 kg, respectively. The apnea hypopnea index decreased by a mean of 22.6 ± 26.3 events/hour. Conclusion: We concluded that a decrease in the body mass index by 1 kg/m2 could predict a decrease in the apnea hypopnea index by 0.46 events/hour. Moreover, after mean follow-up duration of 2.4 years, 84.3% of mild and 83.3% of moderate obstructive sleep apnea patients became normal postoperatively.

scholarly journals Explorating the Involvement of Plasma Sestrin2 in Obstructive Sleep Apnea

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Rong Jiang ◽  
Qiru Wang ◽  
Huifen Zhai ◽  
Xiaohua Du ◽  
Shibo Sun ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Body Mass Index ◽  
Coronary Heart Disease ◽  
Obstructive Sleep Apnea ◽  
Heart Disease ◽  
Sleep Apnea ◽  
Body Mass ◽  
Control Group ◽  
Apnea Hypopnea Index ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) can lead to serious complications such as coronary heart disease and hypertension due to oxidative stress. Sestrin2 expression is upregulated under conditions of oxidative stress. This study aimed to explore whether Sestrin2 was involved in OSA. OSA and healthy control subjects were recruited and matched with age, gender, and body mass index (BMI). Plasma Sestrin2 levels were measured and compared. A multivariate stepwise regression model was used to detect the relationship between Sestrin2 and other variable factors. The Sestrin2 levels were compared between before and after four weeks treatment by nasal continuous positive airway pressure (nCPAP) in severe OSA patients. Fifty-seven subjects were divided into two groups: control group (39.33 ± 9.40 years, n = 21) and OSA group (38.81 ± 7.84 years, n = 36). Plasma Sestrin2 levels increased in the OSA group (control group 2.06 ± 1.76 ng/mL, OSA group 4.16 ± 2.37 ng/mL; P=0.001). Sestrin2 levels decreased after four-week nCPAP treatment (pre-nCPAP 5.21 ± 2.32 ng/mL, post-nCPAP 4.01 ± 1.54 ng/mL; P=0.004). Sestrin2 was positively correlated with apnea/hypopnea index (AHI) oxygen desaturation index, while negatively correlated with mean oxygen saturation. Moreover, these correlations remained unchanged after adjusting for gender, age, waist-to-hip ratio, and body mass index. Multiple regression analysis showed that there was an association between Sestrin2 and AHI. Our findings suggest that Sestrin2 is involved in OSA. The increase of plasma Sestrin2 is directly related to the severity of OSA. To some extent, Sestrin2 may be useful for determining the severity of OSA and monitoring the effect of CPAP. In addition, since some complications of OSA such as coronary heart disease and diabetes are usually related with oxidative stress, the role of Sestrin2 in those OSA complications needs further study.

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