Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes

被引：413

作者：

Foster, Gary D. ^{[1
]}

Sanders, Mark H. ^{[2
]}

Millman, Richard ^{[3
]}

Zammit, Gary ^{[4
]}

Borradaile, Kelley E. ^{[1
]}

Newman, Anne B. ^{[2
]}

Wadden, Thomas A. ^{[2
,5
]}

Kelley, David

Wing, Rena R. ^{[3
]}

Sunyer, F. Xavier Pi ^{[6
]}

Darcey, Valerie ^{[5
]}

Kuna, Samuel T. ^{[5
]}

机构：

[1] Temple Univ, Philadelphia, PA 19122 USA

[2] Univ Pittsburgh, Pittsburgh, PA USA

[3] Brown Univ, Providence, RI 02912 USA

[4] Clinilabs, New York, NY USA

[5] Univ Penn, Philadelphia, PA 19104 USA

[6] Columbia Univ, New York, NY USA

来源：

DIABETES CARE | 2009年 / 32卷 / 06期

关键词：

CYSTIC-FIBROSIS; MELLITUS;

D O I：

10.2337/dc08-1776

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE - To assess the risk factors for the presence and severity of obstructive sleep apnea (OSA) among obese patients with type 2 diabetes. RESEARCH DESIGN AND METHODS - Unattended polysomnography was performed in 306 participants. RESULTS - Over 86% of participants had OSA with an apnea-hypopnea index (AHI) >= 5 events/h. The mean AHI was 20.5 +/- 16.8 events/h. A total of 30.5% of the participants had moderate OSA (1.5 <= AHI <30), and 22.6% had severe OSA (AHI >= 30). Waist circumference (odds ratio 1.1; 95% CL 1.0-1.1.; P = 0.03) was significantly related to the presence of OSA. Severe OSA was most likely in individuals with a higher BMI (odds ratio 1.1; 95% Cl 1..0-1.2; P = 0.03). CONCLUSIONS - Physicians should be particularly cognizant of the likelihood of OSA in obese patients with type 2 diabetes, especially among individuals with higher waist. circumference and BMI. Diabetes Care 32:1.0.1.7-1019, 2009

引用

页码：1017 / 1022

页数：6

共 11 条

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[Anonymous], 1999, WHO/NCD/ NCS/99.2

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