Türk Uyku Tıbbı Dergisi; 2020;7(3):118-123
Amaç: Obstrüktif Uyku Apne sendromu (OUAS) yetişkin popülasyonda oldukça sık görülen önemli bir halk sağlığı problemidir. OUAS, hastalardakardiyovasküler morbidite ve mortalite artışı ile ilişkilidir. Yapılançalışmalarda OUAS, kardiyovasküler risk faktö
MY Şenel, MB Yüceege, H Fırat
Balıkesir Devlet Hastanesi, Balıkesir,
Objective: Obstructive Sleep Apnea syndrome (OSAS) frequently
seen in the adult population is an important public health problem.
OSAS is related to increased cardiovascular morbidity and mortality. In
studies, the relationship between OSAS, cardiovascular risk factors, and
metabolic syndrome components is determined. This study aimed to
evaluate the use of metabolic syndrome criteria to support prediagnosis
of patients with sleep apnea who were admitted to sleep clinics.
Materials and Methods: This study involved 247 patients (148 men, 99
women) admitted to our sleep clinic with prediagnosis of sleep apnea.
The patients’ demographic features and evaluated National Cholesterol
Education Program Adult Treatment Panel metabolic syndrome
components were recorded.
Results: After analysis of the relationship between Apne-hipopne index
(AHI) and NCEP criteria separately, AHI was higher and more severe in
men with waist circumference >102 cm (p=0.0001, kadınlarda x2=9.03,
p=0.003 in women; x2=15.01, p<0.0001 in men respectively). No
statistically significant relationship was found between dyslipidemia and
AHI (p>0.05). Although AHI was significantly higher in hypertensive and
hyperglycemic men (p=0.004 and p=0.002, respectively), no significant
relationship was found in women for both groups (p>0.05). A statistically
significant association was found between metabolic syndrome and
sleep apnea (x2=5.82, p=0.016 in women; x2=8.017, p=0.005 in men).
Conclusion: Our study showed that OSAS and metabolic syndrome
components are clustered in patients. Patients diagnosed with OSAS
must be followed closely. Besides, population with risk factors can be
determined with simple anthropometric measurements and blood tests
in primary health care centers and can be prioritized in sleep clinics.
The Role of the Metabolic Syndrome Criterias to Determine Moderate to Severe Sleep Apnea Patients
Objective: Obstructive Sleep Apnea syndrome (OSAS) frequently
seen in the adult population is an important public health problem.
OSAS is related to increased cardiovascular morbidity and mortality. In
studies, the relationship between OSAS, cardiovascular risk factors, and
metabolic syndrome components is determined. This study aimed to
evaluate the use of metabolic syndrome criteria to support prediagnosis
of patients with sleep apnea who were admitted to sleep clinics.
Materials and Methods: This study involved 247 patients (148 men, 99
women) admitted to our sleep clinic with prediagnosis of sleep apnea.
The patients’ demographic features and evaluated National Cholesterol
Education Program Adult Treatment Panel metabolic syndrome
components were recorded.
Results: After analysis of the relationship between Apne-hipopne index
(AHI) and NCEP criteria separately, AHI was higher and more severe in
men with waist circumference >102 cm (p=0.0001, kadinlarda x2=9.03,
p=0.003 in women; x2=15.01, p<0.0001 in men respectively). No
statistically significant relationship was found between dyslipidemia and
AHI (p>0.05). Although AHI was significantly higher in hypertensive and
hyperglycemic men (p=0.004 and p=0.002, respectively), no significant
relationship was found in women for both groups (p>0.05). A statistically
significant association was found between metabolic syndrome and
sleep apnea (x2=5.82, p=0.016 in women; x2=8.017, p=0.005 in men).
Conclusion: Our study showed that OSAS and metabolic syndrome
components are clustered in patients. Patients diagnosed with OSAS
must be followed closely. Besides, population with risk factors can be
determined with simple anthropometric measurements and blood tests
in primary health care centers and can be prioritized in sleep clinics.