Metabolic characteristics from patients with obstructive sleep apnea

Authors

  • Melina Saban British Hospital, Autonomous City of Buenos Aires, Argentina
  • Glenda Ernst British Hospital, Autonomous City of Buenos Aires, Argentina
  • Maricel Recalde British Hospital, Autonomous City of Buenos Aires, Argentina
  • Miguel Schiavone British Hospital, Autonomous City of Buenos Aires, Argentina
  • Magalí Blanco British Hospital, Autonomous City of Buenos Aires, Argentina
  • Eduardo Borsini British Hospital, Autonomous City of Buenos Aires, Argentina
  • Marina Curriá British Hospital, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v54i1.176

Keywords:

metabolic syndrome, obstructive sleep apnea, obesity

Abstract

Introduction: the obstructive sleep apnea (OSA) is a pathology of high prevalence associated with overweight and obesity. The relationship between metabolic syndrome (MS) and OSA has not been reported in our environment.

Materials and methods: retrospective study in adults selected for respiratory polygraphy and metabolic evaluation classified according to the presence of MS.

Results: we included 302 patients. The prevalence of obesity was 66.88% and MS 62.58%. 19% had symptoms of daytime sleepiness and 48.3% showed 5 or more components of the STOP-BANG questionnaire.

Patients with OSA were mostly male, older; body weight, waist and neck circumference compared to the group without OSA (57 vs 49 years, p<0.001; 93.89 vs 85kg, p<0.05; 108 vs. 100 cm, p<0.001 respectively). They showed higher values of triglycerides, systolic blood pressure, obesity and desaturation index (134 vs 99 mg/dl, p<0.001; 134 vs 128 mmHg, p<0.05; 69.2 vs. 52.3%, p<0.05 and 14.6 vs 2 ev/h, p<0.001 respectively). The amount of STOP-BANG components was higher in patients with OSA (5 vs 3; p<0.001).

Conclusions: AOS and SM are frequently related and remain underdiagnosed. The use of validated questionnaires facilitates the identification of candidates for sleep studies. It is necessary to implement healthy habits management programs to prevent complications of both pathologies.

Author Biographies

Melina Saban, British Hospital, Autonomous City of Buenos Aires, Argentina

Endocrinologist; Staff of the Endocrinology, Metabolism, Nutrition and Diabetes Service, Hospital Británico; Member of the Scientific Advisory Committee, British Hospital

Glenda Ernst, British Hospital, Autonomous City of Buenos Aires, Argentina

Member of the Scientific Advisory Committee, British Hospital; University Doctor, Pulmonology Service, British Hospital

Maricel Recalde, British Hospital, Autonomous City of Buenos Aires, Argentina

Endocrinologist; Staff of the Endocrinology, Metabolism, Nutrition and Diabetes Service, British Hospital

Miguel Schiavone, British Hospital, Autonomous City of Buenos Aires, Argentina

Cardiologist; Staff of the Cardiology Service; Chief of Arterial Hypertension, British Hospital

Magalí Blanco, British Hospital, Autonomous City of Buenos Aires, Argentina

Kinesiologist; Staff of the Pneumonology Service, British Hospital

Eduardo Borsini, British Hospital, Autonomous City of Buenos Aires, Argentina

Pulmonologist; Staff of the Pulmonology Service, British Hospital

Marina Curriá, British Hospital, Autonomous City of Buenos Aires, Argentina

University Doctor; Medical Endocrinologist; Head of the Endocrinology, Metabolism, Nutrition and Diabetes Service, British Hospital

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Published

2023-01-10

How to Cite

Saban, M., Ernst, G., Recalde, M., Schiavone, M., Blanco, M., Borsini, E., & Curriá, M. (2023). Metabolic characteristics from patients with obstructive sleep apnea. Journal of the Argentine Society of Diabetes, 54(1), 21–28. https://doi.org/10.47196/diab.v54i1.176

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