Influence of gender and anthropometric measures on severity of obstructive sleep apnea

Purpose Gender differences influence upper airway anatomy and physiology. The purpose of our study was to evaluate the influence of gender as well as anthropometric measures on severity of obstructive sleep apnea (OSA). Methods A retrospective review of patients referred to our sleep laboratory for...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Sleep & breathing Ročník 16; číslo 4; s. 1091 - 1095
Hlavní autori: Subramanian, S., Jayaraman, G., Majid, H., Aguilar, R., Surani, S.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer-Verlag 01.12.2012
Springer
Springer Nature B.V
Predmet:
Adult
Aged
Anthropometry
Biological and medical sciences
Body height
Body Mass Index
Body weight
Continuous Positive Airway Pressure
Dentistry
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Female
Fundamental and applied biological sciences. Psychology
Gender differences
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Indexes
Internal Medicine
Male
Measures
Medical diagnosis
Medical sciences
Medicine
Medicine & Public Health
Men
Middle Aged
Neck
Nervous system (semeiology, syndromes)
Neurology
Obstructive sleep apnea
Older women
Original Article
Otorhinolaryngology
Patients
Pediatrics
Physiology
Pneumology/Respiratory System
Polysomnography
Retrospective Studies
Severity
Sex Factors
Sex ratio
Signal Processing, Computer-Assisted
Sleep
Sleep apnea
Sleep Apnea, Obstructive - classification
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - therapy
Sleep. Vigilance
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Vertebrates: nervous system and sense organs
Waist to hip ratio
Women
Neck circumference
Gender
Obstructive sleep apnea
Anthropometry
Waist
Nervous system diseases
Sleep apnea syndrome
Respiratory disease
Sex
Sleep disorder
Sleep
Sleep wake cycle
Neck
Neurological disorder
ISSN:1520-9512, 1522-1709, 1522-1709
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:Purpose Gender differences influence upper airway anatomy and physiology. The purpose of our study was to evaluate the influence of gender as well as anthropometric measures on severity of obstructive sleep apnea (OSA). Methods A retrospective review of patients referred to our sleep laboratory for evaluation of OSA was done. Patients with a diagnosis of OSA (Respiratory Disturbance Index (RDI) > 5) were included in the study. Anthropometric measurements were available for all the patients included in the study. Measurements of subjects’ height, weight, neck size, and waist and hip sizes were used in the study; waist–hip ratio and neck-to-height ratio were calculated. Results Three hundred eighty-six females and 661 males were included. Women were older than men and had a higher body mass index (BMI) and waist-to-hip ratio; men had a thicker neck circumference and a higher neck-to-height ratio. The severity of OSA was significantly higher in males (RDI 41.2 ± 27.9 in men vs. 30.0 ± 26.7 in women, p  < 0.0001) despite a lower BMI and age in the men. Severity of OSA, as measured by RDI, varied significantly with changes in anthropometric measures such as neck circumference, and waist and hip sizes in both genders. Waist-to-hip ratio was associated with severity of OSA in men but not in women ( p  = 0.19 and 0.0001 in women and men, respectively). However, no single anthropometric value was found to be strongly predictive of OSA severity. Conclusion Despite having a higher mean BMI and age, women have lower RDI compared with men. Waist-to-hip ratio is more predictive of severity of OSA in men than in women. However, the correlation of anthropometric measures with severity of OSA was weak in our subjects.
Bibliografia:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 14
ObjectType-Article-1
ObjectType-Feature-2
content type line 23
ISSN:1520-9512
1522-1709
1522-1709
DOI:10.1007/s11325-011-0607-9