Obstructive sleep apnea among obese patients with type 2 diabetes
GD Foster, MH Sanders, R Millman, G Zammit… - Diabetes …, 2009 - Am Diabetes Assoc
Diabetes care, 2009•Am Diabetes Assoc
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
(15≤ AHI< 30), and 22.6% had severe OSA (AHI≥ 30). Waist circumference (odds ratio 1.1; …
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
(15≤ AHI< 30), and 22.6% had severe OSA (AHI≥ 30). Waist circumference (odds ratio 1.1; …
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 (15 ≤ AHI <30), and 22.6% had severe OSA (AHI ≥30). Waist circumference (odds ratio 1.1; 95% CI 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% CI 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.
Am Diabetes Assoc