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Impact of gender and sleep position on relationships between anthropometric parameters and obstructive sleep apnea syndrome.

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Author(s)
Jong In JeongSeonhye GuJuhee ChoSang Duk HongSu Jin KimHun-Jong DhongSeung-Kyu ChungHyo Yeol Kim
Keimyung Author(s)
Jeong, Jong In
Department
Dept. of Otorhinolaryngology (이비인후과학)
Journal Title
Sleep and Breathing
Issued Date
2017
Volume
21
Issue
2
Keyword
Obstructive sleep apneaBody fat distributionGenderSleep position
Abstract
Objective;

Considering the mechanisms by which obesity affects obstructive sleep apnea syndrome (OSAS) and the differences of fat distribution depending on gender, associations between anthropometric parameters, and OSAS may differ depending on gender or sleep position. We analyzed the impact of gender and sleep position on the relationship between fat distribution and development of OSAS.


Methods;

One thousand thirty-two consecutive subjects were analyzed. Recorded anthropometric measurements and overnight polysomnographic data of the subjects were reviewed retrospectively. The presence of OSAS was defined by the respiratory disturbance index (RDI) ≥5 with documented symptoms of excessive daytime sleepiness.


Results;

Eight hundred fifty-eight males and 174 females were included. Male subjects had significantly higher body mass index (BMI), larger waist circumference (WC), and lower percent of overall body fat (P < 0.0001, P < 0.0001, and P < 0.0001, respectively). The severity of OSAS was significantly higher in male subjects (RDI 26.9 ± 22.4 in males vs. 10.2 ± 13.8 in females, P < 0.0001). In male subjects, BMI, WC, and overall body fat were significantly associated with severity of OSAS and had larger impacts on supine RDI than lateral RDI. Overall body fat was not associated with severity of OSAS in female subjects, and there were no significant differences of the associations between all anthropometric parameters and RDIs depending on sleep position.


Conclusions;

Evaluation of the correlation of anthropometric data with severity of OSAS should consider sleep position as well as gender.
Keimyung Author(s)(Kor)
정종인
Publisher
School of Medicine
Citation
Jong In Jeong et al. (2017). Impact of gender and sleep position on relationships between anthropometric parameters and obstructive sleep apnea syndrome. Sleep and Breathing, 21(2), 535–541. doi: 10.1007/s11325-016-1413-1
Type
Article
ISSN
1520-9512
Source
https://link.springer.com/article/10.1007%2Fs11325-016-1413-1
DOI
10.1007/s11325-016-1413-1
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32844
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학)
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