Incidence of sleep apnea in patients with various types of glycemic disturbances

Aims. To assess the risk for sleep apnea in patients with various types of glycemic disorders by means of Epworth Sleepiness Scale andSleep Apnea Screening Questionnaire. Materials and Methods. We examined 744 residents of Mozhaisk Region, that were considered to have high risk for development of...

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Autores principales: Alexander Vasil'evich Dreval', Inna Vladimirovna Misnikova, V A Gubkina, M V Agal'tsov, S I Fedorova
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Publicado: Endocrinology Research Centre 2013
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spelling oai:doaj.org-article:e1c9abba1b65403dbdd8cc3b8de8d54e2021-11-14T09:00:18ZIncidence of sleep apnea in patients with various types of glycemic disturbances2072-03512072-037810.14341/2072-0351-3600https://doaj.org/article/e1c9abba1b65403dbdd8cc3b8de8d54e2013-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/3600https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aims. To assess the risk for sleep apnea in patients with various types of glycemic disorders by means of Epworth Sleepiness Scale andSleep Apnea Screening Questionnaire. Materials and Methods. We examined 744 residents of Mozhaisk Region, that were considered to have high risk for development of type2 diabetes mellitus (T2DM), as estimated by FINDRISK Questionnaire. Patients, who scored 12+ were cleared for participation in this study. Combined score from Epworth Sleepiness Scale and Sleep Apnea Screening Questionnaire was applied for diagnosis of sleep apnea, supplemented with specific questions about snoring and episodes of apnea. Glycemic disorders were diagnosed with standard glucose tolerance test. Results. 42.7% of examined patients (n=318) were diagnosed with various types of glucose disorders. Prevalence of abdominal obe- sity (according to waist circumference measurement) comprised 59.3% in male patients and 54.1% in females. We observed positive correlation between body mass index (BMI) and snoring ? 0.3 (p=0.0001), BMI and apnea ? 0.2 (p=0.0001), BMI and daytime sleepiness ? 0.1 (p=0.007); we also observed direct correlation between age and snoring ? 0.2 (p=0.0001), as well as age and sleep apnea ? 0.1 (p=0.028). Risk for sleep apnea was found to be 4.7 times higher in patients with arterial hypertension. After adjustment71Диагностика, контроль и лечениеСахарный диабет. 2013;(1):71?77Сахар ный диабетfor age risk of apnea remained 2.8 times higher in patients with T2DM, 1.9 times higher in subjects with impaired glucose tolerance and1.6 times higher in subjects with impaired fasting glycaemia. Relative risk for snoring in patients with various types of glycemic disorders was 1.1-1.2 against normoglycemic controls. We estimated that all types of glycemic disorders increase risk for apnea 1.2?1.6 times. Conclusion. Glycemic disorders, body weight excess, obesity and arterial hypertension are risk factors for snoring and sleep apnea. Corresponding patient categories should be screened for sleep apnea by questionnaire survey to identify those in need of further complex examination and treatment.Alexander Vasil'evich Dreval'Inna Vladimirovna MisnikovaV A GubkinaM V Agal'tsovS I FedorovaEndocrinology Research Centrearticleobstructive sleep apneaglycemic disordersdiabetes mellitusfasting hyperglycemiaglucose intolerancearterial hyper- tensionbody mass indexrisk factorsNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 16, Iss 1, Pp 71-77 (2013)
institution DOAJ
collection DOAJ
language EN
RU
topic obstructive sleep apnea
glycemic disorders
diabetes mellitus
fasting hyperglycemia
glucose intolerance
arterial hyper- tension
body mass index
risk factors
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle obstructive sleep apnea
glycemic disorders
diabetes mellitus
fasting hyperglycemia
glucose intolerance
arterial hyper- tension
body mass index
risk factors
Nutritional diseases. Deficiency diseases
RC620-627
Alexander Vasil'evich Dreval'
Inna Vladimirovna Misnikova
V A Gubkina
M V Agal'tsov
S I Fedorova
Incidence of sleep apnea in patients with various types of glycemic disturbances
description Aims. To assess the risk for sleep apnea in patients with various types of glycemic disorders by means of Epworth Sleepiness Scale andSleep Apnea Screening Questionnaire. Materials and Methods. We examined 744 residents of Mozhaisk Region, that were considered to have high risk for development of type2 diabetes mellitus (T2DM), as estimated by FINDRISK Questionnaire. Patients, who scored 12+ were cleared for participation in this study. Combined score from Epworth Sleepiness Scale and Sleep Apnea Screening Questionnaire was applied for diagnosis of sleep apnea, supplemented with specific questions about snoring and episodes of apnea. Glycemic disorders were diagnosed with standard glucose tolerance test. Results. 42.7% of examined patients (n=318) were diagnosed with various types of glucose disorders. Prevalence of abdominal obe- sity (according to waist circumference measurement) comprised 59.3% in male patients and 54.1% in females. We observed positive correlation between body mass index (BMI) and snoring ? 0.3 (p=0.0001), BMI and apnea ? 0.2 (p=0.0001), BMI and daytime sleepiness ? 0.1 (p=0.007); we also observed direct correlation between age and snoring ? 0.2 (p=0.0001), as well as age and sleep apnea ? 0.1 (p=0.028). Risk for sleep apnea was found to be 4.7 times higher in patients with arterial hypertension. After adjustment71Диагностика, контроль и лечениеСахарный диабет. 2013;(1):71?77Сахар ный диабетfor age risk of apnea remained 2.8 times higher in patients with T2DM, 1.9 times higher in subjects with impaired glucose tolerance and1.6 times higher in subjects with impaired fasting glycaemia. Relative risk for snoring in patients with various types of glycemic disorders was 1.1-1.2 against normoglycemic controls. We estimated that all types of glycemic disorders increase risk for apnea 1.2?1.6 times. Conclusion. Glycemic disorders, body weight excess, obesity and arterial hypertension are risk factors for snoring and sleep apnea. Corresponding patient categories should be screened for sleep apnea by questionnaire survey to identify those in need of further complex examination and treatment.
format article
author Alexander Vasil'evich Dreval'
Inna Vladimirovna Misnikova
V A Gubkina
M V Agal'tsov
S I Fedorova
author_facet Alexander Vasil'evich Dreval'
Inna Vladimirovna Misnikova
V A Gubkina
M V Agal'tsov
S I Fedorova
author_sort Alexander Vasil'evich Dreval'
title Incidence of sleep apnea in patients with various types of glycemic disturbances
title_short Incidence of sleep apnea in patients with various types of glycemic disturbances
title_full Incidence of sleep apnea in patients with various types of glycemic disturbances
title_fullStr Incidence of sleep apnea in patients with various types of glycemic disturbances
title_full_unstemmed Incidence of sleep apnea in patients with various types of glycemic disturbances
title_sort incidence of sleep apnea in patients with various types of glycemic disturbances
publisher Endocrinology Research Centre
publishDate 2013
url https://doaj.org/article/e1c9abba1b65403dbdd8cc3b8de8d54e
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