- 期刊
Relationship of Sleepiness, Neck Circumference and Body Mass Index to the Respiratory Disturbance Index among Taiwanese
嗜睡程度、頸圍與身體質量指數與睡眠呼吸障礙指數的關聯
摘要
背景：探討嗜睡程度、頸圍與身體質量指數與睡眠障礙指數的關聯。 方法：477位至門診作睡眠檢查的病患，於做睡眠檢查時同時收集嗜睡程度量表(Epworth score)、頭圍與身體質量指數，經過一晚的睡眠檢查以後，根據這些數值分析其中的關聯性。 結果：受測者平均年齡為50.3歲，平均身體質量指數為26.9kg/平方公尺，男性比起女性有更高的身體質量指數、嗜睡程度及睡眠呼吸障礙指數。年齡、身體質量指數、頸圍與睡眠嚴重程度相關。若去除掉年齡及體重等影響因素，在男性中，年齡、身體質量指數、頸圍與睡眠障礙嚴重程度相關；而女性只有身體質量指數與睡眠障礙嚴重程度相關。 結論：身體質量指數不管在男性與女性都與睡眠障礙的嚴重程度相關，而在相同的年齡及身體質量指數，女性較男性有更嚴重的睡眠呼吸障礙。
並列摘要
Objective: Obstructive sleep apnea (OSA) is a common disorder characterized by repetitive partial or complete upper airway collapse during sleep, and is often associated with hypoxemia and arousal. The disorder not only presents as daytime sleepiness but also induces systemic disease. Methods: In the study, 477 Taiwanese subjects (males: 380; females: 97), who had visited the Sleep Center at Taipei Veterans General Hospital from 2004 to 2005 because of daytime sleepiness, were enrolled in the study. Results: The mean age among the tested subjects was 50.3 years. The mean body mass index (BMI) was 26.9 kg/m2. According to the data, males had a higher body mass index and were sleepier than females in the study. In addition, more severe Respiratory Disturbance Index (RDI) scores were found in the male subjects. Multiple regression analysis, after adjusting for BMI and age, indicated a significant correlation between OSA and the risk factors of BMI, Epworth score, and neck circumference in males. In the female subjects, there was only a correlation between OSA and BMI. Conclusion: There is a correlation between severity of OSA and BMI, neck circumference and sleepiness in Taiwanese males, but only between severity of OSA and BMI in Taiwanese females. However, females have much more severe OSA than males at a similar BMI and age.