由習慣性打鼾的男性患者之頸圍及腰圍預測阻塞性睡眠呼吸中止症

Neck and Waist Circumferences as a Predictor of Obstructive Sleep Apnea in Male Habitual Snorers

王智弘(Chih-Hong Wang) ； 王守仁(Shou-Jen Wang) ； 詹益智(Yi-Chih Chan) ； 陳正文(Jeng-Wen Chen)

《台灣耳鼻喉頭頸外科雜誌》 42卷6期 (2007/12) Pp. 177-185

https://doi.org/10.6286/2007.42.6.177

摘要

BACKGROUND: Obesity is considered to play a significant role in pathogenesis of obstructive sleep apnea (OSA). Although body mass index (BMI) has been used in research as a clinical indicator of obesity, recent studies showed that waist circumference could be a better indicator of risk of cardiovascular disease than BMI. The objective of this study is to investigate clinical predictors of OSA among male habitual snorers.
MATERIALS AND METHODS: Anthropometric data was prospectively measured in male habitual snorers who were referred to our clinic. All patients underwent polysomnography and were classified into four groups according to their apnea hypopnea index. The groups were compared and the correlation of the variables with AHI was investigated.
RESULTS: Of the 73 patients, 51 patients were diagnosed OSA according to results of polysomnography (PSG). The other 22 patients were simple snorers. Among all the anthropometric variables, neck circumference (NC) and waist circumference (WC) were found to have the highest receiver operating characteristic (ROC) values (0.736 and 0.776 respectively). Three groups of patients were defined according to NC (40 cm) and WC (90 cm). The average of AHI and the severity of OSA were found to be significantly different in these 3 groups. All patients in the group of NC＜40 cm and WC ＜90 cm had an AHI smaller than 10.
CONCLUSION: Neck and waist circumferences could predict the occurrence and severity of obstructive sleep apnea in male habitual snorers. They should be included in prePSG screening tests when evaluating male habitual snorers.

關鍵字

頸圍與腰圍 ； 身體質量指數 ； 經夜型睡眠多項生理檢查 ； 阻塞性睡眠呼吸中止症 ； 呼吸干擾指數

並列摘要

BACKGROUND: Obesity is considered to play a significant role in pathogenesis of obstructive sleep apnea (OSA). Although body mass index (BMI) has been used in research as a clinical indicator of obesity, recent studies showed that waist circumference could be a better indicator of risk of cardiovascular disease than BMI. The objective of this study is to investigate clinical predictors of OSA among male habitual snorers.
MATERIALS AND METHODS: Anthropometric data was prospectively measured in male habitual snorers who were referred to our clinic. All patients underwent polysomnography and were classified into four groups according to their apnea hypopnea index. The groups were compared and the correlation of the variables with AHI was investigated.
RESULTS: Of the 73 patients, 51 patients were diagnosed OSA according to results of polysomnography (PSG). The other 22 patients were simple snorers. Among all the anthropometric variables, neck circumference (NC) and waist circumference (WC) were found to have the highest receiver operating characteristic (ROC) values (0.736 and 0.776 respectively). Three groups of patients were defined according to NC (40 cm) and WC (90 cm). The average of AHI and the severity of OSA were found to be significantly different in these 3 groups. All patients in the group of NC＜40 cm and WC ＜90 cm had an AHI smaller than 10.
CONCLUSION: Neck and waist circumferences could predict the occurrence and severity of obstructive sleep apnea in male habitual snorers. They should be included in prePSG screening tests when evaluating male habitual snorers.

並列關鍵字

neck and waist circumference ； body mass index BMI ； nocturnal polysomnography PSG ； obstructive sleep apnea syndrome OSAS ； apnea hypopnea index AHI