Influence of neck circumference and body mass index on obstructive sleep apnea based on age groups

Salem A Gumae; Ibrahim S Hanaish; Mohamed A Taraina

doi:10.65540/jar.v16i.130

المؤلفون

Salem A Gumae Physiology Department, Faculty of Medicine, Misurata University, Libya
Ibrahim S Hanaish Department of Statistics, Faculty of Science, Misurata University, Libya
Mohamed A Taraina Associated Prof. Medical Department Misurata Medical Center

DOI:

https://doi.org/10.65540/jar.v16i.130

الكلمات المفتاحية:

sleep apnea; body mass index، age group، neck circumference

الملخص

The aim of this study is to demonstrate the significances of neck circumference (NC) and Body Mass Index (BMI) in obstructive sleep apnea (OSA) based on age groups. The influence of OSA diagnosed according to age groups was discussed. The study was done in Misurata city for 243 (135 males and 108 females aged 13-80yrs) patients referred to the Misurata city sleep clinic with suspected OSA. Polysomnography (PSG) was done for all. The main finding in this study was that the mean of BMI in age group (45-55yrs) was higher in females and the mean of NC was higher in males for all age groups. Simple linear regression analysis showed that there was significant positive correlation between BMI and respiratory disturbance index (RDI) in addition there was also positive significant correlation between NC and RDI specifically in middle and elder age groups (35-45yrs), (55-65yrs) respectively. Furthermore, using multiple linear regression analysis for both BMI and NC it was found that the NC was the only significant associated with RDI in middle and elder age groups. In addition, it was demonstrated that NC could be more associated with OSA than BMI in middle and elder Misurata patients.

المراجع

Punjabi, N.M.J.P.o.t.A.T.S., The epidemiology of adult obstructive sleep apnea. 2008. 5(2): p. 136-143. DOI: https://doi.org/10.1513/pats.200709-155MG

Chung, F., Y. Yang, and P.J.O.s. Liao, Predictive performance of the STOP-Bang score for identifying obstructive sleep apnea in obese patients. 2013. 23(12): p. 2050-2057. DOI: https://doi.org/10.1007/s11695-013-1006-z

Young, T., et al., The occurrence of sleep-disordered breathing among middle-aged adults. 1993. 328(17): p. 1230-1235. DOI: https://doi.org/10.1056/NEJM199304293281704

Davies, R.J.E.R.J., The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnoea syndrome. 1990. 3(5): p. 509-514. DOI: https://doi.org/10.1183/09031936.93.03050509

Katz, I., et al., Do Patients with Obstructive Sleep Apnea Have Thick Necks? 1, 2. 1990. 141: p. 1228-1231. DOI: https://doi.org/10.1164/ajrccm/141.5_Pt_1.1228

Bixler, E.O., et al., Effects of age on sleep apnea in men: I. Prevalence and severity. 1998. 157(1): p. 144-148. DOI: https://doi.org/10.1164/ajrccm.157.1.9706079

Berry, R.B., et al., Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events: deliberations of the sleep apnea definitions task force of the American Academy of Sleep Medicine. Journal of clinical sleep medicine, 2012. 8(5): p. 597-619. DOI: https://doi.org/10.5664/jcsm.2172

Pływaczewski, R., et al., Influence of neck circumference and body mass index on obstructive sleep apnoea severity in males. 2008. 76(5): p. 313-320. DOI: https://doi.org/10.5603/ARM.27871

Davies, R., N. Ali, and J.J.T. Stradling, Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome. 1992. 47(2): p. 101-105. DOI: https://doi.org/10.1136/thx.47.2.101

Kim, S.E., et al., Predictors for presence and severity of obstructive sleep apnea in snoring patients: significance of neck circumference. 2015. 12(2): p. 34-38. DOI: https://doi.org/10.13078/jsm.15007

Kawaguchi, Y., et al., Different impacts of neck circumference and visceral obesity on the severity of obstructive sleep apnea syndrome. Obesity, 2011. 19(2): p. 276-282. DOI: https://doi.org/10.1038/oby.2010.170

Tażbirek, M., et al., Anthropometric Factors in the Assessment of Obstructive Sleep Apnea Risk in Patients with Metabolic Syndrome. Advances in Pulmonary Medicine: Research and Innovations, 2019: p. 35-41. DOI: https://doi.org/10.1007/5584_2019_376