Waist-hip ratio is an independent predictor of moderate-to-severe OSA in nonobese males: a cross-sectional study.
Moderate-to-severe OSA
Nonobese patients
Waist-hip ratio
Journal
BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563
Informations de publication
Date de publication:
22 Apr 2022
22 Apr 2022
Historique:
received:
02
10
2021
accepted:
07
03
2022
entrez:
23
4
2022
pubmed:
24
4
2022
medline:
27
4
2022
Statut:
epublish
Résumé
Adiposity is a well-established risk factor for obstructive sleep apnea (OSA), but whether a combination of preferable anthropometric measurements may improve the accuracy of detecting OSA is unknown. This study aimed to explore the accuracies of the waist-hip ratio (WHR) in conjunction with the body mass index (BMI) when identifying the severity of OSA. A total of 2012 participants in the China-Japan Friendship Hospital from January 2018 to December 2019 underwent anthropometric measurements and an overnight home sleep test (HST). The 244 subjects who met the criteria for obstructive sleep apnea (apnea-hypopnea index (AHI) ≥ 5 events/hour) were divided into four groups: Group A (55 patients with WHR ≥ 0.9 and BMI ≥ 28 kg/m The AHI, apnea index (AI), hypopnea index (HI), and oxygen desaturation index (ODI) were significantly different among the 4 groups (p < 0.05). The WHR was positively correlated with AHI (r = 0.22, p < 0.001), AI (r = 0.270, p = 0.004), and ODI (r = 0.286, p = 0.0022) and negatively correlated with lowest oxygen pulse saturation (LSpO In nonobese male OSA patients, WHR is a moderate screening marker for moderate-to-severe OSA and an independent risk factor for OSA severity.
Sections du résumé
BACKGROUND
BACKGROUND
Adiposity is a well-established risk factor for obstructive sleep apnea (OSA), but whether a combination of preferable anthropometric measurements may improve the accuracy of detecting OSA is unknown. This study aimed to explore the accuracies of the waist-hip ratio (WHR) in conjunction with the body mass index (BMI) when identifying the severity of OSA.
DESIGN
METHODS
A total of 2012 participants in the China-Japan Friendship Hospital from January 2018 to December 2019 underwent anthropometric measurements and an overnight home sleep test (HST). The 244 subjects who met the criteria for obstructive sleep apnea (apnea-hypopnea index (AHI) ≥ 5 events/hour) were divided into four groups: Group A (55 patients with WHR ≥ 0.9 and BMI ≥ 28 kg/m
RESULTS
RESULTS
The AHI, apnea index (AI), hypopnea index (HI), and oxygen desaturation index (ODI) were significantly different among the 4 groups (p < 0.05). The WHR was positively correlated with AHI (r = 0.22, p < 0.001), AI (r = 0.270, p = 0.004), and ODI (r = 0.286, p = 0.0022) and negatively correlated with lowest oxygen pulse saturation (LSpO
CONCLUSION
CONCLUSIONS
In nonobese male OSA patients, WHR is a moderate screening marker for moderate-to-severe OSA and an independent risk factor for OSA severity.
Identifiants
pubmed: 35459124
doi: 10.1186/s12890-022-01886-3
pii: 10.1186/s12890-022-01886-3
pmc: PMC9034636
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
151Subventions
Organisme : National Science Foundation for Young Scientists of China
ID : 81700001
Informations de copyright
© 2022. The Author(s).
Références
Sleep Breath. 2014 Sep;18(3):609-14
pubmed: 24442914
Expert Rev Respir Med. 2009 Apr;3(2):177-86
pubmed: 20477311
Int J Tuberc Lung Dis. 2007 Jan;11(1):2-11
pubmed: 17217123
CMAJ. 2006 Jan 31;174(3):308
pubmed: 16446469
Obesity (Silver Spring). 2008 Jan;16(1):113-8
pubmed: 18223622
Auris Nasus Larynx. 2018 Apr;45(2):295-300
pubmed: 28546036
Physiol Rev. 2013 Jan;93(1):359-404
pubmed: 23303913
J Appl Physiol (1985). 1988 Nov;65(5):2124-31
pubmed: 3209556
Arch Intern Med. 2007 Jul 9;167(13):1420-7
pubmed: 17620537
Dent Clin North Am. 2001 Oct;45(4):643-56
pubmed: 11699234
Chest. 2004 Jan;125(1):127-34
pubmed: 14718431
J Clin Sleep Med. 2017 Apr 15;13(4):545-550
pubmed: 28095969
Am J Epidemiol. 2004 Jun 15;159(12):1140-9
pubmed: 15191931
N Engl J Med. 2001 Jan 11;344(2):102-7
pubmed: 11150360
Eur J Clin Nutr. 2010 Jan;64(1):2-5
pubmed: 19935820
Am J Respir Crit Care Med. 2011 Nov 1;184(9):1062-6
pubmed: 21836140
Diabetes. 2010 Oct;59(10):2465-73
pubmed: 20682685
BMC Geriatr. 2016 Jun 18;16:125
pubmed: 27315800
Eur J Orthod. 2001 Dec;23(6):703-14
pubmed: 11890066
Am J Respir Crit Care Med. 2004 Nov 15;170(10):1108-13
pubmed: 15347562
N Engl J Med. 1993 Apr 29;328(17):1230-5
pubmed: 8464434
J Clin Sleep Med. 2012 Oct 15;8(5):597-619
pubmed: 23066376
Sci Rep. 2020 Jun 2;10(1):8996
pubmed: 32488147
Int J Nephrol. 2010 Jul 05;2010:831243
pubmed: 21188241
Eur J Clin Nutr. 2010 Jan;64(1):35-41
pubmed: 19639001
Sleep Med. 2010 Dec;11(10):1025-30
pubmed: 20643577
Diabetes Care. 2003 May;26(5):1380-4
pubmed: 12716792
Nephrol Dial Transplant. 2008 Jan;23(1):47-51
pubmed: 17890752
J Clin Sleep Med. 2011 Jun 15;7(3):268-73
pubmed: 21677896
Ann Otol Rhinol Laryngol. 2014 Jul;123(7):517-23
pubmed: 24668052
Am J Orthod Dentofacial Orthop. 1986 Dec;90(6):484-91
pubmed: 3098087
Obes Facts. 2020;13(3):344-357
pubmed: 32570251
Chest. 2001 Jan;119(1):62-9
pubmed: 11157585