Prevalence of Obstructive Sleep Apnoea Among Patients Admitted for Bariatric Surgery. A Prospective Multicentre Trial
Prevalence of Obstructive Sleep Apnoea Among Patients Admitted for Bariatric Surgery. A Prospective Multicentre Trial
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DOI：
10.1007/s11695-015-1953-7
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发表时间：
2016-07-01
期刊：
影响因子：
2.9
通讯作者：
Victorzon, M.
中科院分区：
文献类型：
--
作者：
Peromaa-Haavisto, P.;Tuomilehto, H.;Victorzon, M.
肥胖已成为全球最大的公共卫生问题之一，也是阻塞性睡眠呼吸暂停（OSA）最重要的危险因素。阻塞性睡眠呼吸暂停的患病率在过去二十年中有所增加，但据估计，大多数病例仍未得到诊断。本研究的目的是调查芬兰减肥手术患者中阻塞性睡眠呼吸暂停的患病率。在这项前瞻性多中心研究中，对来自三家不同医院的197名连续患者进行了标准的夜间心肺记录。同时还进行了睡眠问卷调查。人体测量和人口统计测量包括年龄、体重、身体质量指数（BMI）和腰围和脖子围。总的来说，71%的患者被诊断为阻塞性睡眠呼吸暂停。男性的患病率（90%）高于女性（60%）（p < 0.001）。OSA患者组平均颈腰围大于非OSA组（p < 0.001），体重高于非OSA组（p < 0.01）。当按性别区分患者时，只有女性患者的颈围存在显著差异。阻塞性睡眠呼吸暂停在减肥手术患者中非常常见，尤其是在男性中。考虑到这一点，以及与阻塞性睡眠呼吸暂停相关的长期发病率和死亡率的增加，对肥胖患者，特别是男性患者进行常规筛查似乎是必要的。
Obesity has become one of the greatest public health concerns worldwide and is known to be the most important risk factor for obstructive sleep apnoea (OSA). Prevalence of OSA has increased over the last two decades, but it is estimated that the majority of cases still remain undiagnosed. The aim of this study was to investigate the prevalence of OSA in Finnish bariatric surgery candidates.In this prospective multicentre study, standard overnight cardiorespiratory recording was conducted in 197 consecutive patients from three different hospitals. A sleep questionnaire was also administered. Anthropometric and demographic measurements included age, weight, body mass index (BMI) and waist and neck circumference.Altogether, 71 % of the patients were diagnosed with OSA. The prevalence was higher in males (90 %) than in females (60 %) (p < 0.001). In OSA patients' group, the mean neck and waist circumference was larger (p < 0.001) and the body weight higher (p < 0.01) than in non-OSA group. When separating patients by gender, a significant difference remained only concerning neck circumference in female patients.OSA is very common among bariatric surgery patients, especially in men. Considering this and the increased long-term morbidity and mortality generally related to OSA, a routine screening for OSA seems indicated in bariatric patients, particularly men.