Síndrome da Apnéia Obstrutiva do Sono e sua Relação com a Hipertensão Arterial Sistêmica: Evidências Atuais

Drager, Luciano F.; Ladeira, Renata Teixeira; Brandão-Neto, Rodrigo Antônio; Lorenzi-Filho, Geraldo

doi:10.1590/s0066-782x2002000500013

Cited by 18 publications

(10 citation statements)

References 67 publications

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“…[31][32][33] In analyzing the BQ scores, we found that the individuals with obesity participating in the multidisciplinary preoperative preparation program for bariatric surgery at Hospital de Clínicas -Unicamp were at a high risk (80.34%) of developing OSAS, versus 19.66% at low risk, thus confirming that obesity is a disease clearly identified as a risk factor for the development of OSAS. Pinto et al, 34 pointed out controversy as to which are the most significant predictive parameters of obesity leading to this association.…”

Section: Discussionmentioning

confidence: 68%

Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

Modena

Cazzo

Cândido

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction: The obstructive sleep apnea syndrome (OSAS) is a respiratory illness, characterized by recurrent episodes of apnea and hypopnea, leading to reduction or cessation of the airflow. Obesity is one of the major risk factors for the development of OSAS. To help in the diagnosis of this disease, easily applicable and low-cost questionnaries were developed, such as the Berlin Questionnaire (BQ). Objective: To evaluate the efficacy of the BQ for the screening of OSAS among candidates to bariatric surgery in a multidisciplinary preoperative program. Method: This is an observational, descriptive and cross-sectional study which evaluated obese individuals that were being prepared for bariatric surgery by means of the BQ. Results: BQ was able to detect that minimal variations in the body mass index, neck circumference and hip-to-waist ratio lead to changes in the risk to develop OSAS; the higher the values of these variables, the higher the risk for OSAS development. Conclusion: BQ was an efficient and reliable tool to demonstrate the high risk for OSAS development in individual with obesity.

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Section: Discussionmentioning

confidence: 68%

Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

Modena

Cazzo

Cândido

et al. 2017

Rev. Assoc. Med. Bras.

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“…(8) This obstruction is typically accompanied by decreased oxygen-hemoglobin saturation, and its principal symptoms are loud snoring, periods of apnea, fragmented sleep and frequent awakenings, resulting in daytime sleepiness. (9) One of the principal risk factors for OSAS is body mass index (BMI) greater than 30 kg/m 2 (the cut-off value for obesity as defined by the World Health Organization). (10) Therefore, it could be postulated that the tendency toward excessive daytime sleepiness can be predicted, to some extent, by BMI.…”

Section: Introductionmentioning

confidence: 99%

Síndrome da apneia obstrutiva do sono em motoristas de caminhão

Lemos

Marqueze

Sachi³

et al. 2009

J. bras. pneumol.

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Objective: To determine the prevalence of obstructive sleep apnea syndrome (OSAS), as well as to identify factors associated with a greater risk of developing OSAS, among truck drivers. Methods: The study population comprised 209 truck drivers (mean age, 38.8 years; 98.5% males) at two branches of a transportation company. The mean body mass index was 26.5 ± 4.4 kg/m 2 . The participants completed questionnaires regarding sociodemographic data, physical activity and OSAS. The prevalence of OSAS was estimated using the Berlin Questionnaire, associations between OSAS and the factors studied being assessed through univariate and multivariate regression analysis. Results: The prevalence of OSAS in the population was 11.5%. Of the 209 truck drivers, 72 (34.5%) reported having fallen asleep while driving and 81 (38.7%) reported snoring. The following variables were found to present statistically significant associations with OSAS: informal employment (OR = 0.27; p = 0.01); body mass index ≥ 25 kg/m 2 (OR = 13.64; p = 0.01); and poor sleep quality (OR = 3.00; p = 0.02). Conclusions: The prevalence of OSAS in this study was lower than that reported in other studies of truck drivers and yet higher that that observed for the general population. In addition, our results suggest that work characteristics, such as employment status, are associated with OSAS. These data show the relevance of considering work activity in studies of factors associated with OSAS.Keywords: Sleep apnea, obstructive; Sleep disorders; Questionnaires. ResumoObjetivo: Estimar a prevalência da síndrome da apneia obstrutiva do sono (SAOS) e verificar os fatores associados à chance de desenvolver SAOS em motoristas de caminhão. Métodos: A população desse estudo constituiu-se de motoristas de caminhão de duas filiais de uma empresa transportadora (n = 209), com idade média de 38,8 anos, sendo 98,5% do sexo masculino. O índice de massa corpórea médio foi de 26,5 ± 4,4 kg/m 2 . Os participantes responderam questionários sobre dados sociodemográficos, atividade física e SAOS. A prevalência de SAOS foi estimada por meio do Questionário de Berlim e sua associação com os fatores estudados foi verificada pela análise de regressão univariada e multivariada. Resultados: A prevalência de SAOS na população foi de 11,5%. Dos 209 motoristas, 72 (34,5%) referiram dormir ao volante enquanto dirigiam ao menos uma vez e 81 (38,7%) referiram roncar durante o sono. As variáveis estatisticamente significativas associadas à SAOS foram vínculo empregatício informal (OR = 0,27; p = 0,01), índice de massa corpórea ≥ 25 kg/m 2 (OR = 13,64; p = 0,01) e qualidade do sono ruim (OR = 3,00; p = 0,02). Conclusões: Apesar de a prevalência de SAOS ter sido inferior à observada em outros estudos com motoristas, essa prevalência é superior à da população em geral. Os resultados ainda sugerem que as características do trabalho, entre as quais o vínculo de trabalho, estão associadas à SAOS. Esses dados evidenciam a relevância de se levar em consideração a atividade de trabalho em est...

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“…the waist circumference analysis, which was also higher in comparison with ratios observed in the South of Brazil (16)(17) . Although abdominal obesity and obesity itself increase cardiovascular risks, increased waist circumference is associated with obstructive sleep apnea, which results in oxyhemoglobin desaturation episodes, provoking frequent awakening at night and, hence, sleepiness during the day (18)(19) . Studies have demonstrated a positive relation between the presence of obstructive sleep apnea and greater risks of traffic accidents (20)(21) .…”

Section: Resultsmentioning

confidence: 99%

Hipertensão arterial e obesidade em motoristas profissionais de transporte de cargas

Cavagioni¹,

Pierin

2010

Acta paul. enferm.

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Objectives:To verify the prevalence of hypertension and obesity among professional freight truck drivers and associate them with studied variables. Methods: It is a cross-sectional study covering a sample of 258 professional freight truck drivers, traveling on the highway BR-116, on the Regis Bittencourt portion, in Sao Paulo state. Results: Drivers were young adults (37.5±10 years), 19% were smokers, 55% reported drinking alcohol, 74% were sedentary, 57% used sleep-inhibiting drugs; they traveled an average of 800 km/day and drove 10 hours/day. The prevalence of hypertension was 37%, 46% were overweight, 36% were obese and 58% had high waist circumference. The logistic regression analysis indicated that hypertension was associated (OD: Odds ratio, CI: confidence interval 95%) with: increased body mass index (OR = 1.183 CI 1.065 to 1.314); blood glucose (OR = 1.039 CI 1.004 to 1.076); and habit of using drugs that inhibit sleep (OR = 0.322 CI 0.129 to 0.801). Conclusion: Among professionals was significant the presence of hypertension, overweight and obesity. Keywords: Risk factors; Obesity; Cardiovascular disease/prevention; control; Occupational health RESUMO Objetivos: Verificar a prevalência de hipertensão arterial e obesidade em motoristas profissionais de transporte de carga e associá-la com variáveis estudadas. Métodos: Estudo transversal abragendo amostra de 258 motoristas profissionais de transporte de cargas que trafegavam pela Rodovia BR-116, no trecho paulista Regis Bittencourt. Resultados: Os motoristas eram adultos jovens (37,5±10 anos), 19% tabagistas, 55% referiram ingestão de bebidas alcoólicas, 74% sedentários, 57% usavam medicamentos inibidores do sono, percorriam em média 800 km/dia e dirigiam 10 horas/dia. A prevalência da hipertensão arterial foi de 37%, 46% tinham sobrepeso, 36% obesidade e 58% circunferência abdominal aumentada. A análise de regressão logística indicou que a hipertensão arterial se associou (OD: Odds ratio, IC: intervalo de confiança a 95%) com: aumento do índice de massa corporal (OR=1,183 IC 1,065-1,314); glicemia (OR=1,039 IC 1,004-1,076); e hábito de ingerir medicamento para inibir o sono (OR= 0,322 IC 0,801). Conclusão: Foi expressiva a presença de hipertensão, sobrepeso e obesidade nesses profissionais. Descritores: Fatores de riscos; Obesidade; Doenças cardiovasculares/prevenção e controle; Saúde ocupacional RESUMEN Objetivos: Verificar la prevalencia de hipertensión arterial y obesidad en choferes profesionales de transporte de carga y asociarla con variables estudiadas. Métodos: Estudio transversal abarcando una muestra de 258 choferes profesionales de transporte de carga que circulan por la carretera BR-116, en el trecho Regis Bittencourt, en el estado de Sao Paulo. Resultados: Los choferes eran adultos jóvenes (37,5±10 años), 19% tabaquistas, 55% refirieron ingestión de bebidas alcohólicas, 74% sedentarios, 57% usaban medicamentos inhibidores del sueño; recorrían en promedio 800 km/día y conducían 10 horas/día. La prevalencia de la hipertensión arteria...

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Síndrome da Apnéia Obstrutiva do Sono e sua Relação com a Hipertensão Arterial Sistêmica: Evidências Atuais

Cited by 18 publications

References 67 publications

Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

Síndrome da apneia obstrutiva do sono em motoristas de caminhão

Hipertensão arterial e obesidade em motoristas profissionais de transporte de cargas

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