Abstract:Objetivos. Describir las diferencias clínicas y polisomnográficas en pacientes obesos y no obesos con diagnóstico del síndrome de apneas-hipopneas del sueño (SAHS). Materiales y métodos. A los pacientes incluidos se les realizó un examen físico, se aplicó la escala de somnolencia de Epworth (ESE) y además se les realizó una polisomnografía. Se consideró obeso si el índice de masa corporal (IMC) era mayor o igual a 30 kg/m 2 . Resultados. Se analizaron 408 pacientes con SAHS, de estos, 119 (47 %) fueron obesos.… Show more
“…The strongest association between anthropometric measurements and sleep disorders was observed between WC and OSA, which makes sense given the visceral fat deposition which causes instability and collapsibility of the upper airway [6,32,33]. However, unlike in previous studies, NC did not correlate with the presence of OSA [7,32,[34][35][36][37][38]; this could be explained by differences in fat deposition patterns across populations, and heterogeneous measurements between reports [33]. In our study, BMI showed a stronger correlation with WC than with NC (r = 0.75 and 0.65, respectively), and WC was poorly correlated with NC (r = 0.69 in men and r = 0.63 in women).…”
Sleep disorders are common in Colombia, irrespective of sex and geographical location. They are associated with obesity. Abdominal obesity could explain the high frequency of sleep disorders among women. We believe that this part of the study will substantially contribute to the understanding of sleep disorders. Further research is needed to identify key factors behind the high prevalence rates of sleep disorders and obesity in Colombia.
“…The strongest association between anthropometric measurements and sleep disorders was observed between WC and OSA, which makes sense given the visceral fat deposition which causes instability and collapsibility of the upper airway [6,32,33]. However, unlike in previous studies, NC did not correlate with the presence of OSA [7,32,[34][35][36][37][38]; this could be explained by differences in fat deposition patterns across populations, and heterogeneous measurements between reports [33]. In our study, BMI showed a stronger correlation with WC than with NC (r = 0.75 and 0.65, respectively), and WC was poorly correlated with NC (r = 0.69 in men and r = 0.63 in women).…”
Sleep disorders are common in Colombia, irrespective of sex and geographical location. They are associated with obesity. Abdominal obesity could explain the high frequency of sleep disorders among women. We believe that this part of the study will substantially contribute to the understanding of sleep disorders. Further research is needed to identify key factors behind the high prevalence rates of sleep disorders and obesity in Colombia.
Purpose
To evaluate the intensity of nocturnal hypoxemia associated with sleepiness in Peruvian men with a diagnosis of obstructive sleep apnea (OSA).
Methods
We carried out a secondary data analysis based on a study which includes patients with OSA who were seen in a private hospital in Lima, Peru from 2006 to 2012. We included male adults who had polysomnographic recordings and who answered the Epworth sleepiness scale (ESE). The intensity of nocturnal hypoxemia (oxygen saturation ≤90 %) was classified in four new categories: 0, <1, 1 to 10 and >10 % total sleep time with nocturnal hypoxemia (NH). When the ESE score was higher than 10, we used the definitions presence or absence of sleepiness. We used Poisson regression models with robust variance to estimate crude and adjusted prevalence ratios (PR) for association between sleepiness and NH.
Results
518 male patients with OSA were evaluated. Four hundred and fifty-two (87 %) patients had NH and 262 (51 %) had sleepiness. Of the 142 (27.4 %) patients who had >10 % total sleep time with NH, 98 (69.0 %) showed sleepiness and had a greater probability of sleepiness prevalence, with a crude PR of 1.82 (95 % CI 1.31–2.53). This association persisted in the multivariate models.
Conclusions
We found an association between NH and sleepiness. Only patients with the major intensity of NH (over 10 % of the total sleep time) had a greater probability of sleepiness. This suggests that sleepiness probably occurs after a chronic process and after overwhelming compensatory mechanisms.
“…De acuerdo a la Organización Mundial de la Salud, el síndrome de apnea e hipopnea obstructiva del sueño (SAHOS) es, desde inicios del año 2000, una pandemia silenciosa que presenta una incidencia aproximada de uno por cada veinte adultos, por lo que es considerado un problema de salud pública. La obesidad es un importante factor de riesgo para el desarrollo de SAHOS, se calcula que dos de cada tres pacientes con SAHOS tienen obesidad; además, la frecuencia de SAHOS puede llegar al 50% en aquellas personas con obesidad mórbida, quienes incluso pueden desarrollar formas más severas de la enfermedad [1,2] . La frecuencia de SAHOS en pacientes sometidos a cirugía, especialmente aquellos con cirugía bariátrica, es mayor que en la población general, con valores que oscilan entre el 25% al 70% [3] ; situación que se ha asociado con un mayor riesgo de complicaciones perioperatorias como intubación difícil, delirio posoperatorio, arritmias sostenidas, hipertensión arterial, ingresos a la Unidad de Cuidados Intensivos y una estancia hospitalaria prolongada [4][5][6] .…”
Objetivo: Determinar el nivel de conocimientos y actitudes sobre el Síndrome de Apnea Hipoapnea Obstructiva del Sueño (SAHOS) en cirujanos, traumatólogos y anestesiólogos del Hospital Nacional Daniel Alcides Carrión (HNDAC), Callao, Perú. Materiales y métodos: Estudio descriptivo transversal realizado en 90 médicos cirujanos, traumatólogos y anestesiólogos. Se utilizó el cuestionario de OSAKA (Conocimientos y Actitudes sobre el Apnea Obstructiva del Sueño) validado en su versión en español para medir los conocimientos y actitudes sobre el SAHOS. Resultados: En médicos cirujanos, traumatólogos y anestesiólogos se encontró una media de 10,71 ± 3,78), (máximo 19 puntos, mínimo 1 punto); sin embargo, se destacó un mayor puntaje en anestesiólogos. No se encontró diferencias significativas entre residentes y asistentes. La actitud en cuanto a la importancia hacia esta enfermedad es muy buena; sin embargo, la confianza para su identificación y manejo es bastante pobre. El 66,7% de conocimientos sobre esta enfermedad se adquirió en pregrado. Se halló una correlación positiva entre el nivel de conocimientos y las actitudes en los participantes, y una correlación negativa entre los años de práctica médica y el nivel de conocimientos. Conclusiones: Los médicos cirujanos, traumatólogos y anestesiólogos del HNDAC presentan deficiencia de conocimientos sobre SAOS. Se debe difundir más esta enfermedad y despertar el interés de médicos de distintas especialidades.
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