Prevalence and Recognition of Obstructive Sleep Apnea in Chinese Patients With Type 2 Diabetes Mellitus

Lam, David Cl; Lui, Macy Mei Sze; Lam, W.K. Jacky; Ong, Liza H.Y.; Lam, Karen S.L.; Ip, Mary S.M.

doi:10.1378/chest.10-0596

Cited by 88 publications

(79 citation statements)

References 40 publications

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“…[32][33][34] Although direct comparison with these studies is not possible because of differences in methodology and population characteristics, the higher prevalence of OSA in South Asians with T2DM in our study compared to the prevalence of OSA in the general South Asians population is consistent with many studies that showed a high prevalence of OSA in patients with T2DM. [9][10][11][12][13][14][15][16][17][18][19][20][21] Two other studies compared the prevalence of OSA in South Asians and White Europeans in the context of the metabolic syndrome and/or obesity rather than diabetes, and the results were conflicting. 35,36 In one, the prevalence of OSA was 28.3% and there was no difference between South Asians and White Europeans.…”

Section: Discussionmentioning

confidence: 99%

“…8 The reported prevalence of OSA in patients with T2DM varies considerably between studies (8.5% to 86%). [9][10][11][12][13][14][15][16][17][18][19][20][21] These discrepancies may reflect differences in the population examined (such as the setting of care, sex, ethnicities, degree of obesity, etc. ), the methods used to diagnose OSA (such as questionnaires, portable home-based devices, polysomnography), and the parameters and definitions used to diagnose OSA (the apnea-hypopnea index (AHI) versus oxygen desaturation index (ODI), cutoffs of 5, 10 or 15 events/h).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Associations of Obstructive Sleep Apnea in South Asians and White Europeans with Type 2 Diabetes: A Cross-Sectional Study

Amin

Ali

Altaf

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives:To assess and compare obstructive sleep apnea (OSA) prevalence in South Asians and White Europeans with type 2 diabetes mellitus (T2DM). Secondary aims included exploring possible causes for observed ethnic differences. Methods: A cross-sectional study of patients with T2DM recruited from secondary care diabetes clinics. OSA was defined as an apnea-hypopnea index (AHI) ≥ 5 events/h using home-based, multi-channel respiratory monitoring. Results: Two hundred thirty-four patients (105 South Asian and 129 White Europeans) were studied. The prevalence of mild, moderate, and severe OSA in South Asians was 36.2% (n = 38/105), 9.5% (n = 10/105), and 5.7% (n = 6/105) respectively. After adjustment, OSA was associated with a higher body mass index in South Asians. OSA was significantly less common in South Asians compared to White Europeans Conclusions: South Asians with T2DM are at considerable risk of OSA. OSA in South Asians was associated with obesity. However, OSA prevalence was lower in South Asians than in White Europeans. Obesity measures accounted for the observed ethnic differences. Examining factors contributing to ethnic differences will be important to inform screening and treatment strategies. Keywords: ethnicity, obesity, sleep apnea, type 2 diabetes Citation: Amin A, Ali A, Altaf QA, Piya MK, Barnett AH, Raymond NT, Tahrani AA. Prevalence and associations of obstructive sleep apnea in South Asians and White Europeans with type 2 diabetes: a cross-sectional study.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and Associations of Obstructive Sleep Apnea in South Asians and White Europeans with Type 2 Diabetes: A Cross-Sectional Study

Amin

Ali

Altaf

et al. 2017

Journal of Clinical Sleep Medicine

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“…In all above mentioned researches the screening and diagnosis of SAS was based on overnight polysomnography, which is considered the "gold standard" for the diagnosis of sleep apnea [16,18,21,22]. The highest prevalence (86%) was reported by Foster et al among diabetic patients enrolled in the Sleep AHEAD Study, a sub-study of the trial Look AHEAD [18].…”

Section: Prevalence Of Osa In Patients With Type 2 Diabetesmentioning

confidence: 99%

Sleep Apnea and Type 2 Diabetes: A Short Review of the Literature

Rusu

Nita²,

Hâncu³

2012

Romanian Journal of Diabetes Nutrition and Metabolic Diseases

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“…[8][9][10][11][12][13][14] This wide range reflects differences in the population examined (primary versus secondary care, ethnicities, gender, obesity, etc), the methods used to diagnose OSA (patients' records, questionnaires, oximetry, portable multi-channel cardiovascular monitoring devices or 'gold standard' polysomnography) and the OSA definitions used (AHI versus ODI, different cut-offs). 4,14 It is not clear, however, whether the prevalence of OSA in patients with T2D is higher than expected for patients with similar adiposity but without T2D.…”

Section: Introductionmentioning

confidence: 99%

Obstructive sleep apnoea: a diabetologist’s perspective

Tahrani

2016

Br J Diabetes

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Obstructive sleep apnoea (OSA) is very common in patients with type 2 diabetes (T2D), which is unsurprising given that obesity is a major risk factor for both conditions. OSA has been associated with impaired quality of life, many cardiovascular disease (CVD) risk factors and cardiovascular disease in general. Continuous positive airway pressure treatment has beneficial impacts on CVD risk factors and CVD. However, the true impact of OSA in patients with T2D remains unclear. The International Diabetes Federation recommended routine screening for OSA in patients with T2D, but two-thirds of diabetes healthcare professionals were unaware of these recommendations. The aim of this review is to attempt to answer the following questions. Is OSA diagnosis and treatment important in patients with T2D and why? What is the relevance of OSA to the practising diabetologist? Br J Diabetes 2016;16:107-113

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Prevalence and Recognition of Obstructive Sleep Apnea in Chinese Patients With Type 2 Diabetes Mellitus

Cited by 88 publications

References 40 publications

Prevalence and Associations of Obstructive Sleep Apnea in South Asians and White Europeans with Type 2 Diabetes: A Cross-Sectional Study

Prevalence and Associations of Obstructive Sleep Apnea in South Asians and White Europeans with Type 2 Diabetes: A Cross-Sectional Study

Sleep Apnea and Type 2 Diabetes: A Short Review of the Literature

Obstructive sleep apnoea: a diabetologist’s perspective

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