The risk of obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus
Background. The prevalence of obstructive sleep apnea in patients with type 2 diabetes mellitus (DM) is 18–36 %. The purpose of the research was to study the incidence of obstructive sleep apnea among men and women with type 2 DM. Materials and methods. Total of 300 patients were examined (mean age 59.40 ± 6.66 years). They were divided into 2 groups: 150 women (mean age 57.4 ± 7.6 years), mean body mass index (BMI) 31.2 ± 5.0 kg/m2, neck circumference 38.04 ± 2.00 cm, and 150 men with type 2 DM (mean age 54.0 ± 8.3 years), mean BMI — 28.9 ± 7.2 kg/m2, neck circumference 41.8 ± 3.0 cm. Results. According to results of our questionnaire survey, 45.4 % of men and 75.7 % of women suffering from type 2 DM had a snore. In each group, 87 % of subjects complained of weakness during the day. 25.7 % of women and 10.6 % of men had periodic respiratory arrest while sleeping. The increase of blood pressure, mainly in the morning, was observed in patients with type 2 DM, in women (96.9 %) more often than in men (65.1 %). BMI > 30 kg/m2 was detected in 57.8 % of men and 63.6 % of women. According to the STOP-bang questionnaire, the risk of developing obstructive sleep apnea among Uzbek population was 37.5 % in men and 40.9 % in women with type 2 DM, a gender difference was revealed. Conclusions. Quality of life is indicator of the state of health, any its violation dictates the need for timely detection and correction of obstructive sleep apnea. The results obtained make it possible to recommend further examination of patients using polysomnography to determine the diagnosis of obstructive sleep apnea and its treatment.
Full Text:PDF (Русский)
Amin A, Ali A, Altaf QA, et al. Prevalence and Associations of Obstructive Sleep Apnea in South Asians and White Europeans with Type 2 Diabetes: A Cross-Sectional Study. J Clin Sleep Med. 2017;13(4):583-589. doi: 10.5664/jcsm.6548.
Bironneau V, Goupil F, Ducluzeau PH, et al. Association between obstructive sleep apnea severity and endothelial dysfunction in patients with type 2 diabetes. Cardiovasc Diabetol. 2017;16(1):39. doi: 10.1186/s12933-017-0521-y.
Ioja S, Chasens ER, Ng J, Strollo PJ, Korytkowski MT. Obstructive sleep apnea in adults with type 1 and type 2 diabetes: perspectives from a quality improvement initiative in a university-based diabetes center. BMJ Open Diabetes Res Care. 2017;5(1):e000433. doi: 10.1136/bmjdrc-2017-000433.
Martнnez-Cerуn E, Barquiel B, Bezos AM, et al. Effect of Continuous Positive Pressure on Glycemic Control in Patients with Obstructive Sleep Apnea and Type 2 Diabetes. A Randomized Clinical Trial. Am J Respir Crit Care Med. 2016;194(4):476-85. doi: 10.1164/rccm.201510-1942OC.
Nakata K, Miki T, Tanno M, et al. Distinct impacts of sleep-disordered breathing on glycemic variability in patients with and without diabetes mellitus. PLoS One. 2017;12(12):e0188689. doi: 10.1371/journal.pone.0188689.
Reutrakul S, Siwasaranond N, Nimitphong H, et al. Associations between nocturnal urinary 6-sulfatoxymelatonin, obstructive sleep apnea severity and glycemic control in type 2 diabetes. Chronobiol Int. 2017;34(3):382-392. doi: 10.1080/07420528.2016.1278382.
Westlake K, Plihalova A, Pretl M, Lattova Z, Polak J. Screening for obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus: a prospective study on sensitivity of Berlin and STOP-Bang questionnaires. Sleep Med. 2016;26:71-76. doi: 10.1016/j.sleep.2016.07.009.
Sokwalla SM, Joshi MD, Amayo EO, Acharya K, Mecha JO, Mutai KK. Quality of sleep and risk for obstructive sleep apnoea in ambulant individuals with type 2 diabetes mellitus at a tertiary referral hospital in Kenya: a cross-sectional, comparative study. BMC Endocr Disord. 2017;17(1):7. doi: 10.1186/s12902-017-0158-6.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
© "Publishing House "Zaslavsky", 1997-2018