Vats Mayank G, Mahboub Bassam H, Al Hariri Hassan, Al Zaabi Ashraf, Vats Deepa
Department of Respiratory and Sleep Medicine, Rashid Hospital, Dubai, UAE.
College of Medicine, University of Sharjah, Sharjah, UAE.
Can Respir J. 2016;2016:9673054. doi: 10.1155/2016/9673054. Epub 2016 Dec 1.
A pandemic of obesity is sweeping all across the globe and the Middle East region also does not remain untouched by this prevailing pandemic. In fact, as per WHO report, Kuwait has the second highest obesity prevalence followed closely by other Middle East (ME) countries, namely, Qatar, Saudi Arabia, and United Arab Emirates (UAE). Apart from direct medical, psychological, and quality of life related adverse effects of obesity, many indirect medical comorbidities, namely, obstructive sleep apnea (OSA), obesity hypoventilation syndrome (OHS), diabetes mellitus (DM), hypertension (HTN), and metabolic syndrome, imposes a significant health burden on the individual and community with consequent morbidity and mortality. The purpose of this review is to shed light on the very high prevalence of obesity, undiagnosed sleep apnea, and other obesity related disorders with discussion of the contributing factors specific to the region including the fair insight into the current status of sleep medicine services in Middle East and UAE despite huge number of patients having undiagnosed sleep disorders. We will also suggest to control this epidemic of obesity and OSA so that the corrective measure could be taken at health ministry level to help people of this region to fight against obesity and related disorders, primarily OSA.
一场肥胖大流行正在席卷全球,中东地区也未能幸免。事实上,根据世界卫生组织的报告,科威特的肥胖患病率位居第二,紧随其后的是其他中东国家,即卡塔尔、沙特阿拉伯和阿拉伯联合酋长国(阿联酋)。除了肥胖对医疗、心理和生活质量造成的直接不良影响外,许多间接的医学合并症,如阻塞性睡眠呼吸暂停(OSA)、肥胖低通气综合征(OHS)、糖尿病(DM)、高血压(HTN)和代谢综合征,给个人和社区带来了巨大的健康负担,进而导致发病和死亡。本综述的目的是揭示肥胖、未诊断的睡眠呼吸暂停以及其他与肥胖相关疾病的极高患病率,并讨论该地区的相关影响因素,包括深入了解中东和阿联酋睡眠医学服务的现状,尽管有大量患者患有未诊断的睡眠障碍。我们还将建议控制这种肥胖和OSA的流行,以便在卫生部层面采取纠正措施,帮助该地区的人们对抗肥胖及相关疾病,主要是OSA。