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肥胖个体中的阻塞性睡眠呼吸暂停综合征:一项横断面研究。

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

作者信息

Modena Débora Aparecida Oliveira, Cazzo Everton, Cândido Elaine Cristina, Baltieri Letícia, Silveira Luciana Jaroslavsky Bueno da, Almeida Ana Maria Neder de, Gobato Renata Cristina, Chaim Elinton Adami

机构信息

Service of Metabolic and Bariatric Surgery, Hospital de Clínicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.

Department of Surgery, Faculty of Medical Sciences, Unicamp, Campinas, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2017 Oct;63(10):862-868. doi: 10.1590/1806-9282.63.10.862.

Abstract

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.

摘要

引言

阻塞性睡眠呼吸暂停综合征(OSAS)是一种呼吸系统疾病,其特征为反复出现呼吸暂停和呼吸浅慢,导致气流减少或停止。肥胖是OSAS发生的主要危险因素之一。为帮助诊断该疾病,人们开发了易于应用且成本低廉的问卷,如柏林问卷(BQ)。

目的

评估BQ在多学科术前计划中对肥胖症手术候选者进行OSAS筛查的效果。

方法

这是一项观察性、描述性横断面研究,通过BQ对准备接受肥胖症手术的肥胖个体进行评估。

结果

BQ能够检测到体重指数、颈围和腰臀比的微小变化会导致发生OSAS风险的改变;这些变量的值越高,发生OSAS的风险就越高。

结论

BQ是一种有效且可靠的工具,可证明肥胖个体发生OSAS的高风险。

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