[土耳其人群阻塞性睡眠呼吸暂停综合征人体测量学指标的测定]

[Determination of anthropometric measurements in obstructive sleep apnea syndrome in Turkish population].

作者信息

Ursavaş Ahmet, Öztürk Önder, Köktürk Oğuz, Mutlu Pınar, Kılıç Hatice, Güzel Aygül, Aydın Güçlü Özge, Erboy Fatma, Argüder Emine, Hezer Habibe, Şeref Parlak Ebru Şengül, Pazarlı A Cemal, Özkurt Sibel, Dursunoğlu Neşe, Sevimli Nurgül, Kanbay Asiye, Tutar Ümit, Yeşilkaya Selma, Arslan Nevra Güllü, Savaş Bozbaş Şerife, Küpeli Elif, Pınar Merve, Ermiş Hilal, Özdilekcan Çiğdem, Sarıoğlu Nurhan, Çetintaş Avşar Gülgün, Usalan Adnan Kazım, Saraç Sema, Ekici Aydanur, Burgazlıoğlu Başak

机构信息

Department of Chest Diseases, Faculty of Medicine, Uludag University, Bursa, Turkey.

Department of Chest Diseases, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.

出版信息

Tuberk Toraks. 2019 Dec;67(4):248-257. doi: 10.5578/tt.68595.

DOI:10.5578/tt.68595

PMID:32050866

Abstract

INTRODUCTION

In this study, we aimed to determine the values of anthropometric measurements and rates used in the evaluation of obstructive sleep apnea syndrome (OSAS) in our country.

MATERIALS AND METHODS

Twenty accredited sleep centers in thirteen provinces participated in this multicenter prospective study. OSAS symptoms and polysomnographic examination and apnea-hypopnea index (AHI) ≥ 5 cases OSAS study group; patients with AHI < 5 and STOP-Bang < 2 were included as control group. Demographic characteristics (age, sex, body mass index-BMI) and anthropometric measurements (neck, waist and hip circumference, waist/hip ratio) of the subjects were recorded.

RESULT

The study included 2684 patients (81.3% OSAS) with a mean age of 50.50 ± 0.21 years from 20 centers. The cases were taken from six geographical regions of the country (Mediterranean, Eastern Anatolia, Aegean, Central Anatolia, Black Sea and Marmara Region). Demographic characteristics and anthropometric measurements; age, neck, waist, hip circumference and waist/ hip ratios and BMI characteristics when compared with the control group; when compared according to regions, age, neck, waist, hip circumference and waist/hip ratios were found to be statistically different (p< 0.001, p< 0.001, p< 0.05, respectively). When compared by sex, age, neck and hip circumference, waist/hip ratio, height, weight and BMI characteristics were statistically different (p< 0.001, respectively). Neck circumference and waist/hip ratio were respectively 42.58 ± 0.10 cm, 0.99 ± 0.002, 39.24 ± 0.16 cm, 0.93 ± 0.004 were found in women.

CONCLUSIONS

The neck circumference was lower than the standard value in men, but higher in women. The waist/hip ratio was above the ideal measurements in both men and women. In this context, the determination of the country values will allow the identification of patients with the possibility of OSAS and referral to sleep centers for polysomnography.

摘要

引言

在本研究中，我们旨在确定我国用于评估阻塞性睡眠呼吸暂停综合征（OSAS）的人体测量值和比率。

材料与方法

来自13个省份的20个经认可的睡眠中心参与了这项多中心前瞻性研究。OSAS症状、多导睡眠图检查以及呼吸暂停低通气指数（AHI）≥5的病例纳入OSAS研究组；AHI<5且STOP-Bang<2的患者纳入对照组。记录受试者的人口统计学特征（年龄、性别、体重指数-BMI）和人体测量值（颈围、腰围和臀围、腰臀比）。

结果

该研究纳入了来自20个中心的2684例患者（81.3%为OSAS），平均年龄为50.50±0.21岁。病例来自该国的六个地理区域（地中海、东安纳托利亚、爱琴海、安纳托利亚中部、黑海和马尔马拉地区）。人口统计学特征和人体测量值；与对照组相比，年龄、颈围、腰围、臀围和腰臀比以及BMI特征；按地区比较时，发现年龄、颈围、腰围、臀围和腰臀比存在统计学差异（分别为p<0.001、p<0.001、p<0.05）。按性别比较时，年龄、颈围和臀围、腰臀比、身高、体重和BMI特征存在统计学差异（均为p<0.001）。女性的颈围和腰臀比分别为42.58±0.10厘米、0.99±0.002，男性为39.24±0.16厘米、0.93±0.004。