Bove Caitlin, Jain Vivek, Younes Naji, Hynes Marijane
George Washington University School of Medicine and Health Sciences, Washington, DC.
Am J Lifestyle Med. 2018 Apr 27;15(3):305-312. doi: 10.1177/1559827618765097. eCollection 2021 May-Jun.
. We hypothesized that certain dietary components such as increased fat intake are associated with severity of obstructive sleep apnea (OSA). . A total of 104 patients, diagnosed with OSA completed a validated dietary survey. The apnea-hypopnea index (AHI) was used to measure the severity of OSA. Subjects were divided using body mass index (BMI) into obese and overweight categories. Regression analysis was performed to predict severity of OSA from gender, BMI, age, % energy from fat, and the individual dietary components of the survey. . Overweight subjects who ate a diet high in fat (>35% of their total diet) had twice the severity of sleep apnea (AHI 18.2 ± 10.1 vs 36.6 ± 27.5; = .001). There was a strong trend ( = .056) in OSA severity between subjects eating processed meats "often" (AHI 42.5 ± 30.7) versus those eating "rarely/never" (AHI 28.9 ± 22.7). Eating greater than 2 servings of dairy daily was associated with worsening severity of OSA (AHI 26.2 ± 15.6 vs 39.7 ± 31; = .04]. . Dietary components such as fat intake and processed meats were associated with increased risk of OSA severity. In addition, 2 servings of dairy foods were associated with a decreased severity of OSA at presentation.
我们假设某些饮食成分，如脂肪摄入量增加，与阻塞性睡眠呼吸暂停（OSA）的严重程度相关。共有104名被诊断为OSA的患者完成了一项经过验证的饮食调查。呼吸暂停低通气指数（AHI）用于衡量OSA的严重程度。根据体重指数（BMI）将受试者分为肥胖和超重类别。进行回归分析以从性别、BMI、年龄、脂肪能量百分比以及调查中的个体饮食成分预测OSA的严重程度。超重且饮食中脂肪含量高（占总饮食的>35%）的受试者睡眠呼吸暂停的严重程度是其两倍（AHI分别为18.2±10.1和36.6±27.5；P = 0.001）。经常食用加工肉类的受试者（AHI为42.5±30.7）与很少/从不食用加工肉类的受试者（AHI为28.9±22.7）相比，OSA严重程度有强烈趋势（P = 0.056）。每天食用超过两份乳制品与OSA严重程度加重相关（AHI分别为26.2±15.6和39.7±31；P = 0.04）。脂肪摄入和加工肉类等饮食成分与OSA严重程度风险增加相关。此外，两份乳制品与就诊时OSA严重程度降低相关。
