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肥胖对睡眠质量的影响与人体测量学和代谢变化有关。

Obesity effects on sleep quality with anthropometric and metabolic changes.

机构信息

Lutfi Kırdar Kartal City Hospital, Obesity Department - Istanbul, Turkey.

Lutfi Kırdar Kartal City Hospital, Internal Medicine Department - Istanbul, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2022 May;68(5):574-578. doi: 10.1590/1806-9282.20211072.

DOI:10.1590/1806-9282.20211072
PMID:35584477
Abstract

OBJECTIVE

Obesity is one of the etiological factors of sleep disorders (e.g., obstructive sleep apnea and restless leg syndrome). The aim of this study was to determine the effect of obesity on sleep quality by using the Pittsburgh Quality İndex and Berlin Question are and evaluate the association of sleep with anthropometric and metabolic parameters.

METHODS

A total of 76 patients (41 females and 35 males) between the ages of 18 and 70 years with a body mass index >30 kg/m2 were included in this study. Homeostatic model assessment-insulin resistance, hemoglobin A1c, alanine aminotransferase, aspartate transaminase, total cholesterol, low-density lipoprotein, triglyceride, high-density lipoprotein, and thyroid-stimulating hormone levels were analyzed. Sleep quality was evaluated with the Pittsburgh Sleep Quality Index, Berlin Questionnaire, and the Restless Leg Syndrome Questionnaire.

RESULTS

A significant correlation was observed between Pittsburgh sleep quality index and body mass index, neck circumference, body fat index, muscle mass, hip and waist circumference, hemoglobin A1c, and homeostatic model assessment-insulin resistance (ps<0.005). The Pittsburgh sleep quality index median (2.5-97.5 percentile) value was 8 (2-18.6) in the patient group and 3.5 (0.1-7.9) in the control group (p<0.0001). Body mass index was found to be the predictor on Pittsburgh sleep quality index (R2=0.162, F=3.726, analysis of variance p=0.008). Notably, 88% (67) and 95% (57) of the poor sleepers were found to be at high risk for obstructive sleep apnea according to Berlin Questionnaire and Pittsburgh Sleep Quality Index, respectively. Also, the frequency of restless leg syndrome was 45% in obese individuals.

CONCLUSIONS

We observed a significant correlation between Pittsburgh sleep quality index and the anthropometric and metabolic parameters. Also, the frequency of obstructive sleep apnea and restless leg syndrome was 88% and 45%, respectively, in obese individuals.

摘要

目的

肥胖是睡眠障碍(如阻塞性睡眠呼吸暂停和不安腿综合征)的病因之一。本研究旨在通过匹兹堡睡眠质量指数和柏林问卷来确定肥胖对睡眠质量的影响,并评估睡眠与人体测量和代谢参数的关系。

方法

本研究共纳入 76 名年龄在 18 至 70 岁之间、体重指数(BMI)大于 30kg/m2 的患者(41 名女性和 35 名男性)。分析了稳态模型评估-胰岛素抵抗、糖化血红蛋白、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、总胆固醇、低密度脂蛋白、甘油三酯、高密度脂蛋白和促甲状腺激素水平。使用匹兹堡睡眠质量指数、柏林问卷和不安腿综合征问卷评估睡眠质量。

结果

匹兹堡睡眠质量指数与 BMI、颈围、体脂指数、肌肉量、臀围和腰围、糖化血红蛋白和稳态模型评估-胰岛素抵抗呈显著相关(p<0.005)。患者组的匹兹堡睡眠质量指数中位数(2.5-97.5 百分位)为 8(2-18.6),对照组为 3.5(0.1-7.9)(p<0.0001)。BMI 是匹兹堡睡眠质量指数的预测因子(R2=0.162,F=3.726,方差分析 p=0.008)。值得注意的是,根据柏林问卷和匹兹堡睡眠质量指数,88%(67 人)和 95%(57 人)的睡眠不佳者有患阻塞性睡眠呼吸暂停的高风险。此外,肥胖者不安腿综合征的发生率为 45%。

结论

我们观察到匹兹堡睡眠质量指数与人体测量和代谢参数之间存在显著相关性。此外,肥胖者中阻塞性睡眠呼吸暂停和不安腿综合征的发生率分别为 88%和 45%。

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Rev Assoc Med Bras (1992). 2022 Nov 25;68(12):1619. doi: 10.1590/1806-9282.20220705. eCollection 2022.