Narayan Anusha, Raghuveer Pracheth
Department of Anaesthesia, S Nijalingappa Medical College, Bagalkot, Karnataka, India.
Department of Epidemiology, National Institute of Mental Health and Neuro Sciences (NIMHANS), An Institute of National Importance, Bengaluru, Karnataka, India.
J Family Med Prim Care. 2024 Aug;13(8):3264-3269. doi: 10.4103/jfmpc.jfmpc_105_24. Epub 2024 Jul 26.
Obstructive sleep apnea (OSA) is an under-evaluated and under-treated problem, particularly among individuals with type 2 diabetes mellitus (T2DM). Therefore, in this study, we aim to determine the risk of OSA among adults with T2DM residing in an urban area of Mangalore and to elucidate the determinants of OSA among the study participants.
A cross-sectional study was conducted for a period of 2 months among adult patients (≥ 18 years) with T2DM seeking health care at a primary care setting located in an urban area of Mangalore. Face-to-face interviews were conducted using a semi-structured proforma. STOP-BANG questionnaire was used to assess the risk of OSA among the study participants. The measurements, such as height, weight, and neck circumference, were conducted using standard techniques.
The mean age of the study participants was 58.12 ± 11.60 years. The majority, (58.30%), were males, and 45.0% reported a family history of T2DM. A total of 108 (60.0%) experienced loud snoring while asleep, while 149 (82.80%) experienced tiredness during daytime. The mean body mass index (BMI) was 24.64 ± 4.9 kg/m, while a neck circumference of >40 cms was found in 28.90%. A total of 69 (38.30%) had a high risk of OSA with a STOP-BANG score ranging from 5 to 8, while 71 (39.40%) had a score ranging from 3 to 4 (intermediate risk). The statistically significant associations were found between age >50 years, male gender, and diabetes for ≥ 7 years and high risk of OSA ( < 0.001).
More than a third of the study participants had a high risk of OSA. Age > 50 years, male gender, and diabetes for ≥7 years were the factors associated with OSA.
阻塞性睡眠呼吸暂停（OSA）是一个评估不足且治疗不足的问题，尤其是在2型糖尿病（T2DM）患者中。因此，在本研究中，我们旨在确定居住在芒格洛尔市区的成年T2DM患者中OSA的风险，并阐明研究参与者中OSA的决定因素。
在芒格洛尔市区的一家初级保健机构，对寻求医疗保健的成年T2DM患者（≥18岁）进行了为期2个月的横断面研究。使用半结构化表格进行面对面访谈。使用STOP-BANG问卷评估研究参与者中OSA的风险。使用标准技术进行身高、体重和颈围等测量。
研究参与者的平均年龄为58.12±11.60岁。大多数（58.30%）为男性，45.0%报告有T2DM家族史。共有108人（60.0%）在睡眠时打鼾，149人（82.80%）在白天感到疲倦。平均体重指数（BMI）为24.64±4.9kg/m，28.90%的人颈围>40cm。共有69人（38.30%）的OSA风险较高，STOP-BANG评分为5至8分，71人（39.40%）的评分为3至4分（中度风险）。在年龄>50岁、男性以及糖尿病病程≥7年与OSA高风险之间发现了具有统计学意义的关联（<0.001）。
超过三分之一的研究参与者有OSA高风险。年龄>50岁、男性以及糖尿病病程≥7年是与OSA相关的因素。
