Yeşildağ Mihrican, Şentürk Zühal, Bekci Taha Tahir, Güney İbrahim, Mercan Seher
Department of Chest Diseases, S.B University Konya Training and Research Hospital, Konya, Turkey.
Department of Nephrology, S.B University Konya Training and Research Hospital, Konya, Turkey.
J Multidiscip Healthc. 2025 Jun 17;18:3493-3505. doi: 10.2147/JMDH.S519495. eCollection 2025.
This study aimed to evaluate the potential of recently developed anthropometric measures, A Body Shape Index (ABSI) and Body Roundness Index (BRI), in the diagnosis of Obstructive Sleep Apnea Syndrome (OSAS), to compare them with traditional indices (BMI) and to analyze them by gender.
The medical records of 400 patients who were admitted to our sleep clinic were retrospectively reviewed. Demographic data, obesity status, Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), and anthropometric measurements of all cases were obtained from their files. ABSI, BRI, and traditional indices were calculated according to appropriate formulas. Individuals were grouped according to AHI severity as follows: AHI <5: control; 5≤ AHI <15: mild; 15≤ AHI <30: moderate; and AHI ≥ 30: severe OSAS. Anthropometric indices were evaluated comparatively according to OSAS status and gender.
Of the 400 participants included in the study, 58% were male (45.61±12.2 years) and 42% were female (49.01±12.3 years). The prevalence of OSAS was 75% (n=300). The degree of obesity in mild and severe OSAS patients varied significantly by gender (p=0.001, p=0.006). Among the new indices, BRI revealed a meaningful difference (p<0.001) between control and OSAS patients in both genders, while ABSI was not significant (male/female, p=0.719/p=0.848). BRI was significantly associated with OSAS (BRI-AHI, r=0.35; BRI-ODI, r=0.30). The diagnostic performance of BRI in OSAS patients was good (AUC 0.690 in men and AUC 0.650 in women). Nonetheless, it was not higher than BMI (AUC male/female, 0.693/0.712). ABSI did not perform adequately in the evaluation of OSAS.
BRI, a new anthropometric metric, has been found to be a useful index for the diagnosis of OSAS in both sexes. However, it was not superior to BMI. BRI showed a diagnostic performance similar to BMI in men, while in women, it was slightly lower than BMI but within an acceptable range. ABSI did not provide meaningful diagnostic value.
本研究旨在评估最近开发的人体测量指标，即身体形状指数（ABSI）和身体圆润度指数（BRI）在阻塞性睡眠呼吸暂停综合征（OSAS）诊断中的潜力，将它们与传统指标（BMI）进行比较，并按性别进行分析。
对我院睡眠门诊收治的400例患者的病历进行回顾性分析。从病历中获取所有病例的人口统计学数据、肥胖状况、呼吸暂停低通气指数（AHI）、氧饱和度下降指数（ODI）和人体测量数据。根据适当公式计算ABSI、BRI和传统指标。根据AHI严重程度将个体分为以下几组：AHI<5：对照组；5≤AHI<15：轻度；15≤AHI<30：中度；AHI≥30：重度OSAS。根据OSAS状态和性别对人体测量指标进行比较评估。
本研究纳入的400名参与者中，58%为男性（45.61±12.2岁），42%为女性（49.01±12.3岁）。OSAS患病率为75%（n=300）。轻度和重度OSAS患者的肥胖程度在性别上有显著差异（p=0.001，p=0.006）。在新指标中，BRI在男女对照组和OSAS患者之间均显示出有意义的差异（p<0.001），而ABSI不显著（男性/女性，p=0.719/p=0.848）。BRI与OSAS显著相关（BRI-AHI，r=0.35；BRI-ODI，r=0.30）。BRI在OSAS患者中的诊断性能良好（男性AUC为0.690，女性AUC为0.650）。然而，它并不高于BMI（男性/女性AUC，0.693/0.712）。ABSI在OSAS评估中表现不佳。
新的人体测量指标BRI被发现是诊断男女OSAS 的有用指标。然而，它并不优于BMI。BRI在男性中的诊断性能与BMI相似，而在女性中，它略低于BMI，但在可接受范围内。ABSI没有提供有意义的诊断价值。
