Differential Effects of Obesity on Obstructive Sleep Apnea Syndrome according to Age

• 발행기관: 대한신경정신의학회
• 저자명: YuJin G. Lee YuJin Lee DoUn Jeong
• 간행물 정보: 『Psychiatry Investigation』제14권 제5호, 656~661쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.09.30

영문 초록

Objective-To evaluate the effect of obesity on obstructive sleep apnea syndrome (OSAS) by age in relation to anthropometric measurements. Methods-The medical records of 1,110 participants diagnosed with OSAS were analyzed according to age. All participants underwent nocturnal polysomnography and had their body mass index, waist circumference, neck circumference (NC), and waist-to-hip ratio measured. Results-According to the multiple linear regression analysis model for the natural logarithm of the apnea-hypopnea index treating all four anthropometric measurements and gender as covariates, the final stepwise model accounted for an increasing percentage of the variability in the severity of OSAS as a function of age: 7.0, 9.1, 14.5, and 25.6% for those aged <30, 30–39, 40–49, and 50–59 yrs, respectively. It accounted for a decreased percentage among those 60–69 (20.3%) and 70 yrs or older (3.9%). The correlation between NC and the severity of OSAS linearly increased as a function of age for those aged 30–59 yrs, peaked among those in their 60s, and dramatically decreased thereafter. Conclusion-Middle-aged patients with OSAS were more likely to be obese, as measured by anthropometric measurements, than were younger or older OSAS patients. In particular, the predictive value of NC was significantly lower for younger and older OSAS patients.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

REFERENCES

키워드

Obstructive sleep apnea Body-fat distribution Body weights and measures Obesity Age distribution