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Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea

BACKGROUND: Obstructive sleep apnea-hypopnea syndrome (OSAHS) is characterized by repeated breathing pauses during sleep and is closely associated with obesity. Body fat is known to be a predictive factor for OSAHS and its severity. AIM: To study the correlation between the severity of OSAHS and bod...

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Autores principales: Lovin, Sînziana, Bercea, Raluca, Cojocaru, Cristian, Rusu, Gianina, Mihăescu, Traian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463035/
https://www.ncbi.nlm.nih.gov/pubmed/22958677
http://dx.doi.org/10.1186/2049-6958-5-1-44
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author Lovin, Sînziana
Bercea, Raluca
Cojocaru, Cristian
Rusu, Gianina
Mihăescu, Traian
author_facet Lovin, Sînziana
Bercea, Raluca
Cojocaru, Cristian
Rusu, Gianina
Mihăescu, Traian
author_sort Lovin, Sînziana
collection PubMed
description BACKGROUND: Obstructive sleep apnea-hypopnea syndrome (OSAHS) is characterized by repeated breathing pauses during sleep and is closely associated with obesity. Body fat is known to be a predictive factor for OSAHS and its severity. AIM: To study the correlation between the severity of OSAHS and body composition measurements. METHODS: 30 patients with OSAHS (21 men, 9 women, mean age 45.1 years, mean apnea-hypopnea index = 29.6/hour) were included in the study after full polysomnography. They were divided into 3 groups according to the apnea-hypopnea index (AHI): mild OSAHS (mean AHI 10.9/h), moderate OSAHS (mean AHI 23.9/h) and severe OSAHS (mean AHI 53.9/h). Body composition (body fat, body water and dry lean mass) was assessed using bioelectric impedance assay (BIA). Other measurements included neck and abdominal circumferences and body mass index (BMI). Pearson's coefficient (r) was used to express correlations between AHI and the following parameters: BMI, neck and abdominal circumferences, body fat, dry lean mass, and body water. Wilcoxon Sum-of-Ranks (Mann-Whitney) test for comparing unmatched samples was used to compare anthropometric and body composition measurements between groups. RESULTS: The correlation between AHI and BMI was weak (r = 0.38). AHI correlated moderately with neck circumference (r = 0.54), with neck circumference corrected by height (r = 0.60), and more strongly with body fat (r = 0.67), with body water (r = 0.69) and with abdominal circumference (r = 0.75). There was a strong negative correlation between AHI and dry lean mass (r = - 0.92). There were significant differences in body fat, body water, neck circumference corrected by height and abdominal circumference (Wilcoxon Sum-of-Ranks, p < 0.01), between mild and severe OSASH groups, but not in BMI (Wilcoxon Sumof-Ranks, W = 86.5; p = 0.17). CONCLUSIONS: In our study, the severity of OSAHS correlated with body fat and with body water more strongly than with general and cervical obesity. Abdominal adiposity may predict OSAHS severity better than neck circumference.
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spelling pubmed-34630352012-10-04 Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea Lovin, Sînziana Bercea, Raluca Cojocaru, Cristian Rusu, Gianina Mihăescu, Traian Multidiscip Respir Med Original Article BACKGROUND: Obstructive sleep apnea-hypopnea syndrome (OSAHS) is characterized by repeated breathing pauses during sleep and is closely associated with obesity. Body fat is known to be a predictive factor for OSAHS and its severity. AIM: To study the correlation between the severity of OSAHS and body composition measurements. METHODS: 30 patients with OSAHS (21 men, 9 women, mean age 45.1 years, mean apnea-hypopnea index = 29.6/hour) were included in the study after full polysomnography. They were divided into 3 groups according to the apnea-hypopnea index (AHI): mild OSAHS (mean AHI 10.9/h), moderate OSAHS (mean AHI 23.9/h) and severe OSAHS (mean AHI 53.9/h). Body composition (body fat, body water and dry lean mass) was assessed using bioelectric impedance assay (BIA). Other measurements included neck and abdominal circumferences and body mass index (BMI). Pearson's coefficient (r) was used to express correlations between AHI and the following parameters: BMI, neck and abdominal circumferences, body fat, dry lean mass, and body water. Wilcoxon Sum-of-Ranks (Mann-Whitney) test for comparing unmatched samples was used to compare anthropometric and body composition measurements between groups. RESULTS: The correlation between AHI and BMI was weak (r = 0.38). AHI correlated moderately with neck circumference (r = 0.54), with neck circumference corrected by height (r = 0.60), and more strongly with body fat (r = 0.67), with body water (r = 0.69) and with abdominal circumference (r = 0.75). There was a strong negative correlation between AHI and dry lean mass (r = - 0.92). There were significant differences in body fat, body water, neck circumference corrected by height and abdominal circumference (Wilcoxon Sum-of-Ranks, p < 0.01), between mild and severe OSASH groups, but not in BMI (Wilcoxon Sumof-Ranks, W = 86.5; p = 0.17). CONCLUSIONS: In our study, the severity of OSAHS correlated with body fat and with body water more strongly than with general and cervical obesity. Abdominal adiposity may predict OSAHS severity better than neck circumference. BioMed Central 2010-02-28 /pmc/articles/PMC3463035/ /pubmed/22958677 http://dx.doi.org/10.1186/2049-6958-5-1-44 Text en Copyright ©2010 Novamedia srl
spellingShingle Original Article
Lovin, Sînziana
Bercea, Raluca
Cojocaru, Cristian
Rusu, Gianina
Mihăescu, Traian
Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title_full Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title_fullStr Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title_full_unstemmed Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title_short Body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
title_sort body composition in obstructive sleep apneahypopnea syndrome bio-impedance reflects the severity of sleep apnea
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463035/
https://www.ncbi.nlm.nih.gov/pubmed/22958677
http://dx.doi.org/10.1186/2049-6958-5-1-44
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