Obesidad, síndrome de apnea-hipopnea del sueño y somnolencia excesiva en población de riesgo cardiovascular / Obesity, sleep apnoea/hipopnoea syndrome and excessive daytime sleepiness in cardiovascular risk population
Rev. chil. nutr
; 35(2): 109-114, jun. 2008. tab
Article
in Spanish
| LILACS
| ID: lil-517467
Responsible library:
CL1.1
RESUMEN
Introducción:
La obesidad y el síndrome de apnea/hipopnea del sueño (SAHOS) son factores de riesgo cardiovascular (FRCV). El principal síntoma del SAHOS es somnolencia diurna excesiva (SDE), evaluable con la Escala de Epworth (EE).Objetivos:
Determinar prevalencia de SDE en población con FRCV. Establecer la asociación entre SDE y FRCV.Método:
estudio transversal efectuado durante los a±os 2006 y 2007 en una población con FRCV del Hospital Gustavo Fricke. Se consideraron mediciones antropométricas y un cuestionario que incluyó Escala de Epworth (EE).Resultados:
La prevalencia de SDE por EE fue 22,12 por ciento. La hipertensión arterial, dislipidemia y diabetes mellitus 2 no tuvieron diferencias respecto a EE. Se asociaron significativamente a SDE una circunferencia de cuello y cintura (p=0,0277 y 0,0008 respectivamente), índice de masa corporal (p=0,014) y ronquidos (p=0,05), reporte de episodios apneicos (p=0,005), sensación de sueño fragmentado (p=0,006) y antecedente de IAM (p=0,026) OR=3.4 (IC95 por ciento 1,22-8,59).Discusión:
La prevalencia de SDE encontrada concuerda con la literatura. Las asociaciones encontradas convierten al fenotipo característico y la EE en una evaluación fácil y económica para pesquisar SDE e iniciar el estudio de SAHOS.ABSTRACT
Introduction:
Obesity and sleep apnoea-hypopnoea syndrome (SAHOS) are risk factors for cardiovascular disease (RFCVD) The ntain symptom of SAHOS is excessive daily sleepiness (EDS), measurable through Epworth Scale (ES).Objective:
To determine the association between EDS and RFCVD and to establish association between SDE and RFCVD.Methods:
A cross-sectional study was done during 2006 and 2007 in a population with FRCVD at Hospital Gustavo Fricke, Viña del Mar. Anthropometrical measurements were taken and a questionnaire was applied including ES.Results:
SDE prevalence measured by EE was 22.12 percent. Prevalence of hypertension, dyslipidemia and diabetes mellitus 2 had no significant differences. Variables significantly associated to SDE were neck and waist circumference (p=0,0277 and p=0,0008 respectively), body mass index (p=0,014) and snoring (p=0,05), reports of previous apnoea episodes (p=0,005), sensation of fragmented sleep (p=0,006) and previous history of myocardial infarction (p=0,026) OR=3.4 (IC95 percent 1,22-8,59).Discussion:
The prevalence found at this study agrees with the literature and the associations found make evaluation and determination of characteristic phenotype an easy and cheap method in order to screen and treat SAHOS.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Sleep Apnea Syndromes
/
Cardiovascular Diseases
/
Surveys and Questionnaires
/
Disorders of Excessive Somnolence
/
Obesity
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. nutr
Journal subject:
Nutritional Sciences
Year:
2008
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Doctor Gustavo Fricke/CL
/
Universidad de Valparaíso/CL