RISK OF OBSTRUCTIVE SLEEP APNEA IN PATIENTS WITH TYPE 2 DIABETES MELLITUS.
- King Faisal University, King Faisal University, King Faisal University.
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Introduction: Many studies provided a positive relationship between Obstructive sleep apnea and diabetes mellitus type2. It has been revealed that almost one third of middle aged Saudi papulation are at risk for OSA. The aim of this study is to compare the risk of OSA between diabetic patients and non-diabetic middle aged Saudi population. Materials and Methods: This was a cross-sectional questionnaire-based study conducted in King Fahad hospital diabetes center in AL-Ahsaa, Saudi Arabia. Saudi patients aged 18 years and above with diabetes type 2 who visited the outpatient clinics in July and august 2015 where engaged in the study. Medical records were reviewed for demographic characteristics, weight, height, body mass index (BMI), blood pressure, glycated hemoglobin, and chronic medical conditions. Berlin questionnaire was used to assess the risk of OSA. Results: Based on berlin questionnaire, 45 out of 147 of sample (30.6%) are at high risk for OSA. 43.4% who have hypertension in high risk of OSA. Also, 33% of patients with BMI above or equal 25 are in high risk for OSA. There is no significant relation between age, gender and HA1C. Contrariwise, there is significant relation between presence of HTN and BMI above or equal 25 with increased risk for OSA. Conclusion: Hypertension, overweight and obesity contribute in high risk of OSA in diabetic patients. There is no difference between diabetic patients and middle aged Saudi population regarding the risk of OSA.
- Krayem, A. B., & Boudal, A. M. (2012). Obstructive sleep apnea syndrome: an overview. Saudi Journal of Internal Medicine, 1(1), 13-21.
- BaHammam, Ahmed S. (n.d.). Sleep medicine in Saudi Arabia: Currentproblems and future challenges. Medknow Publications.
- Young, T., Skatrud, J., & Peppard, P. E. (2004). Risk factors for obstructivesleep apnea in adults. Jama, 291(16), 2013-2016.
- Al, L. N. M., Patel, S. R., & Ayas, N. T. (January 01, 2009). Epidemiology, riskfactors, and consequences of obstructive sleep apnea and short sleepduration. Progress in Cardiovascular Diseases, 51, 4.).
- Heffner, J. E., Rozenfeld, Y., Kai, M., Stephens, E. A., & Brown, L. K. (January01, 2012). Prevalence of diagnosed sleep apnea among patients with type 2diabetes in primary care. Chest, 141, 6, 1414-21.
- Nasser, J., Habib, F., Malallah, F., Darwish, N., &Rabie, E. (2014). Risk for Obstructive Sleep Apnea among People with Diabetes. Bahrain Medical Bulletin, 36(3), 145-149.
- Obaseki, D. O., Kolawole, B. A., Gomerep, S. S., Obaseki, J. E., Abidoye, I. A., Ikem, R. T., &Erhabor, G. E. (2014). Prevalence and predictors of obstructive sleep apnea syndrome in a sample of patients with type 2 Diabetes Mellitus in Nigeria. Nigerian medical journal: journal of the Nigeria Medical Association, 55(1), 24.
- Schober, A. K., Neurath, M. F., &Harsch, I. A. (2011). Prevalence of sleep apnoea in diabetic patients. The clinical respiratory journal, 5(3), 165-172.?
- Einhorn, D., Stewart, D., Erman, M., Gordon, N., Philis-Tsimikas, A., &Casal, E. (2007). Prevalence of sleep apnea in a population of adults with type 2 diabetes mellitus. Endocrine Practice, 13(4), 355-362.?
- Foster, G. D., Sanders, M. H., Millman, R., Zammit, G., Borradaile, K. E., Newman, A. B., ... &Darcey, V. (2009). Obstructive sleep apnea among obese patients with type 2 diabetes. Diabetes care, 32(6), 1017-1019.?
- West, S. D., Nicoll, D. J., &Stradling, J. R. (2006). Prevalence of obstructive sleep apnoea in men with type 2 diabetes. Thorax, 61(11), 945-950.?
- Shim, U., Lee, H., Oh, J. Y., & Sung, Y. A. (2011). Sleep disorder and cardiovascular risk factors among patients with type 2 diabetes mellitus. The Korean journal of internal medicine, 26(3), 277-284.?
- Lee, W., Nagubadi, S., Kryger, M. H., &Mokhlesi, B. (2008). Epidemiology of obstructive sleep apnea: a population-based perspective. Expert review of respiratory medicine, 2(3), 349-364.?
- Cass, A. R., Alonso, W. J., Islam, J., & Weller, S. C. (2013). Risk of obstructive sleep apnea in patients with type 2 diabetes mellitus. Fam Med, 45(7), 492-500.?
- Pedrosa, R. P., Drager, L. F., Gonzaga, C. C., Sousa, M. G., de Paula, L. K., Amaro, A. C., ... & Lorenzi-Filho, G. (2011). Obstructive sleep apnea the most common secondary cause of hypertension associated with resistant hypertension. Hypertension, 58(5), 811-817.
- Wolk, R., Shamsuzzaman, A. S., & Somers, V. K. (2003). Obesity, sleep apnea, and hypertension. Hypertension, 42(6), 1067-1074.
- Dopp, J. M., Reichmuth, K. J., & Morgan, B. J. (2007). Obstructive sleep apnea and hypertension: mechanisms, evaluation, and management. Current hypertension reports, 9(6), 529-534.
- Jennum, P., &Riha, R. L. (2009). Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing. European Respiratory Journal, 33(4), 907-914.
- Heffner, J. E., Rozenfeld, Y., Kai, M., Stephens, E. A., & Brown, L. K. (2012). Prevalence of diagnosed sleep apnea among patients with type 2 diabetes in primary care. CHEST Journal, 141(6), 1414-1421.
- McNicholas, W. T., Bonsignore, M. R., & Management Committee of EU Cost Action B26. (2007). Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. European Respiratory Journal, 29(1), 156-178.?
- Blankfield, R. P., Hudgel, D. W., Tapolyai, A. A., &Zyzanski, S. J. (2000). Bilateral leg edema, obesity, pulmonary hypertension, and obstructive sleep apnea. Archives of internal medicine, 160(15), 2357-2362.?
22. SAJKOV, D., WANG, T., SAUNDERS, N. A., BUNE, A. J., & Douglas McEvoy, R. (2002). Continuous positive airway pressure treatment improves pulmonary hemodynamics in patients with obstructive sleep apnea. American journal of respiratory and critical care medicine, 165(2), 152-158.?
23. C. Abbreviations and Acronyms DM: Diabetes mellitus, HTN: Hypertension, OSA: Obstructive sleep apnea, BMI: Body mass index, HA1C: Glycated hemoglobin, AHIs: Apnea-hypopnea indices, WHO: World health organization.
[Ibrahim k aljabr, Lamyaa A Alghafli, Fatimah A Alshakhs (2017); RISK OF OBSTRUCTIVE SLEEP APNEA IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. Int. J. of Adv. Res. 5 (Jan). 2830-2834] (ISSN 2320-5407). www.journalijar.com
King Faisal University, King Faisal University, King Faisal University