COMPARISON OF ANTHROPOMETRIC PARAMETERS BETWEEN OBESE MALE PARTICIPANTS WITH AND WITHOUT OBSTRUCTIVE SLEEP APNEA

Shagufta Khaliq Shagufta Khaliq,Mudassar Ali Roomi Mudassar Ali Roomi,Huma Hussain Huma Hussain,Komal Iqbal Komal Iqbal,Shaheena Naz Shaheena Naz,Muniza Saeed Muniza Saeed

doi:10.37723/jumdc.v12i3.559

Shagufta Khaliq Shagufta Khaliq, Mudassar Ali Roomi Mudassar Ali Roomi + Show 4 more

Open Access

https://doi.org/10.37723/jumdc.v12i3.559

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Abstract

BACKGROUND & OBJECTIVE: The most common risk factors for Obstructive Sleep Apnea includes: Obesity and increased neck circumference in male gender. The objective of the study was to compare the anthropometric parameters between obese male participants with and without obstructive sleep apnea (OSA). METHODOLOGY: Study was conducted at Department of Physiology, Post Graduate Medical Institute, Lahore during 24 August 2014 to 26 May 2015. Obese males (n=64) with body mass index (BMI) >25kg/m2 and aged 20-45 years were recruited by convenience sampling. Screening of OSA was made by two subjective tools: STOP BANG Questionnaire, and Berlin Questionnaire while final diagnosis was made by overnight portable pulse oximetry. Study population was divided into two groups. Group-I comprised of 32 obese males with OSA. Group II had 32 obese males without OSA. BMI, neck circumference, and waist circumference were measured by standard methods.Comparison of variables was done between the groups by Mann-WhitneyUtest and t-test. RESULTS: BMI was higher in group-I than in group-II (p=0.004). Median BMI for group-I was 30.83 (28.16–32.80) and for group-II was 27.99 (26.59–30.08) Kg/m2. A significantly higher neck circumference (p<0.001) was present in group-I (41.95±2.40cm) than group-II (39.66±2.07cm). Moreover, significantly higher median waist circumference (p<0.001) was present in group I (107.5cm) as compared to group-II (98.5cm). CONCLUSION: Anthropometric parameters (BMI, neck circumference, and waist circumference) are higher in obese individuals with OSA as compared to obese males without OSA.

Highlights

Obstructive sleep apnea (OSA) is a leading health dilemma both in developed and developing countries but its awareness is inadequate
Comparisons of body mass index (BMI), neck circumference and waist circumference were done between obese participants of mild obstructive sleep apnea (OSA), moderate-to-severe OSA, and without OSA groups (Table-II)
In another study, it has been reported that neck circumference in severe OSA cases was significantly higher than in non-severe OSA patients and the same research concluded that neck circumference is an independent risk factor for severe OSA[20].The probable scientific reason for this variation of result of present study from given study may be that they used apnea hypopnea index (AHI) to evaluate the severity of OSA

Summary

Introduction

Obstructive sleep apnea (OSA) is a leading health dilemma both in developed and developing countries but its awareness is inadequate. About 40% of obese people have significant sleep apnea and more than 70% of patients with sleep apnea have obesity[4].Obesity parameters like abdominal fat, body mass index (BMI), and neck circumference are the major indicators of OSA[4]. Polysomnography is the gold standard test for the diagnosis of obstructive sleep apnea It is complex, expensive, and difficult to access in resource-limited countries such as Pakistan[11]. The most common risk factors for Obstructive Sleep Apnea includes: Obesity and increased neck circumference in male gender. The objective of the study was to compare the anthropometric parameters between obese male participants with and without obstructive sleep apnea (OSA). CONCLUSION: Anthropometric parameters (BMI, neck circumference, and waist circumference) are higher in obese individuals with OSA as compared to obese males without OSA.

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