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Ursavaş A, Öztürk Ö, Köktürk O, Mutlu P, Kılıç H, Güzel A, Aydın Güçlü Ö, Erboy F, Argüder E, Hezer H, Şeref Parlak EŞ, Pazarlı AC, Özkurt S, Dursunoğlu N, Sevimli N, Kanbay A, Tutar Ü, Yeşilkaya S, Arslan NG, Savaş Bozbaş Ş, Küpeli E, Pınar M, Ermiş H, Özdilekcan Ç, Sarıoğlu N, Çetintaş Avşar G, Usalan AK, Saraç S, Ekici A, Burgazlıoğlu B. [Determination of anthropometric measurements in obstructive sleep apnea syndrome in Turkish population]. Tuberk Toraks 2020; 67:248-257. [PMID: 32050866 DOI: 10.5578/tt.68595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction In this study, we aimed to determine the values of anthropometric measurements and rates used in the evaluation of obstructive sleep apnea syndrome (OSAS) in our country. Materials and Methods Twenty accredited sleep centers in thirteen provinces participated in this multicenter prospective study. OSAS symptoms and polysomnographic examination and apnea-hypopnea index (AHI) ≥ 5 cases OSAS study group; patients with AHI < 5 and STOP-Bang < 2 were included as control group. Demographic characteristics (age, sex, body mass index-BMI) and anthropometric measurements (neck, waist and hip circumference, waist/hip ratio) of the subjects were recorded. Result The study included 2684 patients (81.3% OSAS) with a mean age of 50.50 ± 0.21 years from 20 centers. The cases were taken from six geographical regions of the country (Mediterranean, Eastern Anatolia, Aegean, Central Anatolia, Black Sea and Marmara Region). Demographic characteristics and anthropometric measurements; age, neck, waist, hip circumference and waist/ hip ratios and BMI characteristics when compared with the control group; when compared according to regions, age, neck, waist, hip circumference and waist/hip ratios were found to be statistically different (p< 0.001, p< 0.001, p< 0.05, respectively). When compared by sex, age, neck and hip circumference, waist/hip ratio, height, weight and BMI characteristics were statistically different (p< 0.001, respectively). Neck circumference and waist/hip ratio were respectively 42.58 ± 0.10 cm, 0.99 ± 0.002, 39.24 ± 0.16 cm, 0.93 ± 0.004 were found in women. Conclusions The neck circumference was lower than the standard value in men, but higher in women. The waist/hip ratio was above the ideal measurements in both men and women. In this context, the determination of the country values will allow the identification of patients with the possibility of OSAS and referral to sleep centers for polysomnography.
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Affiliation(s)
- Ahmet Ursavaş
- Department of Chest Diseases, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Önder Öztürk
- Department of Chest Diseases, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Oğuz Köktürk
- Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Pınar Mutlu
- Department of Chest Diseases, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Hatice Kılıç
- Department of Chest Diseases, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
| | - Aygül Güzel
- Department of Chest Diseases, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
| | - Özge Aydın Güçlü
- Department of Chest Diseases, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Fatma Erboy
- Department of Chest Diseases, Faculty of Medicine, Zonguldak Bulent Ecevit University, Zonguldak, Turkey
| | - Emine Argüder
- Department of Chest Diseases, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
| | - Habibe Hezer
- Department of Chest Diseases, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
| | | | - A Cemal Pazarlı
- Clinic of Chest Diseases, Kahramanmaras Elbistan State Hospital, Kahramanmaras, Elbistan, Turkey
| | - Sibel Özkurt
- Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey
| | - Neşe Dursunoğlu
- Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey
| | - Nurgül Sevimli
- Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Asiye Kanbay
- Department of Chest Diseases, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Ümit Tutar
- Clinic of Chest Diseases, Samsun Chest Diseases and Chest Surgery Training and Research Hospital, Samsun, Turkey
| | - Selma Yeşilkaya
- Clinic of Chest Diseases, Samsun Chest Diseases and Chest Surgery Training and Research Hospital, Samsun, Turkey
| | - Nevra Güllü Arslan
- Clinic of Chest Diseases, Samsun Chest Diseases and Chest Surgery Training and Research Hospital, Samsun, Turkey
| | - Şerife Savaş Bozbaş
- Department of Chest Diseases, Faculty of Medicine, Baskent University, Ankara, Turkey
| | - Elif Küpeli
- Department of Chest Diseases, Faculty of Medicine, Baskent University, Ankara, Turkey
| | - Merve Pınar
- Department of Chest Diseases, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Hilal Ermiş
- Department of Chest Diseases, Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Çiğdem Özdilekcan
- Clinic of Chest Diseases, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Nurhan Sarıoğlu
- Department of Chest Diseases, Faculty of Medicine, Balikesir University, Balikesir, Turkey
| | - Gülgün Çetintaş Avşar
- Clinic of Chest Diseases, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey
| | - Adnan Kazım Usalan
- Clinic of Chest Diseases, Tarsus Medical Park Hospital, Mersin, Tarsus, Turkey
| | - Sema Saraç
- Clinic of Chest Diseases, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey
| | - Aydanur Ekici
- Department of Chest Diseases, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey
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Öztürk E, Dursunoğlu N, Dursunoğlu D, Özkurt S, Rota S. [Evaluation of serum adiponectin levels in patients with obstructive sleep apnea syndrome]. Turk Kardiyol Dern Ars 2016; 40:505-12. [PMID: 23363896 DOI: 10.5543/tkda.2012.21347] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Serum adiponectin levels have been found to be lower in patients with obesity, hypertension, and coronary artery diseases. In this study, we aimed to evaluate serum adiponectin levels in patients with obstructive sleep apnea syndrome (OSAS) and to correlate these levels with the severity of OSAS. STUDY DESIGN In 62 OSAS patients (39 males, 23 females) and 32 controls (23 males, 9 females) determined by polisomnography, serum adiponectin levels were analyzed by the ELISA method. Patients were classified as having either mild (apnea hypopnea index, AHI: 5-14), moderate (AHI: 15-29) or severe (AHI ≥30) OSAS, and controls were defined as AHI <5. Plasma fasting glucose, total cholesterol (TC), triglyceride (TG), and high (HDL-C) and low (LDL-C) density lipoprotein cholesterols were analyzed, and the results were compared between the groups. RESULTS There was no significant difference in mean age (51.6±10.7 years for patients, 48.3±10.8 years for controls) or body mass index (32.9±6.0 kg/m2 for patients, 31.3±5.6 kg/m2 for controls, p>0.05) in our study population. There was no significant difference in the number of hypertensive, diabetics, or smokers between the patients and controls. While serum TC, TG, and HDL cholesterol levels were not significantly different between two groups, the serum adiponectin levels of patients (3.0±3.4 µg/dl) were significantly lower than those of the controls (5.2±5.2 µg/dl, p=0.01). While serum adiponectin levels showed a significantly negative correlation with AHI (r=-0.221, p=0.03), there was a significantly positive correlation with minimum and mean oxygen saturations (r=0.213, p=0.04 and r=0.205, p=0.05). CONCLUSION Serum adiponectin levels were significantly lower in patients with OSAS, especially for those in the severe OSAS group. Serum adiponectin levels are related to the severity of OSAS and arterial oxygen saturation.
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Affiliation(s)
- Esma Öztürk
- Department of Chest Disease, Pamukkale University Faculty of Medicine, Denizli, Turkey
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Özkurt S, Öztürk E, Yildiz Aİ, Dursunoğlu N, Özdel O, Akdağ B, Çulha Ateşci F. [Psychiatric evaluation in patients with obstructive sleep apnea syndrome]. Tuberk Toraks 2013; 61:216-20. [PMID: 24298963 DOI: 10.5578/tt.5524] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Obstructive sleep apnea syndrome (OSAS) might cause neuropsychiatric problems as well as cardiovascular and cerebrovascular complications. Daily life of the patients are effected and their quality of life decreases. In the present study, we aimed to evaluate anxiety and depression and to test their ability to cope with strees in patients with OSAS. MATERIALS AND METHODS The patients with OSAS suspect admitting to our sleep laboratuary, were classed as simple snoring, mild-moderate and severe OSAS according to their apnea-hypopnea index (AHI). Hospital anxiety and depression, stres coping and skill loss scales were applied to the patients accepted to participate to the study. RESULTS Fifty four patients participated into the study. Forty-one (75.9%) were OSAS and 13 (24.1%) were simple snoring (control group). Mean age was 52.3 ± 9.2 years in OSAS group, while it was 50.5 ± 9.9 years in control group. Snoring was found in every patient of two groups. Thirty-one (79.5%) patients with OSAS had witnessed apneas and 23 (60.5%) had exceesive OSAS patients had excessive daytime sleepiness. There was no significant differences in age, BMI, sleep efficency, HAD and skill loss scales between both groups. Autism was found higher in OSAS group with stres coping test (p= 0.031). Moreover, social support necessicity was found higher in moderate and severe OSAS patients. CONCLUSION We found that neuropsyhiatric problems are highly seen in moderate and severe OUAS patients.
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Affiliation(s)
- Sibel Özkurt
- Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
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Dursunoglu N, Dursunoglu D, Özkurt S, Gür S, Özalp G, Evyapan F. Effects of CPAP on right ventricular myocardial performance index in obstructive sleep apnea patients without hypertension. Respir Res 2006; 7:22. [PMID: 16460564 PMCID: PMC1373626 DOI: 10.1186/1465-9921-7-22] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2005] [Accepted: 02/06/2006] [Indexed: 05/06/2023] Open
Abstract
OBJECTIVES Obstructive sleep apnoea (OSA) might cause right ventricular dysfunction and pulmonary hypertension. We aimed to determine the effects of nasal continuous positive airway pressure (CPAP) therapy on right ventricular myocardial performance index (MPI) in OSA patients without hypertension. METHODS 49 subjects without hypertension, diabetes mellitus, any cardiac and pulmonary disease had overnight polysomnography and echocardiography. In 18 moderate-severe OSA (apnea-hypopnea index > or = 15) patients, right ventricular free wall diameter (RVFWD) was measured by M-mode, and right ventricular MPI was calculated as (isovolumic contraction time+ isovolumic relaxation time) / pulmonary ejection time using Doppler at baseline and after 6 months CPAP therapy. RESULTS Mean age was 46.5 +/- 4.9 year. Patients had high body mass index (BMI: 30.6 +/- 4,0 kg/m2), but there was no change in either BMI or blood pressures after 6 months. Right ventricular end-diastolic and end-systolic diameters were in normal limits at baseline, and did not change after CPAP usage. Baseline RVFWD (7.1 +/- 2.1 mm) significantly decreased after CPAP therapy (6.2 +/- 1.7 mm, p < 0.001). 15 of patients (83%) had right ventricular diastolic dysfunction at baseline, and it was completely improved in 11 of them (73%) by CPAP usage. Right ventricular global dysfunction was shown in 11 patients (61%) with a high MPI (62.2 +/- 9.3%) at baseline; and MPI was significantly decreased after CPAP therapy (47.3 +/- 8.4%, p < 0.0001), and it was completely corrected in 4 of them (36%). CONCLUSION CPAP therapy significantly decreases RVFWD and improves right ventricular diastolic and global functions (MPI) in OSA patients without hypertension.
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Affiliation(s)
- Nese Dursunoglu
- Goteborg University Sahlgrenska Hospital Sleep Laboratory, Göteborg, Sweden
- Pamukkale University Medical Faculty, Department of Chest, Denizli, Turkey
| | - Dursun Dursunoglu
- Pamukkale University Medical Faculty, Department of Cardiology, Denizli, Turkey
| | - Sibel Özkurt
- Pamukkale University Medical Faculty, Department of Chest, Denizli, Turkey
| | - Sükrü Gür
- Pamukkale University Medical Faculty, Department of Cardiology, Denizli, Turkey
| | - Güllü Özalp
- Pamukkale University Medical Faculty, Department of Cardiology, Denizli, Turkey
| | - Fatma Evyapan
- Pamukkale University Medical Faculty, Department of Chest, Denizli, Turkey
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