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    Diabetes Care. 2009 Jun;32(6):1017-9. Epub 2009 Mar 11.

    Obstructive sleep apnea among obese patients with type 2 diabetes.

    Foster GD, Sanders MH, Millman R, Zammit G, Borradaile KE, Newman AB, Wadden TA, Kelley D, Wing RR, Sunyer FX, Darcey V, Kuna ST; Sleep AHEAD Research Group.

    Source

    Temple University, Philadelphia, Pennsylvania, USA. gfoster@temple.edu

    Abstract

    OBJECTIVE:

    To assess the risk factors for the presence and severity of obstructive sleep apnea (OSA) among obese patients with type 2 diabetes.

    RESEARCH DESIGN AND METHODS:

    Unattended polysomnography was performed in 306 participants.

    RESULTS:

    Over 86% of participants had OSA with an apnea-hypopnea index (AHI) >or=5 events/h. The mean AHI was 20.5 +/- 16.8 events/h. A total of 30.5% of the participants had moderate OSA (15 <or= AHI <30), and 22.6% had severe OSA (AHI >or=30). Waist circumference (odds ratio 1.1; 95% CI 1.0-1.1; P = 0.03) was significantly related to the presence of OSA. Severe OSA was most likely in individuals with a higher BMI (odds ratio 1.1; 95% CI 1.0-1.2; P = 0.03).

    CONCLUSIONS:

    Physicians should be particularly cognizant of the likelihood of OSA in obese patients with type 2 diabetes, especially among individuals with higher waist circumference and BMI.

    PMID:
    19279303
    [PubMed - indexed for MEDLINE]
    PMCID:
    PMC2681024
    Free PMC Article

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