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Diabetes Care. 2009 Jun;32(6):1017-9. doi: 10.2337/dc08-1776. Epub 2009 Mar 11.

Obstructive sleep apnea among obese patients with type 2 diabetes.

Author information

1
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.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00194259.

PMID:
19279303
PMCID:
PMC2681024
DOI:
10.2337/dc08-1776
[Indexed for MEDLINE]
Free PMC Article
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