Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome

Detalhes bibliográficos
Autor(a) principal: Hora, Francisco
Data de Publicação: 2007
Outros Autores: Nápolis, Lara Maris, Daltro, Carla Hilário da Cunha, Kodaira, Sérgio Keidi, Tufik, Sérgio, Togeiro, Sônia Maria, Nery, Luiz Eduardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14480
Resumo: Texto completo: acesso restrito. p. 517-524
id UFBA-2_fe500de607f91d6f97eb4287e83fb873
oai_identifier_str oai:repositorio.ufba.br:ri/14480
network_acronym_str UFBA-2
network_name_str Repositório Institucional da UFBA
repository_id_str 1932
spelling Hora, FranciscoNápolis, Lara MarisDaltro, Carla Hilário da CunhaKodaira, Sérgio KeidiTufik, SérgioTogeiro, Sônia MariaNery, Luiz EduardoHora, FranciscoNápolis, Lara MarisDaltro, Carla Hilário da CunhaKodaira, Sérgio KeidiTufik, SérgioTogeiro, Sônia MariaNery, Luiz Eduardo2014-01-27T17:20:34Z20070025-7931http://repositorio.ufba.br/ri/handle/ri/14480v. 74, n. 5Texto completo: acesso restrito. p. 517-524Background: Obese subjects are at increased risk of developing obstructive sleep apnea syndrome (OSAS). However, the individual role of local (i.e., upper airway-related) and general (clinical and whole-body anthropometric) characteristics in determining OSAS in obese patients is still controversial. Objectives: To contrast the clinical, anthropometric and upper airway anatomical features of obese subjects presenting or not presenting with OSAS. Methods: Thirty-seven obese (BMI ≥30 kg/m2) males with OSAS and 14 age- and gender-matched obese controls underwent clinical and anthropometric (BMI, waist-to-hip ratio and neck circumference) evaluation. In a subgroup of subjects (18 and 11 subjects, respectively), magnetic resonance imaging (MRI) during wakefulness was used to study the upper airway anatomy. Results: OSAS patients showed significantly higher BMI, waist-to-hip ratio and neck circumference as compared to controls (p < 0.05). They also referred to nonrepairing sleep, impaired attention, and previous car accidents more frequently (p < 0.05). The transversal diameter of the airways (TDAW) at the retroglossal level by MRI was found to be an independent predictor of the presence and severity of OSAS (p < 0.05). Parapharyngeal fat increase, however, was not related to OSAS. A TDAW >12 mm was especially useful to rule out severe OSAS (apnea-hypopnea index >30, negative predictive value = 88.9%, likelihood ratio for a negative test result = 0.19). Conclusions: MRI of the upper airway can be used in association with clinical and anthropometric data to identify obese males at increased risk of OSAS.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-01-21T14:13:27Z No. of bitstreams: 1 10.1159-000097790.pdf: 265254 bytes, checksum: b3df9c4807cdb82cbc55bb5dc14efda3 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-01-27T17:20:34Z (GMT) No. of bitstreams: 1 10.1159-000097790.pdf: 265254 bytes, checksum: b3df9c4807cdb82cbc55bb5dc14efda3 (MD5)Made available in DSpace on 2014-01-27T17:20:34Z (GMT). No. of bitstreams: 1 10.1159-000097790.pdf: 265254 bytes, checksum: b3df9c4807cdb82cbc55bb5dc14efda3 (MD5) Previous issue date: 2007http://dx.doi.org/10.1159/000097790reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAMagnetic resonance imagingObstructive sleep apneaObesitySleepClinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndromeRespirationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINAL10.1159-000097790.pdf10.1159-000097790.pdfapplication/pdf265254https://repositorio.ufba.br/bitstream/ri/14480/1/10.1159-000097790.pdfb3df9c4807cdb82cbc55bb5dc14efda3MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14480/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXT10.1159-000097790.pdf.txt10.1159-000097790.pdf.txtExtracted texttext/plain33094https://repositorio.ufba.br/bitstream/ri/14480/3/10.1159-000097790.pdf.txtf166a17a9c3a27d5d9ddd459ffc0cbe1MD53ri/144802022-08-08 13:18:15.826oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:18:15Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
dc.title.alternative.pt_BR.fl_str_mv Respiration
title Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
spellingShingle Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
Hora, Francisco
Magnetic resonance imaging
Obstructive sleep apnea
Obesity
Sleep
title_short Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
title_full Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
title_fullStr Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
title_full_unstemmed Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
title_sort Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome
author Hora, Francisco
author_facet Hora, Francisco
Nápolis, Lara Maris
Daltro, Carla Hilário da Cunha
Kodaira, Sérgio Keidi
Tufik, Sérgio
Togeiro, Sônia Maria
Nery, Luiz Eduardo
author_role author
author2 Nápolis, Lara Maris
Daltro, Carla Hilário da Cunha
Kodaira, Sérgio Keidi
Tufik, Sérgio
Togeiro, Sônia Maria
Nery, Luiz Eduardo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Hora, Francisco
Nápolis, Lara Maris
Daltro, Carla Hilário da Cunha
Kodaira, Sérgio Keidi
Tufik, Sérgio
Togeiro, Sônia Maria
Nery, Luiz Eduardo
Hora, Francisco
Nápolis, Lara Maris
Daltro, Carla Hilário da Cunha
Kodaira, Sérgio Keidi
Tufik, Sérgio
Togeiro, Sônia Maria
Nery, Luiz Eduardo
dc.subject.por.fl_str_mv Magnetic resonance imaging
Obstructive sleep apnea
Obesity
Sleep
topic Magnetic resonance imaging
Obstructive sleep apnea
Obesity
Sleep
description Texto completo: acesso restrito. p. 517-524
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2014-01-27T17:20:34Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14480
dc.identifier.issn.none.fl_str_mv 0025-7931
dc.identifier.number.pt_BR.fl_str_mv v. 74, n. 5
identifier_str_mv 0025-7931
v. 74, n. 5
url http://repositorio.ufba.br/ri/handle/ri/14480
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1159/000097790
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
bitstream.url.fl_str_mv https://repositorio.ufba.br/bitstream/ri/14480/1/10.1159-000097790.pdf
https://repositorio.ufba.br/bitstream/ri/14480/2/license.txt
https://repositorio.ufba.br/bitstream/ri/14480/3/10.1159-000097790.pdf.txt
bitstream.checksum.fl_str_mv b3df9c4807cdb82cbc55bb5dc14efda3
ff6eaa8b858ea317fded99f125f5fcd0
f166a17a9c3a27d5d9ddd459ffc0cbe1
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)
repository.mail.fl_str_mv
_version_ 1801502529650950144

Registros relacionados