The prevalence and characteristics of obstructive sleep apnea in hospitalized patients with type 2 diabetes in China

Autor: Ching Li Chai-Coetzer, Jing Liu, Lixin Guo, Rui Zhang, Bo Feng, Linong Ji, Ping Han, Fang Zhao, Chunhua Zhang, Qifu Li, Jinhui Lu, Xiaozhen Jiang, Liao Sun, Shengying Dong, Xingduan Guo, Emma Heeley, Yufeng Li, Puhong Zhang, R. Doug McEvoy
Rok vydání: 2015
Předmět:
Male
China
medicine.medical_specialty
Cognitive Neuroscience
medicine.medical_treatment
030209 endocrinology & metabolism
Comorbidity
Type 2 diabetes
Body Mass Index
Diabetes Complications
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Diabetes mellitus
Internal medicine
Prevalence
medicine
Humans
Diabetic Nephropathies
Continuous positive airway pressure
Monitoring
Physiologic
Sleep Apnea
Obstructive
Sleep Stages
business.industry
Snoring
Type 2 Diabetes Mellitus
Sleep apnea
General Medicine
Middle Aged
medicine.disease
respiratory tract diseases
Airway Obstruction
Hospitalization
Obstructive sleep apnea
Cross-Sectional Studies
Diabetes Mellitus
Type 2
030228 respiratory system
Cardiovascular Diseases
Hypertension
Physical therapy
Female
business
Body mass index
Zdroj: Journal of Sleep Research. 25:39-46
ISSN: 0962-1105
DOI: 10.1111/jsr.12334
Popis: Data on the prevalence of obstructive sleep apnea in subjects with type 2 diabetes mellitus in China is scarce. We conducted a multi-centre, cross-sectional study involving 12 hospitals from six regional cities to investigate the prevalence of obstructive sleep apnea in hospitalized patients with type 2 diabetes mellitus and to explore the association between obstructive sleep apnea and related risk factors, diabetic complications and comorbidities in China. Each hospital recruited at least 70 consecutive patients with type 2 diabetes mellitus who were admitted to the endocrinology ward. A total of 880 participants were enrolled and administered overnight sleep monitoring with a portable monitor (ApneaLink™, ResMed, San Diego, CA, USA); other information was collected from medical charts and a standardized questionnaire. In this study, 60.0% (95% confidence interval: 56.8%, 63.2%) of hospitalized patients in China with type 2 diabetes mellitus had comorbid obstructive sleep apnea (apnea-hypopnea index ≥ 5). Only 1.5% (eight of 528) of the patients with both conditions had been diagnosed previously with obstructive sleep apnea. The prevalence of moderate-severe (apnea-hypopnea index ≥ 15) and severe obstructive sleep apnea (apnea-hypopnea index ≥ 30) was estimated to be 25.6% (22.7, 28.5%) and 10.3% (8.3, 12.4%), respectively. Age, sex, body mass index, snoring, reported breath-holding in sleep or gasping or choking arousal, sleepiness, diabetes duration, hypertension, diabetic nephropathy and cardiovascular diseases history were correlated significantly with the severity of obstructive sleep apnea. In China, the prevalence of obstructive sleep apnea in hospitalized patients with type 2 diabetes mellitus is high. Routine screening for and treatment of obstructive sleep apnea is an important, but often neglected, part of the management of diabetes.
Databáze: OpenAIRE
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