ASSOCIATION OF NECK CIRCUMFERENCE AND NECK LENGTH WITH OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME IN PATIENTS WITH TYPE 2 DIABETES
Objective To investigate the correlations of neck circumference,neck length,and body fat composition with apnea hypopnea index (AHI) in type 2 diabetes mellitus (DM) patients with snoring.Methods A total of 130 type 2 DM patients with snoring were enrolled in the study.The following indicators were measured:neck circumference,neck length,body height,body mass index (BMI),visceral fat index,body fat rate,and subcutaneous fat rate.AHI,oxygen desaturation index (ODD,and the lowest oxygen saturation were measured using polysomnography (PSG).According to the AHI,the patients were divided into DM group (AHI＜5 h 1) and DM+obstructive sleep apnea hypopnea syndrome (OSAHS) group (AHI ≥5 h-1),and the patients were divided into normal,mildlight,moderatemedium,and severe groups in terms of the severity of their OSAHS (AHI＜5,5-14,15-29,≥30 h 1,respectively).The correlations of BMI,waist circumference,hip circumference,neck circumference,neck length,and body fat composition with AHI were analyzed,and logistic regression analysis was performed to determine the risk factors for OSAHS.Results The DM+OSAHS group showed a significantly larger neck circumference than the DM group (t =2.185,P ＜0.05).The severity of OSAHS was correlated with BMI,visceral fat index,body fat rate,and subcutaneous fat rate in men (F-4.371-6.946,P ＜0.05).The logistic regression analysis showed that neck circumference and neck length were independent risk factors for OSAHS in patients with type 2 DM (OR=l.263,1.613;P＜0.05).Conclusion Neck circumference and neck length are independent factors contributing to OSAHS in type 2 DM patients with snoring,which can provide a reference for the clinical and scientific research on OSAHS.
sleep apnea syndromesneck lengthneck circumferencediabetes mellitus, type 2
NETL
NSTL
万方数据
维普
