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Sex-Specific Characteristics of Anthropometry in Patients With Obstructive Sleep Apnea: Neck Circumference and Waist-Hip Ratio

Title
Sex-Specific Characteristics of Anthropometry in Patients With Obstructive Sleep Apnea: Neck Circumference and Waist-Hip Ratio
Author
조석현
Keywords
anthropometry; gender; neck; obesity; obstructive sleep apnea
Issue Date
2014-03
Publisher
Annals Publishing Co.
Citation
Annals of Otology, Rhinology & Laryngology, 2014, 123(7), P.517-523
Abstract
Objective: This study aimed to investigate the sex-specific effects of anthropometric profiles on the occurrence and severity of obstructive sleep apnea (OSA). Methods: We evaluated 151 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index (BMI), neck and waist circumference (NC and WC), and waist-hip ratio (WHR). Results: In men, NC (P = .006), WC (P = .035), and WHR (P = .003) were significantly increased in OSA and all were significantly correlated with apnea hypopnea index (AHI). However, in female OSA patients, BMI (P = .05), WC (P = .008), and WHR (P = .001) were elevated, but only WHR was significantly correlated with AHI. Correlation analyses showed significant correlations between NC and other anthropometric indexes in men but not in women. The receiver operating characteristic curves revealed that NC and WHR in men, and WHR in women, were significant in both model 1 (AHI = 5) and model 2 (AHI = 15). Conclusion: Waist-hip ratio is the most reliable correlate of OSA in both sexes. Neck circumference is an independent risk factor for male, but not for female, OSA patients. These different aspects of obesity may contribute to the pathogenesis of OSA and provide helpful guidance in the screening of OSA.
URI
http://journals.sagepub.com/doi/10.1177/0003489414526134http://repository.hanyang.ac.kr/handle/20.500.11754/71214
ISSN
0003-4894; 1943-572X
DOI
10.1177/0003489414526134
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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