Sleep Disorders |

Bird Eye View of Romanian Overlap Syndrome in the Obese Romanian Population FREE TO VIEW

Elena Jeler, MD; Andra Malaut, MD; Claudia Deleanu, PhD; Ana Nebunoiu, MD; Ramona Nedelcu, MD; Florin Mihaltan, PhD
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National Institut of Pneumology Marius Nasta, Bucharest, Romania

Chest. 2015;148(4_MeetingAbstracts):1046A. doi:10.1378/chest.2266958
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SESSION TITLE: Sleep Disorders Posters I: Diagnosis

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: The coexistence COPD and OSA named Overlap syndrome is estimated at 11% to 30%. 1 of 10 Romanian has a COPD (1). Prevalence Overlap in Romanian obese population is unknown. That’s why we made this retrospective study.

METHODS: Between 1995-2013 we screened all the patients presented to our sleep laboratory for suplimentary investigation. From a sample of 3152 patients with polygraphy and polysomnography we found 181 (10.14%) Overlap syndrome.

RESULTS: From this 181 Overlap 110 (60.77%) where obese and 36 (19.88%) with malignant obesity. We also found obesity in women at 44.82% and 31.03% for malignant obesity comparative with men, 63.81% with obesity and 17.76% with malignant obesity. We also correlated AHI with BMI and we found that AHI average values for obese pacients with Overlap was 36,97, and AHI average values for patients with malignant obesity and Overlap was 43,63. When we are looking to the stages of COPD with BMI we found a high prevalence of COPD stage 2 at obese patients (55.55%) comparative with 31.25% COPD stage 2 at patients with normal weigh 25.45% patient with COPD stage 3 and malignant obesity comparative with 19.44% obese patients with COPD stage 3.

CONCLUSIONS: AHI is closely correlated with BMI (AHI average values for malignant obesity was 43.63 comparative with AHI average values for obese patients - 36.97 and also, comparative with pacients with normal weigth, 29.75. We also found that Overlap is frequently at obese patients and malignant obesity and COPD stage 2. In Romania 1 of 10 screened patients has this Overlap

CLINICAL IMPLICATIONS: In recent years obesity is growing in Romania is in close correlation with the severity of OSAS and Overlap. In this regard it takes to implement and enforce public health policies on patient education regarding healthy lifestyle

DISCLOSURE: The following authors have nothing to disclose: Elena Jeler, Andra Malaut, Claudia Deleanu, Ana Nebunoiu, Ramona Nedelcu, Florin Mihaltan

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