Ovidius University of Constanta, Constanta, Romania
Copyright 2016, American College of Chest Physicians. All Rights Reserved.
SESSION TITLE: Sleep Disorders II
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM
PURPOSE: A cross sectional study in June 2012 proposed to assess the relationship between obstructive sleep apnea (OSA) and smoking, alcohol use and overweight/obesity in patients with sleep breathing disorders.
METHODS: All patients with suspected sleep breathing disorders were screened for OSA by respiratory polygraphy in a Sleep Laboratory. Medical history, demographic parameters and anthropometric measurements were determined, as well as smoking and daily alcohol use. Body mass index (BMI) was calculated. Metabolic and cardiovascular diseases, including stroke were evaluated. Patients were grouped in smokers (S) and nonsmokers (NS). Parameters of repiratory polygraphy were analyzed in correlation with number of pack cigars smoking. Alcohol use was correlated with smoking. Two categories of alcohol abusers with and without anxiety were defined. SPSS statistical analysis was performed.
RESULTS: Smoking was identified in 26 individuals and was not declared by other 36. Almost ½ of smokers (14) declared daily alcohol use versus ¼ of nonsmokers (8) and most of them were diagnosed with severe OSA. Body mass index (BMI) was higher among smokers (50.48 kg/m2) versus non smokers (48.26 kg/m2) but diabetes and obesity were more frequent in non smokers (NS=4/36; 11% versus S=2/26; 7.69%; respectively NS=17/36; versus S=6/26), as well as medical history of chronic heart disease and stroke. Smokers of more than one pack a day have a greater risk of severe OSA for a mean index of apnea hypopnea of 38.576 than 28.872 in nonsmokers.
CONCLUSIONS: Obesity appears as a risk factor for diabetes and cardiovascular diseases among non smokers with sleep breathing disorders. Smokers with overweight as well as alcohol abusers are at higher risk for obstructive sleep apnea.
CLINICAL IMPLICATIONS: Obstructive sleep apnea is a common category of sleep breathing disorders among patients with associated metabolic and cardiovascular diseases. Smokers, alcohol users and abusers as well as overweight patients have an increased risk of OSA developing and need OSA screening.
DISCLOSURE: The following authors have nothing to disclose: Mihaela Trenchea, Oana Deleanu, Elena Dantes, Agripina Rascu, Oana Arghir, Paraschiva Postolache
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