Predicting sleep apnea and excessive day sleepiness in the severely obese: Indicators for polysomnography

Chest

Volumn 123, Issue 4, 2003, Pages 1134-1141

  Dixon, John B ^a,c   Schachter, Linda M ^b   O'Brien, Paul E ^a  

^a MONASH UNIVERSITY   (Australia)

^b AUSTIN HEALTH   (Australia)

^c MONASH UNIVERSITY   (Australia)

Author keywords

Insulin; Metabolic; Neck; Obesity; Sleep; Sleep apnea; Sleepiness

Indexed keywords

GLYCOSYLATED HEMOGLOBIN;

ADULT; ARTICLE; BODY MASS; CIRCADIAN RHYTHM; DISEASE SEVERITY; FEMALE; HUMAN; INSULIN RESISTANCE; MAJOR CLINICAL STUDY; MALE; METABOLIC DISORDER; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OBESITY; POLYSOMNOGRAPHY; PREDICTION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RISK ASSESSMENT; SCORING SYSTEM; SLEEP APNEA SYNDROME; SOMNOLENCE;

EID: 0345381950     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.123.4.1134     Document Type: Article

References (39)

1. Kyzer S, Charuzi I. Obstructive sleep apnea in the obese. World J Surg 1998; 22:998-1001
2. Dixon JB, Schachter LM, O'Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med 2001; 161:102-106
3. Vgontzas A, Bixler E, Tan J, et al. Obesity without sleep apnea is associated with daytime sleepiness. Arch Intern Med 1998; 158:1333-1337
4. Serafini FM, Anderson WM, Rosemurgy AS, et al. Clinical predictors of sleep apnea in patients undergoing bariatric surgery. Obes Surg 2001; 11:28-31
5. Block AJ, Boysen PG, Wynne JW, et al. Sleep apnea, hypopnea and oxygen desaturation in normal subjects: a strong male predominance. N Engl J Med 1979; 300:513-517
6. Rauscher H, Popp W, Zwick H. Model for investigating snorers with suspected sleep apnoea. Thorax 1993; 48:275-279
7. Kushida CA, Efron B, Guilleminault C. A predictive morphometric model for the obstructive sleep apnea syndrome. Ann Intern Med 1997; 127:581-587
8. Campbell AH, Guy PA, Rochford PD, et al. Flow-volume curve changes in patients with obstructive sleep apnoea and brief upper airway dysfunction. Respirology 2000; 5:11-18
9. Shelton KE, Woodson H, Gay S, et al. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis 1993; 148:462-466
10. Vgontzas AN, Legro RS, Bixler EO, et al. Polycystic ovary syndrome is associated with obstructive sleep apnea and daytime sleepiness: role of insulin resistance. J Clin Endocrinol Metab 2001; 86:517-520
11. Johns M. A new method of measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14:540-545
12. Johns M. Reliability and factor analysis of the Epworth sleepiness scale. Sleep 1992; 15:376-381
13. Ware J. SF-36 health survey: manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center, 1997
14. Ware J. SF-36 physical and mental health summary scales: a user's manual. Boston, MA: The Health Institute, New England Medical Center, 1994
15. Rechtschaffen A, Kales A. A manual of standardized terminology, techniques, and scoring system for sleep stages in human subjects. Los Angeles, CA: Brain Information Service, UCLA, 1968
16. EEG arousals: scoring rules and examples: a preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep 1992; 15:173-184
17. Young T, Peppard P, Palta M, et al. Population-based study of sleep-disordered breathing as a risk factor for hypertension. Arch Intern Med 1997; 157:1746-1752
18. SPSS for Windows, Version 10.5. Chicago, IL: SPSS, 1999
19. Katz I, Stradling J, Slutsky AS, et al. Do patients with obstructive sleep apnea have thick necks? Am Rev Respir Dis 1990; 141:1228-1231
20. Hoffstein V, Mateika S. Differences in abdominal and neck circumferences in patients with and without obstructive sleep apnoea. Eur Respir J 1992; 5:377-381
21. Davies RJ, Ali NJ, Stradling JR. Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome. Thorax 1992; 47:101-105
22. Resta O, Foschino-Barbaro MP, Legari G, et al. Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects. Int J Obes Relat Metab Disord 2001; 25:669-675
23. Vgontzas AN, Papanicolaou DA, Bixler EO, et al. Sleep apnea and daytime sleepiness and fatigue: relation to visceral obesity, insulin resistance, and hypercytokinemia. J Clin Endocrinol Metab 2000; 85:1151-1158
24. Strohl KP, Novak RD, Singer W, et al. Insulin levels, blood pressure and sleep apnea. Sleep 1994; 17:614-618
25. Grunstein RR, Stenlof K, Hedner J, et al. Impact of obstructive sleep apnea and sleepiness on metabolic and cardiovascular risk factors in the Swedish Obese Subjects (SOS) Study. Int J Obes Relat Metab Disord 1995; 19:410-418
26. Stoohs RA, Facchini F, Guilleminault C. Insulin resistance and sleep-disordered breathing in healthy humans. Am J Respir Crit Care Med 1996; 154:170-174
27. Yudkin JS, Stehouwer CD, Emeis JJ, et al. C-reactive protein in healthy subjects: associations with obesity, insulin resistance, and endothelial dysfunction; a potential role for cytokines originating from adipose tissue? Arterioscler Thromb Vasc Biol 1999; 19:972-978
28. Vgontzas AN, Papanicolaou DA, Bixler EO, et al. Circadian interleukin-6 secretion and quantity and depth of sleep. J Clin Endocrinol Metab 1999; 84:2603-2607
29. Wilcox I, McNamara SG, Collins FL, et al. "Syndrome Z": the interaction of sleep apnoea, vascular risk factors and heart disease. Thorax 1998; 53(Suppl3):S25-S28
30. Dixon J, O'Brien P. Neck circumference a good predictor of raised insulin and free androgen index in obese premenopausal women: changes with weight loss. Clin Endocrinol (Oxf) 2002; 57:769-778
31. Hopkinson Z, Satter N, Fleming R, et al. Fortnightly review: polycystic ovarian syndrome; the metabolic syndrome comes to gynecology. BMJ 1998; 317:329-332
32. Fogel RB, Malhotra A, Pillar G, et al. Increased prevalence of obstructive sleep apnea syndrome in obese women with polycystic ovary syndrome. J Clin Endocrinol Metab 2001; 86:1175-1180
33. Broussolle C, Piperno D, Gormand F, et al. Sleep apnea syndrome in obese patients: are there any predictive factors? Rev Med Interne 1994; 15:161-165
34. Benbadis SR, Mascha E, Perry MC, et al. Association between the Epworth sleepiness scale and the multiple sleep latency test in a clinical population. Ann Intern Med 1999; 130:289-292
35. Furuta H, Kaneda R, Kosaka K, et al. Epworth sleepiness scale and sleep studies in patients with obstructive sleep apnea syndrome. Psychiatry Clin Neurosci 1999; 53:301-302
36. Olson LG, Cole MF, Ambrogetti A. Correlations among Epworth sleepiness scale scores, multiple sleep latency tests and psychological symptoms. J Sleep Res 1998; 7:248-253
37. Johns MW, Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: failure of the MSLT as a gold standard. J Sleep Res 2000; 9:5-11
38. Herer B, Roche N, Carton M, et al. Value of clinical, functional, and oximetric data for the prediction of obstructive sleep apnea in obese patients. Chest 1999; 116:1537-1544
39. Vgontzas AN, Tan TL, Bixler EO, et al. Sleep apnea and sleep disruption in obese patients. Arch Intern Med 1994; 154:1705-1711