nach oben

European Archives of Oto-Rhino-Laryngology

Erschienen in:

01.08.2009 | Head and Neck

Dual-energy X-ray absorptiometry analysis of body composition in patients affected by OSAS

verfasst von: Ernesto Bruno, Marco Alessandrini, Bianca Napolitano, Alessandro De Padova, Nicola Di Daniele, Antonino De Lorenzo

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 8/2009

Einloggen, um Zugang zu erhalten

Abstract

Obstructive sleep apnoea syndrome (OSAS) is a disorder characterized by recurrent episodes of apnoea. This study evaluates the body composition in OSAS patients compared to normal weight, pre-obese and obese subjects. Body composition has been measured by dual-energy X-ray absorptiometry in the whole body and in three different body regions. Abdominal region revealed no significant differences in fat mass percentage between patients and controls and no correlation between fat mass percentage and severity of OSAS. At the level of oral region, OSAS patients showed a significant decrease of fat free mass compared to control groups. At the level of neck region, OSAS patients showed a significant increase of fat mass compared to control groups and a significant correlation between the neck fat mass percentage and severity of OSAS. Regional fat distribution constitutes a risk factor for OSAS and a prognostic factor for severity of OSAS.

O’Donnell CP, Schwartz AP, Smith PL (2000) Upper airway collapsibility. Am J Respir Crit Care Med 162:1606–1607CrossRefPubMed

Wolk R, Shamsuzzaman AS, Somers VK (2003) Obesity, sleep apnoea and hypertension. Hypertension 42(6):1067–1074CrossRefPubMed

Cistulli PA (1996) Craniofacial abnormalities in obstructive sleep apnoea: implications for treatment. Respirology 3:167–174CrossRef

Jamieson A, Guilleminault C, Partinen M et al (1986) Obstructive sleep apnoeic patients have cranio-mandibular abnormalities. Sleep 9:469–477CrossRefPubMed

Tangugsorn V, Skatvedt O, Krogstad O et al (1995) Obstructive sleep apnoea: a cephalometric study: Part II. Uvulo-glossopharyngeal morphology. Eur J Orthod 17:57–67CrossRefPubMed

Yu X, Fujimoto K, Urushibata K et al (2003) Cephalometric analysis in obese and nonobese patients with obstructive sleep apnea syndrome. Chest 124:212–218CrossRefPubMed

Busetto L, Enzi G, Inelmen EM et al (2005) Obstructive sleep apnea syndrome in morbid obesity: effects of intragastric baloon. Chest 128:618–623CrossRefPubMed

Kyzer S, Charuzi I (1998) Obstructive sleep apnoea in obese. World J Surg 22:998–1001CrossRefPubMed

Kansanen M, Vanninen E, Tuunainen A et al (1998) The effect of a very low-calorie diet-induced weight loss on the severity of obstructive sleep apnoea and autonomic nervous function in obese patients with obstructive sleep apnoea syndrome. Clin Physiol 18:377–385CrossRefPubMed

10.

Sampol G, Munoz X, Sagales MT et al (1998) Long-term efficacy of dietary weight loss in sleep apnoea/hypopnoea syndrome. Eur Respir J 18:377–385

11.

Rollheim J, Osnes T, Miljeteig H (1997) The relationship between obstructive sleep apnoea and body mass index. Clin Otolaryngol 22:419–422CrossRefPubMed

12.

Whittle A, Marshall I, Mortimore I et al (1999) Neck soft tissue and fat distribution: comparison between normal men and women by magnetic resonance imaging. Thorax 54:323–328CrossRefPubMedPubMedCentral

13.

Park Y-W, Heymsfield SB, Gallagher D (2002) Are dual-energy X-ray absorptiometry regional estimates associated with visceral adipose tissue mass? Int J Obes 26:978–983CrossRef

14.

Organization World Health (2000) Obesity: preventing and managing he global epidemic. WHO obesity technical report series 894, 2000. World Health Organization, Geneva

15.

Mohsenin V (2001) Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions. Chest 120:1442–1447CrossRefPubMed

16.

Liistro G, Rombaux P, Belge C et al (2003) High mallampati score and nasal obstruction are associated risk factors for obstructive sleep apnoea. Eur Respir J 21(2):248–252CrossRefPubMed

17.

Schafer H, Pauleit D, Sudhop T et al (2002) Body fat distribution, serum leptin, and cardiovascular risk factors in men with obstructive sleep apnoea. Chest 122:829–839CrossRefPubMed

18.

Akita Y, Kawakatsu K, Hattori H et al (2003) Posture of patients with sleep apnoea during sleep. Acta otolaryngol 550:41–45CrossRef

19.

Nishimura Y, Nishimura T, Hattori H et al (2003) Obesity and obstructive sleep apnoea syndrome. Acta Otolaryngol Suppl 550:22–24CrossRef

20.

Lofaso F, Coste A, d’Ortho MP et al (2000) Nasal obstruction as a risk factor for sleep apnoea syndrome. Eur Respir J 16(4):639–643CrossRefPubMed

21.

Hoekema A, Hovinga B, Stegenga B et al (2003) Craniofacial morphology and obstructive sleep apnoea: a cephalometric analysis. J Oral Rehabil 30(7):690–696CrossRefPubMed

22.

Maiolo C, Mohamed EI, Andreoli A et al (2001) Is altered body fat distribution responsible for reduced pulmonary function in obese type 2 diabetic adult women? Diabetes Care 24:961–962CrossRefPubMed

23.

De Lorenzo A, Maiolo C, Mohamed EI et al (2001) Body composition analysis and changes in airways function in obese adults after hypocaloric diet. Chest 119:1409–1415CrossRefPubMed

24.

Mann EA, Burnett T, Cornell S et al (2002) The effect of neuromuscular stimulation of the genioglossus on the hypopharyngeal airway. Laryngoscope 112:351–356CrossRefPubMed

25.

Randerath WJ, Galetke W, Domanski U et al (2004) Tongue-muscle training by intraoral electrical neurostimulation in patients with obstructive sleep apnea. Sleep 27:254–259CrossRefPubMed

26.

Puhan M, Suarez A, Lo Cascio C et al (2006) Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomized controlled trial. British Medical Journal 332:266–270CrossRefPubMedPubMedCentral

Titel: Dual-energy X-ray absorptiometry analysis of body composition in patients affected by OSAS
verfasst von: Ernesto Bruno
Marco Alessandrini
Bianca Napolitano
Alessandro De Padova
Nicola Di Daniele
Antonino De Lorenzo
Publikationsdatum: 01.08.2009
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 8/2009
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-008-0844-0

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Dual-energy X-ray absorptiometry analysis of body composition in patients affected by OSAS

Abstract

Neu im Fachgebiet HNO

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

Update HNO

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2009

Prospective radiological study concerning a series of patients suffering from conductive or mixed hearing loss due to superior semicircular canal dehiscence

Improvement of bone conduction after stapes surgery in otosclerosis patients with mixed hearing loss depending from surgical technique

Comparison of clinical and histopathological evaluation of tonsils in pediatric and adult patients

Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique

Two cases of Stevens–Johnson syndrome following intake of klavox with review of literature

Vestibular rehabilitation with electrotactile vestibular substitution: early effects

Neu im Fachgebiet HNO

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

Update HNO