| Abstract | Cilj: Cilj ovog istraživanja bio je istražiti povezanost hrkanja kao jednog od vodećih simptoma opstrukcijske apneje tijekom spavanja s obzirom na dob, spol i antropometrijske značajke pacijenata.
Materijali i metode: U istraživanju je sudjelovalo 795 ispitanika koji su u Centru za medicinu spavanja KBC-a Split i Medicinskog fakulteta u Splitu obavili detaljnu dijagnostičku obradu. Od ukupno 795 ispitanika bilo je 515 muškaraca i 280 žena starijih od 18 godina, dok je najstariji ispitanik imao 86 godina. Svim ispitanicima napravljena je cjelonoćna polisomnografija na temelju koje je pacijentima dijagnosticirana OSA pomoću AHI-ja kao ključnog kriterija u dijagnostici OSA koji nam daje uvid u težinu bolesti. Uz cjelonoćnu polisomnografiju, ispitanici su ispunjavali upitnike za procjenu dnevne pospanosti pomoću Epworthove ljestvice pospanosti (engl. Epworth Sleepiness Scale, ESS) u skladu sa smjernicama za dijagnostiku OSA-e koje su propisane od strane Američke akademije za medicinu spavanja (engl. American Academy of Sleep Medicine, AASM).
Rezultati: Pacijenti koji su imali subjektivni simptom hrkanja bili statistički značajno teži (96,5±20,5 kg vs. 84,6±19,3 kg, P<0,001), imali su značajno veći ITM (31,3±10,9 kg/m₂ vs. 27,2±5,1 kg/m₂, P<0,001), veći opseg vrata (41,5±6,0 cm vs. 38,8±4,5 cm, P<0,001), veći opseg struka (107,8±15,4 cm vs. 96,9±15,4 cm, P<0,001), veći opseg bokova (110,7±12,3 cm vs. 106,0±11,0 cm, P<0,001) u odnosu na pacijente koji nisu imali subjektivni simptom hrkanja. Nadalje, ispitanici koji su imali subjektivni simptom hrkanja bili su značajno pospaniji u odnosu na ispitanike koji nisu imali izražen simptom hrkanja mjeren s pomoću Epworthove ljestvice pospanosti (7,8±4,9 vs. 5,9±4,2, P<0,001). Pacijenti koji su imali izražen subjektivni simptom hrkanja imali veći stupanj OSA mjeren AHI vrijednošću u odnosu na pacijente koji nisu imali simptom hrkanja (32,8±26,1 vs. 15,1±17,5, P<0,001).
Zaključak: Rezultati ovog istraživanja potvrdili su da su ispitanici koji su imali prisutan subjektivni simptom hrkanja imali značajno veću tjelesnu masu, veći indeks tjelesne mase, veći opseg vrata, struka i bokova te da su bili pospaniji u odnosu na ispitanike koji nisu imali subjektivni simptom hrkanja. |
| Abstract (english) | Objective: The objective of this study was to investigate the association of snoring as one of the leading symptoms of obstructive sleep apnea with age, gender, and anthropometric characteristics of the patients.
Materials and methods: 795 subjects participated in the research and underwent a detailed diagnostic treatment at the Center for Sleep Medicine of KBC Split andthe Split School of Medicine. Out of a total of 795 respondents, there were 515 men and 280 women over the age of 18, while the oldest respondent was 86 years old. All subjects underwent an all-night polysomnography, based on which the patients were diagnosed with OSA using the AHI as a key criterion in the diagnosis of OSA, which gives us insight into the severity of the disease. In addition to all-night polysomnography, subjects filled out questionnaires to assess daytime sleepiness using the Epworth Sleepiness Scale (ESS) in accordance with the OSA diagnostic guidelines prescribed by the American Academy of Sleep Medicine (AASM).
Results: Patients who had the subjective symptom of snoring were statistically significantly heavier (96.5±20.5 kg vs. 84.6±19.3 kg, P<0.001), had a significantly higher BMI (31.3±10.9 kg /m₂ vs. 27.2±5.1 kg/m₂, P<0.001), greater neck circumference (41.5±6.0 cm vs. 38.8±4.5 cm, P<0.001), greater neck circumference waist (107.8±15.4 cm vs. 96.9±15.4 cm, P<0.001), larger hip circumference (110.7±12.3 cm vs. 106.0±11.0 cm, P<0.001, Table 2) compared to patients who did not have the subjective symptom of snoring. Furthermore, subjects who had a subjective symptom of snoring were significantly sleepier compared to subjects who did not have a pronounced symptom of snoring, measured using the Epworth sleepiness scale (7.8±4.9 vs. 5.9±4.2, P<0.001). Patients who had a pronounced subjective symptom of snoring had a higher degree of OSA measured by the AHI value compared to patients who did not have the symptom of snoring (32.8±26.1 vs. 15.1±17.5, P<0.001).
Conclusion: The results of this study confirmed that the subjects who had the subjective symptom of snoring had a significantly higher body mass, a higher body mass index, a larger circumference of the neck, waist, and hips, and that they were sleepier compared to the subjects who did not have the subjective symptom of snoring. |
