Campo DC | Valor | Idioma |
dc.contributor.author | Hora, Francisco | - |
dc.contributor.author | Nápolis, Lara Maris | - |
dc.contributor.author | Daltro, Carla Hilário da Cunha | - |
dc.contributor.author | Kodaira, Sérgio Keidi | - |
dc.contributor.author | Tufik, Sérgio | - |
dc.contributor.author | Togeiro, Sônia Maria | - |
dc.contributor.author | Nery, Luiz Eduardo | - |
dc.creator | Hora, Francisco | - |
dc.creator | Nápolis, Lara Maris | - |
dc.creator | Daltro, Carla Hilário da Cunha | - |
dc.creator | Kodaira, Sérgio Keidi | - |
dc.creator | Tufik, Sérgio | - |
dc.creator | Togeiro, Sônia Maria | - |
dc.creator | Nery, Luiz Eduardo | - |
dc.date.accessioned | 2014-01-27T17:20:34Z | - |
dc.date.issued | 2007 | - |
dc.identifier.issn | 0025-7931 | - |
dc.identifier.uri | http://repositorio.ufba.br/ri/handle/ri/14480 | - |
dc.description | Texto completo: acesso restrito. p. 517-524 | pt_BR |
dc.description.abstract | Background: Obese subjects are at increased risk of developing obstructive sleep apnea syndrome (OSAS). However, the individual role of local (i.e., upper airway-related) and general (clinical and whole-body anthropometric) characteristics in determining OSAS in obese patients is still controversial. Objectives: To contrast the clinical, anthropometric and upper airway anatomical features of obese subjects presenting or not presenting with OSAS. Methods: Thirty-seven obese (BMI ≥30 kg/m2) males with OSAS and 14 age- and gender-matched obese controls underwent clinical and anthropometric (BMI, waist-to-hip ratio and neck circumference) evaluation. In a subgroup of subjects (18 and 11 subjects, respectively), magnetic resonance imaging (MRI) during wakefulness was used to study the upper airway anatomy. Results: OSAS patients showed significantly higher BMI, waist-to-hip ratio and neck circumference as compared to controls (p < 0.05). They also referred to nonrepairing sleep, impaired attention, and previous car accidents more frequently (p < 0.05). The transversal diameter of the airways (TDAW) at the retroglossal level by MRI was found to be an independent predictor of the presence and severity of OSAS (p < 0.05). Parapharyngeal fat increase, however, was not related to OSAS. A TDAW >12 mm was especially useful to rule out severe OSAS (apnea-hypopnea index >30, negative predictive value = 88.9%, likelihood ratio for a negative test result = 0.19). Conclusions: MRI of the upper airway can be used in association with clinical and anthropometric data to identify obese males at increased risk of OSAS. | pt_BR |
dc.language.iso | en | pt_BR |
dc.rights | Acesso Aberto | pt_BR |
dc.source | http://dx.doi.org/10.1159/000097790 | pt_BR |
dc.subject | Magnetic resonance imaging | pt_BR |
dc.subject | Obstructive sleep apnea | pt_BR |
dc.subject | Obesity | pt_BR |
dc.subject | Sleep | pt_BR |
dc.title | Clinical, anthropometric and upper airway anatomic characteristics of obese patients with obstructive sleep apnea syndrome | pt_BR |
dc.title.alternative | Respiration | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.identifier.number | v. 74, n. 5 | pt_BR |
dc.embargo.liftdate | 10000-01-01 | - |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina)
|