Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 4 | Page No. 1583-1588
Date of Publication: 11-08-2016
SCREENING FOR OBSTRUCTIVE SLEEP APNOEA USING MODIFIED BERLIN QUESTIONNAIRE, STOP-BANG QUESTIONNAIRE AND ANTHROPOMETRIC MEASUREMENTS IN PATIENTS VISITING VARIOUS OPDs IN A TERTIARY CARE SET- UP
Renu B. Pattanshetty 1, Ceona Chopde *2.
1 Department of Cardio-Pulmonary Physiotherapy, KLEU Institute Of Physiotherapy, JN Medical College, Campus Belagavi, Karnataka, India.
*2 Post Graduate Student, Department of Cardio-Pulmonary Physiotherapy, KLEU Institute Of Physiotherapy, JN Medical College Campus,Belagavi, Karnataka,India.
Corresponding author: Dr.Ceona Chopde, Post Graduate Student, Department of Cardio-Pulmonary Physiotherapy, KLEU Institute Of Physiotherapy, JN Medical College Campus,Belagavi-590010, Karnataka, India. Mob No.: +91-7353789300
Background and Objective: Obstructive sleep apnoea is characterized by repetitive interruption of ventilation during sleep due to collapse of the pharyngeal airway leading to intermittent hypoxia, sleep fragmentation and is also associated with atherosclerosis, initiation and progression of cardiovascular disease. Obesity has shown to be a major predisposing factor for OSA. Anthropometric measurements have shown to be a risk factor for OSA. Though, sagittal abdominal diameter (SAD) has been proposed as the valid measurement of the visceral fat mass and cardio-metabolic risk. There is dearth in literature suggesting SAD as a risk factor for OSA. Hence, this study was taken up to investigate the same.
Materials and Methods: This pilot study was conducted on 50 subjects including both males and females. Demographic data along with the anthropometric measurements like waist circumference, hip circumference, waist hip ratio, waist-height ratio, thigh circumference and sagittal abdominal diameter were measured after which the subjects were administered with STOP-BANG questionnaire and Modified Berlin questionnaire.
Results: The results have shown to have a positive correlation between sagittal abdominal diameter and STOP-BANG questionnaire(r=0.13) and modified berlin questionnaire(r=0.038). There is weak positive correlation between neck length and STOP-BANG questionnaire(r=0.038) and modified berlin questionnaire(r=0.002).
Conclusion: This pilot study suggests that sagittal abdominal diameter and neck length may also be considered as a novel risk factor for diagnosis of obstructive sleep apnea (OSA) in larger population.
Key words: Obstructive Sleep Apnoea, Waist-Height Ratio, Neck Length, Sagittal Abdominal Diameter, STOP-BANG Questionnaire, Modified Berlin Questionnaire.
- The Report of an American Academy of Sleep Medicine Task Force. Recommendations for syndrome definitive and measurement techniques in clinical research. Sleep 1999; 22 : 667-89.
- Pamidi S, Aronsohn RS, Tasali E. Obstructive sleep apnea: role in the risk and severity of diabetes. Best Pract Res Clin Endocrinol Metab 2010; 24: 703-715.
- Jonathan E. Shaw, Naresh M. Punjabi et al. Sleep- disordered breathing and Type 2 diabetes: A report from the international diabetes federation taskforce on epidemiology and prevention. Diabetes research and clinical practice 2008;81:2-12.
- Alvah R. Cass, W.Jerome Alonso et al. Risk of obstructive sleep apnea in patients with type 2 diabetes mellitus 2013;45:492-500.
- Lt Gen SR Mehta, Col AS Kashyap, Col S Das. Diabetes mellitus in india: The modern scourge. MJAFI 2009;65:50-54.
- Amar J, Chamontin B, Genes N, et al. Why is hypertension so frequently uncontrolled in secondary prevention? J Hypertens 2003; 21:1199–1205
- Quan SF, Bersh BJ. Cardiovascular consequences of sleepdisordered breathing: past, present and future; report of a workshop from the National Center on Sleep Disorders Research and the National Heart, Lung, and Blood Institute. Circulation 2004; 109:951–957
- Sandro Cadaval Goncalves, Denis Martinez et al. Obstructive Sleep Apnea and Resistant Hypertension: A Case-Control Study. CHEST 2007;1-8.
- Dr. Virend Somers. The interaction between OSA and Hypertension. Res Medica clinical newsletter 2004;5:1-12.
- Paul E. Peppard , Terry Young et al. Prospective study of the association between sleep-disordered breathing and Hypertension. The New England Journal of Medicine. 2000;342:1378-1384.
- Carros Zamarron, Vanesa Garcia Paz et al. Association of Chronic Obstructive Pulmonary Disease and Obstructive Sleep Apnea consequences. International Journal of COPD. 2008;3:671-682.
- Ogden CL , Carroll MD , Curtin LR , McDowell MA , Tabak CJ , Flegal KM . Prevalence of overweight and obesity in the United States, 1999-2004 . JAMA . 2006 ; 295 ( 13 ): 1549 – 1555.
- Peppard PE , Young T , Palta M , Dempsey J , Skatrud J . Longitudinal study of moderate weight change and sleepdisordered breathing . JAMA . 2000 ; 284 ( 23 ): 3015 - 3021 .
- MA Sayeed, H Mahtab, ZA Latif et al. Waist-to-height Ratio is a better obesity index than Body Mass Index and Waist-to-hip Ratio for predicting Diabetes, Hypertension and Lipedemia. Bangladesh Med. Res. Counc. Bull. 2003;29:1-10.
- Edita Stokic, Biljana Srdic, Vladimir Brtka et al. Sagittal Abdominal Diameter as the Anthropometric Measure of Cardiovascular Risk.
- Davies RJO, Stradling JR. The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnoea syndrome. Eur Respir J 1990;3:50914.
- Katz I, Stradling JR, Slutsky AS, Zamel N, Hoffstein V. Do patients with obstructive sleep apnoea have a thick neck? Am Rev Respir Dis 1990;141:1228-31.
- M. Roizenblatt, N.S. Rosa Neto, S. Tufik et al. Braz J Med Biol Res. 2012;45:792-798.
- Frances Chung, Balaji Yegneswaran et al. STOP Questionnaire: A Tool to screen patients for Obstructive Sleep Apnea. Anesthesiology. 2008;5:812-821.
- S.K. Sharma, C. Vasudev, S. Sinha et al. Validation of the modified Berlin questionnaire to identify patients at risk for obstructive sleep apnea syndrome. Indian J Med. Res. 2006;124:281-290.
- Iwao S, Iwao N, Muller DC, Elahi D, Shimokata H, Andres R.Does waist circumference add to the predictive power of the body mass index for coronary risk? Obes Res 200 I; 9: 685-95.
- SayeedMA, KibriyaMG, KhanamPA,Banu A and Azad KhanAK. Waist-to-heightratio is an important predictor of diabetes and hypertension. Diabetologia 1998;41 (supp- 1):Abs 463, A-119.
- Sayeed MA, Mahtab H, Kibriya MG, Banu A, KhanamPA,Azad KhanAK. Large waist in short stature is a risk for hypertension and diabetes. Diab Endocr 1 1998;26: 11-16.
- Iribarren C, Sharp D.S., Burchfiel D.M. and Petrovich H. Association of weight loss and weight fluctuation with mortality among Japanese men. New England Journal of Medicine. 1995;333:686-692.
- Sjostrom CD, Lissner L, Sjostrom L. Relationship between changes in body composition and changes in cardiovascular risk factors: the SOS intervention study: Swedish obese subjects. Obes Res. 1997;5:519–30.
- Jensen MD. Lipolysis: contribution from regional fat. Annu Rev Nutr. 1997;14:127–39.
Renu B. Pattanshetty, Ceona Chopde. SCREENING FOR OBSTRUCTIVE SLEEP APNOEA USING MODIFIED BERLIN QUESTIONNAIRE, STOP-BANG QUESTIONNAIRE AND ANTHROPOMETRIC MEASUREMENTS IN PATIENTS VISITING VARIOUS OPDs IN A TERTIARY CARE SET- UP. Int J Physiother Res 2016;4(4):1583-1588. DOI: 10.16965/ijpr.2016.139