Influence of body mass index on treatment of breathing-related sleep disorders
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eUroPeAn JoUrnAL of MediCAL reSeArCh
eur J Med res (2010) 15(Suppl. ii): 36-40
november 4, 2010 © i. holzapfel Publishers 2010
infLUenCe of Body MASS indeX on treAtMent of BreAthinG-reLAted SLeeP diSorderS e. dzieciolowska-Baran 1, 2, A. Gawlikowska-Sroka 2, i. Poziomkowska-Gesicka 3, i. teul-Swiniarska 2, t. Sroczynski 4 1department of otolaryngology, independent Provincial hospital, Szczecin, Poland; 2 department of General and Clinical Anatomy, 3 department of Clinical Allergology, and 4 department of Physiology, Pomeranian Medical University, Szczecin, Poland
Abstract Background: Breathing-related sleep disorders cover several conditions (isolated snoring, UArS - upper airway resistance syndrome, obstructive sleep apnea, hypopnea, obesity hypoventilation syndrome) characterized by a variety of symptoms and complex etiology. the conditions can be successfully treated in most cases. excessive body mass is a factor increasing the probability of the disorders. in most patients it is the only reason for breathing-related sleep disorders. however, it often coexists with various anatomical abnormalities in the upper airway, endocrinological diseases or genetic defects of the facial skeleton, and occurs more frequently in older people, especially men. excessive body mass significantly affects the range and success of the treatment. Objective: to analyze treatment outcome in patients treated at the otolaryngology unit for snoring and related diseases with submucosal tissue reduction within the nasal cavity, pharynx, and soft palate. Material and methods: Patients were stratified into three study groups depending on the body mass index (BMi): normal, overweight, and obese. the BMi value was compared to the severity of breathing disorders during sleep, with the incidence of other systemic diseases (e.g., hypertension, diabetes), and with treatment outcome. Results and conclusions: the analysis demonstrated a significant influence of body mass on snoring, particularly in complicated and severe types of breathing disorders, such obstructive sleep apnea or hypopnea, and the obesity hypoventilation syndrome. Corrective interventions carried out to eliminate anatomical abnormalities causing obstruction of upper airways provided the best therapeutic effects in patients with normal body mass. Key words: snoring, sleep apnea, BMi, obesity, overweight, treatment
introdUCtion in recent times there has been a significant increase in interest concerning breathing disorders during sleep among both medical professionals and patients [1-3]. in the case of the latter group, the rising interest could
result from better access to information, and thus the awareness of the possible consequences of ignoring the problem [3]. Large, multicenter studies have confirmed that breathing problems during sleep may cause or exacerbate existing symptoms, e.g., hypertension, pulmonary hypertension, ischemic heart disease increased risk of heart attack, cardiac arrhythmia, heart failure, abnormal cerebral circulation - increased risk of stroke, glu
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