Sex differences in the prevalence and modulators of sleep-disordered breathing in outpatients with type 2 diabetes

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Abstract

In patients with type 2 diabetes, sleep-disordered breathing is a widespread cause of deteriorated quality of life. However, robust prevalence estimates for sleep-disordered breathing in patients with type 2 diabetes are limited due to scarce data. We investigated sex differences in sleep-disordered breathing prevalence and its modulators in the DIACORE SDB substudy, a sample of outpatient type 2 diabetes. 721 participants were tested for sleep-disordered breathing using a two-channel sleep apnoea monitoring device. Patients were stratified according to the severity of sleep-disordered breathing, defined as an apnoeahypopnoea index < 15, ≥15 to 29, and ≥30 events per hour as no/mild, moderate, and severe sleep-disordered breathing, respectively. In the 679 analysed patients (39% women, age 66 ± 9 years, body mass index 31.0 ± 5.4 kg/m2), the prevalence of sleep-disordered breathing was 34%. The prevalence of sleep-disordered breathing was higher in men than in women (41% versus 22%, p < 0 001) and increased with age (15%, 21%, and 30% in women and 35%, 40%, and 47% in men in those aged 18.59, 60.69, or ≥70, respectively; age trend p = 0 064 in women and p = 0 15 in men). In linear regression analysis, age, BMI, and waist-hip ratio were associated with apnoea-hypopnoea index. Modulators for higher apnoea-hypopnoea index seem to be similar in men and women.

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Kroner, T., Arzt, M., Rheinberger, M., Gorski, M., Heid, I. M., Böger, C. A., & Stadler, S. (2018). Sex differences in the prevalence and modulators of sleep-disordered breathing in outpatients with type 2 diabetes. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/7617524

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