The Association of Obstructive Sleep Apnea and Metabolic Syndrome

Abstract

SESSION TITLE: Pulmonary and Sleep MedicineSESSION TYPE: Slide PresentationPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: Obstructive Sleep Apnea (OSA) affects at least 1-5% of middle aged individuals in various ethnic populations. The National Cholesterol Education program's Adult treatment panel III recognizes metabolic syndrome as multiple risk factor for Cardiovascular disease. The prevalence of Metabolic Syndrome is increasing with the epidemic of obesity. The presence of obesity to both Obstructive Sleep apnea and Metabolic Syndrome prompted several studies that aimed to establish relationship between OSA and Metabolic Syndrome. It is therefore the aim of this study to determine the association of Metabolic Syndrome and Obstructive Sleep Apnea among patients at the Philippine Heart Center. METHODS: This is a Cross Sectional Study. Patients who are included are those with Obstructive Sleep Apnea by Polysomnogram aged more than 21 years old and above. Presence of Metabolic Syndrome and it components were assessed among the subjects. Data are presented as mean + sd or frequency and percent distribution. RESULTS: There were 77 OSA patients included in the study. Of 77 OSA patients, 40(52%) had metabolic syndrome and 37 (48%) did not have metabolic syndrome. Patients with metabolic syndrome had larger neck and abdominal circumference compared to those without metabolic syndrome (42.11 vs 40.83; 46 vs 43.91). Interestingly, OSA patients without metabolic syndrome were heavier, taller and had greater BMI (33.68 vs 32.31) than those without metabolic syndrome. Hyperglycemia, Dyslipidemia, and Hypertension were higher among patients with Metabolic Syndrome. CONCLUSIONS: Among patients with Obstuctive Sleep Apnea at the Philippine Heart Center, presence of Metabolic Syndrome reflects a greater neck and abdominal circumference but not necessarily a heavier weight and greater Body Mass Index. CLINICAL IMPLICATIONS: This study showed a different findings from foreign study. This is a first study among OSA patients at Philippine Heart Center. DISCLOSURE: The following authors have nothing to disclose: Cristito Alea, Aileen BanzonNo Product/Research Disclosure Information.