Correlation of obstructive sleep apnea severity and lipid profile level

Rasha Mohamed Hendy, Mona Ahmed Elawady, Hend Elsayed Nasr, Rizk Sayed R. Sarhan
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Abstract

Obstructive sleep apnea (OSA) is accompanied by different metabolic disorders and is linked with a heightened incidence of cardiovascular diseases and death. The information actively engaged in relating obstructive sleep apnea and dyslipidemia is quite uncertain. This research intended to determine the correlation between obstructive sleep apnea severeness and lipid profile abnormalities. Our study involved 120 cases diagnosed with OSA, who came to the chest department: at Benha University Hospital from September 2021 to December 2022. Included patients indicated for polysomnography because of suspected sleep-breathing disorders. Full history and clinical examination, and full polysomnography and blood samples for lipid profile, were done for all the cases. Results A total of 120 patients were involved in the study. Most cases were severe OSA (70%). The mean age in severe obstructive sleep apnea was 44.04 years with SD 9.49, Males were 92.9% in severe OSA, and the mean BMI in severe OSA was 36.63 with SD 7.79. LDL was positively correlated with AHI and DI (significantly); triglycerides were positively correlated with AHI, DI, and min oxygen saturation (significantly); and HDL was negatively correlated with AHI and DI significantly. Among lipid profile variables, LDL was the most predictor for AHI severity. Conclusion Lipid abnormalities are associated with OSA severity. Patients diagnosed with obstructive sleep apnea should be screened for lipid profile to correct any abnormality, hoping to prevent their harmful effects.
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阻塞性睡眠呼吸暂停严重程度与血脂水平的相关性
阻塞性睡眠呼吸暂停(OSA)伴有不同的代谢紊乱,并与心血管疾病和死亡的高发病率有关。目前,有关阻塞性睡眠呼吸暂停与血脂异常的信息尚不明确。本研究旨在确定阻塞性睡眠呼吸暂停严重程度与血脂异常之间的相关性。本研究涉及 2021 年 9 月至 2022 年 12 月期间到本哈大学医院胸科就诊的 120 例确诊为 OSA 的患者。其中包括因疑似睡眠呼吸障碍而接受多导睡眠图检查的患者。对所有病例进行了全面的病史和临床检查,并进行了全面的多导睡眠图检查和血脂检查。结果 共有 120 名患者参与了研究。大多数病例为严重 OSA(70%)。重度阻塞性睡眠呼吸暂停患者的平均年龄为 44.04 岁,标准差为 9.49 岁;重度 OSA 患者中男性占 92.9%;重度 OSA 患者的平均体重指数为 36.63,标准差为 7.79。低密度脂蛋白与 AHI 和 DI 呈显著正相关;甘油三酯与 AHI、DI 和分钟血氧饱和度呈显著正相关;高密度脂蛋白与 AHI 和 DI 呈显著负相关。在血脂特征变量中,低密度脂蛋白对 AHI 严重程度的预测作用最大。结论 血脂异常与 OSA 严重程度有关。被诊断为阻塞性睡眠呼吸暂停的患者应进行血脂筛查,以纠正任何异常,希望能避免其有害影响。
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