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CARACTERÍSTICAS METABÓLICAS DE LOS PACIENTES CON APNEAS OBSTRUCTIVAS DEL SUEÑO

Melina Saban, Glenda Ernst, Maricel Recalde, Miguel Schiavone, Magalí Blanco, Eduardo Borsini, Marina Curriá

Resumen


Introducción: la apnea obstructiva del sueño (AOS) es una patología de alta prevalencia asociada al sobrepeso y la obesidad. La relación entre el síndrome metabólico (SM) y la AOS no ha sido comunicada en nuestro medio.

Materiales y métodos: estudio retrospectivo en adultos seleccionados para poligrafía respiratoria y evaluación metabólica clasificados según la presencia de SM.

Resultados: incluimos 302 pacientes. La prevalencia de obesidad fue de 66,88% y de SM de 62,58%. El 19% presentó síntomas de somnolencia diurna y el 48,3% mostró cinco o más componentes del cuestionario STOP-BANG.

Los pacientes con AOS fueron mayormente del sexo masculino, con mayor edad; peso corporal, circunferencia de cintura y cuello comparados con el grupo sin AOS (57 vs 49 años, p<0,001; 93,89 vs 85 kg, p<0,05; 108 vs 100 cm, p<0,001 respectivamente). Mostraron mayores valores de triglicéridos, presión arterial sistólica, obesidad e índice de desaturación (134 vs 99 mg/dl, p<0,001; 134 vs 128 mmHg, p<0,05; 69,2 vs 52,3%, p<0,05 y 14,6 vs 2 ev/h, p<0,001 respectivamente). La cantidad de componentes de STOP-BANG fue mayor en los pacientes con AOS (5 vs 3; p<0,001).

Conclusiones: AOS y SM están frecuentemente relacionados y permanecen subdiagnosticados. La utilización de cuestionarios validados facilita la identificación de candidatos a estudios de sueño. Se necesita la implementación de programas de gestión de hábitos saludables para prevenir las complicaciones de ambas patologías.

 


Palabras clave


síndrome metabólico; apneas obstructivas del sueño; obesidad.

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Referencias


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DOI: http://dx.doi.org/10.47196/diab.v54i1.176

Copyright (c) 2020 Sociedad Argentina de Diabetes Asociación Civil

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