Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes
Open accessAbstract
OBJECTIVE: To assess the risk factors for the presence and severity of obstructive sleep apnea (OSA) among obese patients with type 2 diabetes. RESEARCH DESIGN AND METHODS: Unattended polysomnography was performed in 306 participants. RESULTS: Over 86% of participants had OSA with an apnea-hypopnea index (AHI) ≥5 events/h. The mean AHI was 20.5 ± 16.8 events/h. A total of 30.5% of the participants had moderate OSA (15 ≤ AHI <30), and 22.6% had severe OSA (AHI ≥30). Waist circumference (odds ratio 1.1; 95% CI 1.0–1.1; P = 0.03) was significantly related to the presence of OSA. Severe OSA was most likely in individuals with a higher BMI (odds ratio 1.1; 95% CI 1.0–1.2; P = 0.03). CONCLUSIONS: Physicians should be particularly cognizant of the likelihood of OSA in obese patients with type 2 diabetes, especially among individuals with higher waist circumference and BMI.
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In patients with type 2 diabetes, the prevalence of obstructive sleep apnea assessed by full-night polysomnography ranges from 58% to 86%.
“In patients with type 2 diabetes, the prevalence of OSA assessed with full night polysomnography, i.e., the gold standard method for the diagnosis of OSA, ranged from 58% to 86% [2, 45, 52, 134].”
From Sleep and metabolic function (2012) · cites this paper as [52]
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- Authors
- Foster, G. D., Sanders, M. H., Millman, R., Zammit, G., Borradaile, K. E., Newman, A. B., Wadden, T. A., Kelley, D., Wing, R. R., Pi Sunyer, F. X., Darcey, V., Kuna, S. T., & for the Sleep AHEAD Research Group
- Affiliations
- Temple University (US)
- University of Pittsburgh (US)
- Brown University (US)
- Clinilabs (United States) (US)
- University of Pennsylvania (US)
- Columbia University, New York, New York.
- Corresponding author
- Foster, Gary D.
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2009-03-11
- Volume
- 32
- Issue
- 6
- Pages
- 1017-1019
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC2681024
- OpenAlex
- W2120824707
- Cited by
- 600
- References
- 14
- Citations by year
- 2026: 13 · 2025: 27 · 2024: 24 · 2023: 29 · 2022: 31 · 2021: 38 · 2020: 33 · 2019: 36 · 2018: 43 · 2017: 44 · 2016: 45 · 2015: 55 · 2014: 46 · 2013: 40 · 2012: 35
- FWCI
- 21.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL070301, R01HL070301)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK60426, U01DK057135, DK-56992, U01DK056992, DK057135)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pharmacology › Apelin-related biomedical research
- Keywords
- obstructive sleep apnea, type 2 diabetes, obesity, waist circumference, body mass index, apnea-hypopnea index, risk factors, sleep apnea severity
- MeSH terms
- Aged, Body Height, Body Weight, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Obesity, Oxygen Consumption, Respiration Disorders, Risk Factors, Severity of Illness Index, Sleep, REM, Likelihood Functions, Polysomnography, Sleep Apnea, Obstructive, Waist Circumference
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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