Cited by 600Obstructive Sleep Apnea ResearchSleep and related disordersApelin-related biomedical research

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Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes

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Foster, Gary D., Sanders, Mark H., Millman, Richard, Zammit, Gary, Borradaile, Kelley E., Newman, Anne B., Wadden, Thomas A., Kelley, David, Wing, Rena R., Pi Sunyer, F. Xavier, Darcey, Valerie, Kuna, Samuel T., for the Sleep AHEAD Research Group·2009·Diabetes Care

DOI 10.2337/dc08-1776PMC PMC2681024

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Abstract

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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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: Foster, Gary D.
Millman, Richard
Zammit, Gary
Newman, Anne B.
Wadden, Thomas A.
Kelley, David
Wing, Rena R.
Darcey, Valerie
Kuna, Samuel T.
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
DOI: 10.2337/dc08-1776
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: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/3.0/ (vor, 4553 d)
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 (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Pharmacology (medical) › 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

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Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes

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