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Relationships of craniofacial morphology and body mass index with sleep-disordered breathing in Japanese men.

机译:日本男性颅面形态和体重指数与睡眠呼吸障碍的关系。

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OBJECTIVE/HYPOTHESIS: Obesity is an established risk factor for sleep-disordered breathing, but the impact of craniofacial morphology is uncertain. The aim of this study was to assess the impact of craniofacial morphology and body weight on sleep-disordered breathing in Japanese men. STUDY DESIGN: A cross-sectional study. METHODS: We measured body mass index, seven cephalometric variables, and 3% oxygen desaturation index recorded by a pulse oximeter in 313 Japanese men aged 20 to 65 years who attended a sleep clinic. We defined craniofacial score as the sums of quartile points (0-3) for distance from sella to nasion and that from hyoid bone to mandibular plane. RESULTS: The mean value of 3% oxygen desaturation index and odds ratios of 3% oxygen desaturation index 15 or greater progressively increased with craniofacial score as well as body mass index. Multivariate odds ratios associated with craniofacial score were higher in men with body mass index 25.0 kg/m or greater (odds ratio = 4.2, 95% confidence interval [CI] = 2.1-8.6) than in men with lower body mass index (odds ratio = 1.6, 95% CI = 0.7-3.6). CONCLUSIONS: Our results imply the importance of cephalometric assessment in overweight patients.
机译:目的/假设:肥胖是睡眠呼吸障碍的既定危险因素,但颅面形态的影响尚不确定。本研究的目的是评估颅面形态和体重对日本男性睡眠呼吸障碍的影响。研究设计:横断面研究。方法:我们测量了313名年龄在20至65岁的就诊于睡眠诊所的日本男性的体重指数,七个头颅测量变量和3%的氧饱和度指数,这些数据通过脉搏血氧仪进行了记录。我们将颅面分数定义为蝶鞍到鼻根距离和舌骨到下颌骨距离的四分位数总和(0-3)。结果:3%氧饱和度指数的平均值和3%氧饱和度指数15或更高的比值随颅面分数和体重指数逐渐增加。体重指数大于或等于25.0 kg / m的男性(奇数比= 4.2,95%置信区间[CI] = 2.1-8.6)与颅面分数相关的多元优势比高于体重指数较低的男性(奇数比) = 1.6,95%CI = 0.7-3.6)。结论:我们的结果暗示在超重患者中进行头颅测量评估的重要性。

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