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https://doi.org/10.15836/ccar2019.237

Hypertension, obesity and STOP-Bang questionnaire in detecting obstructive sleep apnea

Filip Mustač orcid.org/0000-0003-2851-6183 ; University of Zagreb School of Medicine, Zagreb, Croatia
Martina Matovinović ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Tomislav Mutak ; University of Zagreb School of Medicine, Zagreb, Croatia
Maja Baretić ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Barbara Barun ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Juraj Jug ; University of Zagreb School of Medicine, Zagreb, Croatia
Rea Levicki ; Požega General County Hospital, Požega, Croatia
Ines Vinković ; University of Zagreb School of Medicine, Zagreb, Croatia
Lada Bradić ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Ana Jelaković ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Martina Lovrić Benčić ; University of Zagreb School of Medicine, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Bojan Jelaković ; University of Zagreb School of Medicine, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia

Sažetak

Introduction: Breathing-related sleep disorders (out of them, especially obstructive sleep apnea (OSA))
are often present in obese patients. Significant correlation between conditions such as OSA or metabolic
syndrome and some anthropometric measures, most notably neck circumference (NC) has been found1.
Our goal was to examine the difference in STOP-Bang questionnaire score in obese patients depending
on presence of hypertension and to see whether the use of it can be useful as a screening test for OSA.
Patients and Methods: This cross-sectional study was carried out in a tertiary healthcare centre in an
outpatient clinic for treatment of obesity. 49 participants (BMI >30kg/m2) were included. Welch t-tests
were used to compare STOP-Bang questionnaire scores to our researched subjects.
Results: Mean age was 50.29±11.91 years. Overall mean BMI was 44.64±8.12 kg/m2. There was not significant
correlation between STOP-Bang questionnaire score and sex: t(9.486)=-2.17; p=.06, diabetes
mellitus: t(7.821)=-2.07; p=.07 nor prediabetes: t(19.696)=-0.92; p=.37. However, patients with hypertension
(Figure 1) had significantly higher score on STOP questionnaire than patients without hypertension:
t(24)=-3.32; p=.003.
Conclusion: Our results showed that obese patients with hypertension have higher score on the STOPBang
questionnaire and consequently higher chance of OSA. Bakhai et al. have also shown that hypertension
is an independent risk factor for OSA2. Thus, the STOP-Bang questionnaire could be an
effective tool in obese hypertensive patients as a screening test to increase the percentage of newly
diagnosed OSA and initiate timely treatment.

Ključne riječi

hypertension; obesity; obstructive sleep apnea; cardiovascular risk.

Hrčak ID:

226706

URI

https://hrcak.srce.hr/226706

Datum izdavanja:

15.10.2019.

Posjeta: 1.219 *