Yavaş Koroner Akım Tanısı Alan Obstruktif Uyku Apnesi Hastalarında Fiziksel İnaktivite ve Obezite Birlikteliği: Yaşam Tarzı Değişikliği Gereksinimi

Abstract

Fiziksel inaktivite ve sağlıksız beslenme alışkanlıkları içeren yaşam tarzı obeziteye neden olmaktadır. Obezite hastalarında artışla birlikte obstruktif uyku apnesi sendromu sıklığı da artmaktadır. Obstrüktif uyku apnesi tedavi edilmezse kardiovaskuler mortalite ve morbidite artışına sebep olmaktadır. Bu çalışmada yavaş koroner akım tanısı konulan obstrüktif uyku apnesi hastalarında obezite ve fiziksel inaktivite birlikteliği araştırılmıştır. Gereç ve Yöntem: 4515 hastanın koroner anjiyografisi sonrası, 316 hasta yavaş koroner akım tanısı almıştır. Bu hastalar, kulak burun boğaz hastalıkları uzmanı tarafından değerlendirilmiş ve Berlin anketi kullanılarak 276 hastaya obstrüktif uyku apnesi tanısı konulmuştur. Obstrüktif uyku apnesi tanısı olan 276 hasta obezite ve fiziksel inaktivite açısından araştırılmıştır. Obezite tanısı Dünya Sağlık Örgütü (DSÖ) kurallarına göre Vücut Kitle İndeksi (VKİ) esas alınarak konulmuştur. Hastaların fiziksel inaktivite düzeyi ise Uluslararası Fiziksel Aktivite anketi-Kısa Form (UFAA-KF) ile değerlendirilmiştir. Sonuçlar: Çalışma grubu 276 hastadan oluşturuldu (188 erkek, 88 kadın). Ortalama yaş 48.48 ±7.61 yıl idi. Bu hastaların VKİ ortalamaları 33.02±2.18 kg/m2 olarak belirlendi. 276 hastanın 258'inde DSÖ kriterlerine göre obezite (VKİ> 30 kg/m2) saptandı. UFAA-KF skoruna göre hastaların %74 ü inaktif, %17 düşük seviyede aktif, %9 u aktifti. Tartışma: Yavaş koroner akımlı obstrüktif uyku apne hastalarında obezite ve fiziksel inaktivite birlikteliği saptandı. Fiziksel aktivitenin ve sağlıklı beslenme alışkanlıklarının arttırılması şeklinde yaşam tarzı değişiklikleri öneriyoruz.

Keywords

• Yavaş koroner akım
• Obezite
• Obstrüktif uyku apnesi
• Yaşam tarzı değişikliği

The Coexistence of Obesity and Physical Inactivity in Obstructive Sleep Apnea Patients with Slow Coronary Flow: Lifestyle Change Requirement

Abstract

Life style characteristics including physical inactivity and unhealthy eating cause obesity. With rising obesity, the number of people suffering from obstructive sleep apnea (OSA) syndrome is also increasing. If untreated, OSA causes increased cardiovascular morbidity and mortality. This study examined coexistence of obesity and physical inactivity in the OSA patients which were diagnosed with slow coronary flow. Material and Methods: After coronary angiography of 4515 patients, 316 patients were diagnosed with slow coronary flow. These patients were examined by an ear nose throat specialist and 276 patients were diagnosed in terms of OSA by using Berlin questionnaire (BQ). Control group patients (n=40) had normal coronary artery, which means they did not have slow coronary flow. Two hundred seventy-six patients with OSA were investigated for obesity and physical inactivity. The diagnosis of obesity was based on the Body Mass Index (BMI) according to the rules of the World Health Organization. Physical activity levels of the patients were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ, the short form). Results: The study group consisted of 276 patients (188 males, 88 females). The mean ages of the study group were 48.48 ±7.61 years. Of 276 patients, 258 patients were obese (BMI >30 kg/m2) according to WHO criteria. Mean BMI in the study group patients was 33.02±2.18 kg/m2. According to IPAQ-short form, 74% patients were inactive, 17% patients had low level activity, and 9% patients were active. Conclusion: We determined that obesity and physical inactivity coexist in OSA patients with slow coronary flow. Therefore, we recommend lifestyle changes, including increasing physical activity and healthy dietary habits to prevent obesity. 

Keywords

• Slow coronary flow
• Obesity
• Obstructive sleep apnea
• Lifestyle changes

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