Tip 2 Diyabet Mellituslu Hastalarda Obstrüktif Uyku Apnesi ve Kardiyovasküler Risk Faktörleri

Year 2022, , 450 - 461, 20.06.2022

Serap Gökçe Eskin , Dide Kılıçalp Kılınç , Oğuzhan Oğuz

https://doi.org/10.33715/inonusaglik.1049837

Abstract

Bu çalışmanın amacı, Tip 2 diyabetli erişkin hastalarda obstrüktif uyku apnesi (OSA) ve kardiyovasküler hastalık (KVH) risk faktörlerini belirlemektir. Kesitsel tipte olan bu çalışmada veriler 3 Mart - 15 Temmuz 2016 tarihleri arasında 228 tip 2 diyabet hastasından "Hasta Bilgi Formu", "Berlin Anketi" ve "Framingham Risk Skoru" kullanılarak toplanmıştır. Bu çalışmada OSA risk düzeyi ve hastaları etkileyen faktörler değerlendirildi. Diyabetik hastalarda; cinsiyet, Framingham risk skoru, VKİ, bel/kalça oranı ve bel çevresinin OSA riskini istatistiksel olarak anlamlı derecede artırdığı bulundu. Verilerimiz Tip 2 diyabetli hastalarda uyku bozukluğunun yaygın olduğunu ve OSA için yüksek risk altındaki bireylerin de KVH için daha yüksek risk altında olduğunu göstermektedir. OSA, Tip 2 diyabetli hastalarda KVH riskini artırıyor gibi görünmektedir. Sağlık çalışanları diyabetik hastalara bakım verirken uyku bozukluğu belirtileri değerlendirilmelidir. Diyabetik hastaların eğitim programlarında uyku bozukluğu semptomları ve yönetimi dahil edilmelidir.

Keywords

Diyabetes Mellitus, Kalp hastalıkları, Uyku apnesi

OBSTRUCTIVE SLEEP APNEA AND CARDIOVASCULAR RISK FACTORS IN THE PATIENTS WITH TYPE 2 DIABETES MELLITUS

Abstract

The aim of this study is to determine the risk factors of obstructive sleep apnea (OSA) and cardiovascular diseases (CVD) in adult patients with Type 2 diabetes. In this cross-sectional study, the data have been collected from 228 type 2 diabetes patients by using the "Patient Information Form," "Berlin Survey," and "Framingham Risk Score" between March 3 and July 15, 2016. The OSA risk level and factors affecting patients were assessed in this study. Gender, Framingham risk score, BMI, waist/hip ratio, and waist circumference were found to statistically significantly increase the risk of OSA in patients with diabetes. Our data suggest that sleep disturbance is common in patients with Type 2 diabetes, and individuals at high risk for OSA are also at higher risk for CVD. OSA appears to increase the risk of CVD in patients with Type 2 diabetes. When healthcare professionals care for diabetic patients, symptoms of sleep disorders should be evaluated. Sleep disorder symptoms and management should be included in the education programs of diabetic patients.

Keywords

Diabetes Mellitus, Heart diseases, Sleep apnea

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