Uyku apnesi tedavisinde kullanılan cihazlar kilo almaya eğilimi arttırıyor olabilir mi?

Yıl 2015, Cilt: 5 Sayı: 3, 113 - 118, 14.01.2016

Seçkin Ulusoy Nurdoğan Yavuz Mehmet Emre Dinç Mustafa Acar

Öz

Amaç: Bu çalışma ile tıkayıcı uyku apnesi sendromu (TUAS) hastalarının tedavisinde kullanılan cihazların kilo değişiklikleri üzerine etkilerinin araştırılması planlandı.

Yöntem: Çalışmaya horlama ve uyku apnesi şikayetleriyle başvurup polisomnografi (PSG) tetkiki istenen 256 hasta dahil edildi. Hastalar apne hipopne indeksleri (AHI) ve cihaz kullanım durumlarına göre aşağıdaki şekilde gruplandırıldı: Grup 1 TUAS tanısı konularak tedavi amaçlı cihaz kullananlar (n=101), Grup 2 TUAS tanısı konularak tedavi amaçlı önerilen cihaza uyum sağlayamayanlar (n=76) ve Grup 3 PSG ile basit horlama teşhisi konulup TUAS olmayanlar (n=79). Grup 1; CPAP, Auto CPAP veya BiPap kullanan hastalardan oluşmaktadır. Her üç grup hastanın da vücut kitle indeksi (VKİ) ve boyun çevresi (BÇ) ölçümleri kayıtlarına PSG merkezinden ulaşıldı (başlangıç değerleri); bu hastalar tekrar ölçüm ve kontrol için Kulak Burun Boğaz polikliniğine çağırılarak değerlendirildiler (kontrol değerleri).

Bulgular: Grup 1 hastalarında; başlangıç değerleri ile kontrol değerleri karşılaştırıldığında: VKİ ve BÇ istatistiksel olarak anlamlı derecede yüksekti (p<0.05), Grup 2 ve 3 için VKİ ve BÇ’de istatistiksel olarak anlamlı bir fark saptanmadı (p>0.05). Grup 1 de farklı cihaz türlerini kullanan (CPAP, Auto CPAP veya BiPap) hastalar için VKİ ve BÇ açısından anlamlı farklılık göstermedi (p>0.05).

Sonuç: Uyku apnesi hastalarını tedavi etmek için kullanılan cihazlar kilo almaya eğilimi arttırmaktadırlar. Bu hastaların ileride kısır döngüye sebep olmamak için obezite açısından yakın takipleri ve gerekli önlemlerin alınması gerekir.

Anahtar sözcükler: Uyku apnesi, CPAP, Auto CPAP, BiPap, vücut

kitle indeksi, boyun çevresi.

Anahtar Kelimeler

Uyku apnesi, CPAP, Auto CPAP, BiPap, vücutkitle indeksi, boyun çevresi

Can the devices used to treat obstructive sleep apnoea syndrome increase the tendency to gain weight?

Öz

Objective: This study investigated the effects of device treatments on
weight changes in obstructive sleep apnoea syndrome (OSAS)
patients.
Methods: The study included 256 patients who underwent
polysomnography to evaluate snoring and suspected OSAS. They
were grouped according to the apnoea hypopnoea index (AHI) and
device usage for OSAS as follows: Group 1 included patients who
were established with OSAS diagnosis and used device for treatment
purpose (n=101); Group 2 included patients who were established
with OSAS diagnosis but could not adapt to the devices recommended for medical purposes (n=76); and Group 3 included patients who
were established with ordinary snoring diagnosis but did not have
OSAS, (n=79). Group 1 used CPAP, Auto CPAP, or BiPap. For all
groups, BMI and neck circumference data were obtained from sleep
centre records (baseline values) and invited to visit again for followup measurements in otolaryngology outpatient clinic (control values).
Results: In Group 1, both BMI and neck circumference were
increased at follow-up compared with the baseline measurements
(p<0.05) while no significant change was detected in the other two
groups (p>0.05). The BMI and neck circumference did not differ
among the devices used in Group 1 (CPAP, Auto CPAP, and BiPap)
(p>0.05).
Conclusion: Devices used to treat OSAS tend to enhance weight
gain. Such patients should be closely monitored and the required
measures should be taken in terms of obesity. 

Anahtar Kelimeler

Auto CPAP, body mass index, BiPap, continuous positive airway pressure (CPAP), neck circumference, obstructive sleep apnoea syndrome (OSAS)

Kaynakça

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• Please cite this article as: Ulusoy S, Yavuz N, Dinç ME, Acar M. Can the devices used to treat obstructive sleep apnoea syndrome increase the tendency
• to gain weight? ENT Updates 2015;5(3):113–118.