What can anthropometric measurements tell us about obstructive sleep apnea?

What can anthropometric measurements tell us about obstructive sleep apnea?
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Yilmaz A, Akçaalan M,

Yilmaz A, Akçaalan M, (click to view)

Yilmaz A, Akçaalan M,

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Folia morphologica 2016 Oct 07() doi 10.5603/FM.a2016.0058
Clinical detection of anatomic narrowing of the upper airway may faciliate early recognition of obstructive sleep apnea (OSA). The aim of this study was to investigate whether anthropometric measurement can be used to predict OSA.

147 subject were included from those who were referred patients for suspected sleep apnea to our sleep laboratory. All patients were divided 2 groups with respect to the apnea-hypopnea index. The first group was diagnosed as OSA, AHI greater than 5. The second group was not diagnosed OSA, AHI less than 5 (non-OSA control). Anthropometric measurements such as lower face height (LFH), Interincisial distance (IID), nose height (NoH), anterior neck height (ANH), lateral neck height (LNH), posterior neck height (PNH), ramus mandible height (RMH), corpus mandible height (CML), bigonial distance (BGD), neck width (NW), and neck depth (NDpt) were assessed.

Patients with OSA had higher BMI, larger LFH, and larger ANH, and larger TMD, and larger CML, and larger BGD, and larger NC than without OSA (respectiveliy p < 0.0001, p < 0.0001, p < 0.0001, p < 0.0001, p < 0.0001, p = 0.023, p < 0.0001) There was not any difference between the two groups in terms of other parameters. CONLUSIONS
In this study, that BMI, lower face height, neck height, mandibule lenght, bigonial width, thyromental distance and neck circumference are in significant relationship with sleep disordered breathing was determined. Thus, these measurements may be used in clinical practice for prediction of OSA.

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