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Anales de Otorrinolaringología Mexicana

2025, Number 1

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Otorrinolaringología 2025; 70 (1)

Correlation between obstructive sleep apneahypopnea syndrome and BMI, neck circumference, and Epworth scale

Badial LJP, Badial AA

Language: Spanish
References: 15
Page: 8-16
PDF size: 182.81 Kb.


ABSTRACT

Objective: To analyze the correlation between obstructive sleep apnea-hypopnea syndrome (OSAHS) and body mass index (BMI), neck circumference, and the Epworth Sleepiness Scale.
Materials and Methods: A retrospective and analytical study collecting data on weight, height, gender, apnea-hypopnea index (AHI), Epworth Sleepiness Scale, and Mallampati Scale was done at Clínica de Vanguardia en Otorrinolaringología of Hospital Ángeles del Carmen, Guadalajara, Mexico, from October 2011 to August 2023.
Results: There were included 311 patients with an average age of 49.1 ± 13.9 years; majority were male (82.6%, n = 257). The average BMI was 31.5 ± 6.2 kg/m² and the average neck circumference was 44.6 ± 5.1 cm. Most patients had obstructive hypopnea (60.8%, n = 189) and an average AHI of 40.0 ± 28.7 events/hour. A significant positive correlation was found between AHI and BMI (r = 0.389, p ‹ 0.001) and neck circumference (r = 0.432, p ‹ 0.001). The Epworth Sleepiness Scale showed a weak correlation with AHI (r = 0.277, p ‹ 0.001). Men had higher AHI, BMI, and neck circumference values compared to women.
Conclusions: The findings highlight the importance of a comprehensive evaluation including neck circumference, BMI, and the Epworth Scale to improve the detection and management of obstructive sleep apnea-hypopnea syndrome.


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