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Different impacts of neck circumference and visceral obesity on the severity of obstructive sleep apnea syndrome.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kawaguchi, Yuji Fukumoto, Shinya Inaba, Masaaki Koyama, Hidenori Shoji, Tetsuo Shoji, Shigeichi Nishizawa, Yoshiki
Description	Country affiliation: Japan Author Affiliation: Kawaguchi Y ( Department of Internal Medicine, Minami-Osaka Hospital, Osaka, Japan.)
Abstract	Our aim was to investigate the significance of neck circumference (NC) on the presence and severity of obstructive sleep apnea (OSA) syndrome independent of visceral fat (VF) obesity. A total of 219 subjects with suspected OSA underwent a complete polysomnography (PSG) study, along with the measurement of NC, and total body fat (TF) and VF levels (VFLs) measured by bioelectrical impedance analysis. We proposed NC divided by height (NC/H) as the simple index for height-corrected NC in Japanese subjects. NC/H exhibited a significantly stronger correlation than NC per se with BMI (r = 0.781 vs. 0.675, P = 0.0178), TF (r = 0.531 vs. 0.156, P < 0.0001), and VF (r = 0.819 vs. 0.731, P = 0.0203), indicating that NC/H is a better indicator of visceral obesity than NC per se. Interestingly, despite the strong correlation between NC/H and VFL, VFL was significantly associated with the apnea-hypopnea index (AHI) ≥ 5, ≥ 15, and ≥ 30, but not with ≥ 40 or ≥ 50, whereas NC/H was significantly associated with higher AHI values, i.e., AHI ≥ 50 but not with lower AHI value. Furthermore, multiple regression analyses revealed that VFL and NC/H were independently associated with the square root of AHI (AHI(0.5)) levels in obese and nonobese patients, respectively. In conclusion, NC is associated with the severity of OSA independently of visceral obesity, especially in nonobese patients.
File Format	HTM / HTML
ISSN	19307381
Issue Number	2
Volume Number	19
e-ISSN	1930739X
Journal	Obesity
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Endocrinology Body Height Physiology Neck Anatomy & Histology Obesity, Abdominal Complications Sleep Apnea, Obstructive Epidemiology Adult Body Mass Index Electric Impedance Female Humans Male Middle Aged Pathology Polysomnography Risk Factors Severity Of Illness Index Etiology Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology

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