Perfis metabólico e nutricional como preditores da síndrome da apneia obstrutiva do sono

Autores

  • Marinaldo Freire LUSTOSA Universidade de Pernambuco
  • Cristiane Maria Araújo Tavares de SÁ Universidade de Pernambuco
  • Adrilene Coutinho CAVALCANTI Universidade de Pernambuco
  • Rafael Augusto Batista de MEDEIROS Universidade Federal Rural de Pernambuco
  • Larissa Pessoa Vila NOVA Universidade de Pernambuco
  • Rodrigo Pinto PEDROSA Universidade de Pernambuco

Palavras-chave:

Antropometria, Apneia do sono tipo obstrutiva, Bioimpedância elétrica, Diâmetro abdominal sagital

Resumo

Objetivo
Correlacionar os perfis metabólico e nutricional com a presença e gravidade da síndrome da apneia obstrutiva do sono.

Métodos
Estudo transversal com pacientes adultos e idosos, de ambos os sexos, atendidos no Laboratório do Sono e Coração do Pronto Socorro Cardiológico Universitário de Pernambuco, entre junho e setembro de 2014. Os pacientes se submeteram à polissonografia, à bioimpedância elétrica e a aferições antropométricas. Foram verificadas a presença da síndrome metabólica e outras morbidades.

Resultados
A amostra total foi constituída por 50 pacientes, com idade média de 57,52±9,80 anos, sendo que 94% receberam diagnóstico de síndrome da apneia obstrutiva do sono e 74% possuíam síndrome metabólica. As seguintes médias foram obtidas: índice de massa corporal (31,54±5,82 kg/m2); circunferência do pescoço (39,14±4,33 cm); circunferência da cintura (106,72±11,22 cm); diâmetro abdominal sagital (23,00 cm [21,00-24,00]). O índice de massa corporal, a circunferência da cintura e o diâmetro abdominal sagital apresentaram valoresmais elevados (p<0,05) entre os pacientes com síndrome da apneia obstrutiva do sono grave, quando comparados aqueles com a forma leve. O diâmetro abdominal sagital apresentou moderada correlação com o índice de apneia e hipopneia e a gordura corporal apresentou fraca correlação.

Conclusão
A obesidade, a circunferência do pescoço, o diâmetro abdominal sagital e a síndrome metabólica tiveram associação positiva com a gravidade da síndrome da apneia obstrutiva do sono. Dentre os parâmetros antropométricos avaliados, o diâmetro abdominal sagital mostrou ser o mais adequado preditor para avaliar a presença e gravidade da síndrome da apneia obstrutiva do sono.

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Publicado

28-03-2023

Como Citar

Freire LUSTOSA, M., Araújo Tavares de SÁ, C. M. ., Coutinho CAVALCANTI, A., Batista de MEDEIROS, R. A., Pessoa Vila NOVA, L. ., & Pinto PEDROSA, R. . (2023). Perfis metabólico e nutricional como preditores da síndrome da apneia obstrutiva do sono. Revista De Nutrição, 29(5). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/8108

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