Article

Cardiovascular risk factors in snorers. A cross-sectional study of 3,323 men aged 54 to 74 years: the Copenhagen Male Study.

Glostrup Hospital, Glostrup, Capital Region, Denmark
Chest (Impact Factor: 7.13). 11/1992; 102(5):1371-6. DOI: 10.1378/chest.102.5.1371
Source: PubMed

ABSTRACT Former studies on the association between snoring and cardiovascular disease (CVD) have only partly taken established CVD risk factors into consideration. In the Copenhagen Male Study, 3,323 men aged 54 to 74 years were classified according to self-reported snoring habits. Eleven CVD risk factors were examined. The prevalence of snoring decreased with age, with a 50 percent higher frequency of snorers among the youngest quintile than among the oldest (p < 0.00001). Snoring, age adjusted, was positively associated with tobacco smoking (p < 0.001), alcohol consumption (p < 0.001), body mass index (BMI) (p < 0.0001), serum triglyceride level (p < 0.01), systolic blood pressure (p < 0.05) and nearly significantly associated with diastolic blood pressure (p = 0.07). Snorers were less physically active in leisure time than others (p < 0.01). The association between self-reported snoring and blood pressure disappeared when other factors, including BMI, were taken into consideration. No significant associations were found between snoring and social class, snoring and low- or high-density lipoprotein or between snoring and hypertension. We conclude that snoring is associated with major cardiovascular risk factors. Accordingly, it is evident that in studies on snoring and CVD, proper controlling for the influence of potential confounders is a sine qua non.

0 Followers
 · 
71 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Zusammenfassung Seit einigen Jahren sind 7kanalige Polygraphiegeräte in der ambulanten Vordiagnostik schlafbezogener Atmungsstörungen im Einsatz. Eines dieser Geräte ist das POLY-MESAM. Vorliegender 2. Teil der Studie beinhaltet die Validierung des Geräts. Die Ergebnisse der Polygraphie mit dem POLY-MESAM werden mit den Ergebnissen einer gleichzeitig durchgeführten 12-Kanal-Polysomnographie verglichen. Es wurden 49 Patienten beiderlei Geschlechts und mit unterschiedlichem Schweregrad einer obstruktiven Schlafapnoe unter stationären Bedingungen untersucht. Als Kriterium für eine manifeste Schlafapnoe wurde ein Apnoe-Hypopnoe-Index (AHI) von mehr als 15 festgesetzt. Der polysomnographisch ermittelte AHI wurde als Basiswert verwendet. Daran gemessen konnte für die ambulante POLY-MESAM-Messung eine Sensitivität von 86,4% und eine Spezifität von 100% für die Vorhersage einer manifesten Schlafapnoe ermittelt werden. Gemessen an den bisher validierten 4-Kanal-Geräten ist das POLY-MESAM damit vergleichbar zuverlässig und bietet zusätzlich die Möglichkeit, die unterschiedlichen Arten der Atmungsereignisse zu charakterisieren. Das POLY-MESAM ist somit eine sinnvolle Weiterentwicklung des MESAM4. In einigen Fällen kommt es dazu, daß POLY-MESAM den AHI unterschätzt und somit zu falsch-negativen Ergebnissen kommen kann. Daher kann das POLY-MESAM die komplette Polysomnographie als Standardverfahren nicht ersetzen.
    HNO 01/1999; 47(4):256-261. DOI:10.1007/s001060050392 · 0.54 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction This questionnaire-based epidemiological study was aimed at identifying possible sleep disturbance in a sample of active French males. Methods Eight hundred and fifty male subjects, aged 22 to 66 years, completed a structured sleep questionnaire supplemented by information about their life habits and medical history. The study compared the prevalence of positive responses between an “at risk” group of sedentary people (with no declared leisure exercise) and a control group of “exercising” subjects (with more than 5 hours of planned exercise weekly). Results Among the symptoms suggesting sleep-disordered breathing, only the question “Have you ever been told that you snore?” significantly separated the two groups. In addition, the sedentary group declared a history of treated hypertension significantly more often. Conclusions The present survey identified only one item that differed significantly between a sedentary of men and an exercising group – a history of treated hypertension. The result may be explained by the limitations of a questionnaire survey and by the limited contrast in exercise practice: the “sedentary” subjects had an occupational labour demand (not quantified), and the control group had a relatively modest leisure physical activity.
    Revue des Maladies Respiratoires 09/2010; 27(7):703–708. DOI:10.1016/j.rmr.2010.07.003 · 0.49 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The AIR-Q Laryngeal Mask (Cookgas LLC; distributed by Mercury Medical) is a supraglottic device present in the market since 2004. It has different sizes for pediatric and adult use. This device proved to be of utmost importance in the management of difficult airway [1]. The study evaluates the different adult sizes of the Air Q when used for intubation regarding the ease of insertion, the laryngeal view grade, their efficacy as conduit for standard cuffed endotracheal tubes using fiberoptic bronchoscope. The study also records the time of intubation, the ease and time of removal of the AIRQ over a removal stylet without dislodgement of the tube from trachea. Any complications related to the use of AIRQ were also recorded such as laryngeal oedema, blood streaked mucous, trauma to the airway, laryngeal spasm or aspiration.
    10/2012; 28(4):249–255. DOI:10.1016/j.egja.2012.06.003

Preview

Download
0 Downloads
Available from