Neck circumference was the best anthropometric predictor of obstructive sleep apnea in obese individuals, demonstrating an area under the ROC curve of 0.68 (95% CI 0.64-0.72).
Cross-Sectional (n=758)
Which anthropometric indicator has the highest discriminatory power for predicting Obstructive Sleep Apnea Syndrome in obese individuals awaiting bariatric surgery?
Neck circumference is a better anthropometric predictor of obstructive sleep apnea than BMI or waist circumference in obese patients awaiting bariatric surgery.
Effect estimate: AUC 0.68 (95% CI 0.64 - 0.72)
OBJECTIVE: The objective of this study was to identify, among the different anthropometric indicators, the one that shows higher discriminatory power for the prognosis of Obstructive Sleep Apnea Syndrome (OSAS). DESIGN: Observational cross-sectional study PARTICIPANTS: Obese individuals elective to bariatric surgery METHODS: A study based on data of 758 patients aged ≥ 21 years old, of both sexes, in the pre-operatory stage of the surgical procedure of gastric bypass. Obstructive sleep apnea and obstructive sleep hypopnea were evaluated and classified through the apnea-hypopnea index, which was obtained through the examination of polysomnography. Variables were divided into two groups: individuals with and without OSAS. As predictors, measures of body mass index (BMI), neck circumference (NC), and waist circumference (WC) were used. RESULTS: The area under the ROC curve was used to check the sensitivity and specificity. All evaluated anthropometric indicators showed statistical significance. WC: area of 0.62 (CI 95%: 0.58 - 0.67), NC: area of 0,68 (CI 95%: 0.64 - 0.72) and BMI: area of 0.58 (CI 95%: 0.54 - 0.63). CONCLUSION: The investigated anthropometric indicators performed as good predictors of OSAS. However, NC seems to be the best anthropometric indicator for the prognosis of OSAS in obese individuals when compared to BMI and WC.
Lagares et al. (Fri,) conducted a cross-sectional in Obstructive Sleep Apnea Syndrome (n=758). Neck circumference vs. Body mass index and waist circumference was evaluated on Discriminatory power for OSAS (Area under the ROC curve) (AUC 0.68, 95% CI 0.64 - 0.72). Neck circumference was the best anthropometric predictor of obstructive sleep apnea in obese individuals, demonstrating an area under the ROC curve of 0.68 (95% CI 0.64-0.72).