Obesity and Sleep-Related Breathing Disorders in Middle East and UAE

Vats, Mayank; Mahboub, Bassam; Hariri, Hassan Al; Zaabi, Ashraf Al; Vats, Deepa

doi:10.1155/2016/9673054

Cited by 22 publications

(16 citation statements)

References 10 publications

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“…The majority of referrals for polysomnography were made by chest physicians, which may indicate a lack of awareness on the part of primary care physicians, who were responsible for <5% of referrals, but also of other concerned specialties such as cardiologists, endocrinologists and ENTs. A similar referral pattern has been observed in a previous study of sleep apnea in the Middle East region [18].…”

Section: Discussionsupporting

confidence: 88%

Epidemiological characteristics of obstructive sleep apnea in a hospital-based historical cohort in Lebanon

et al. 2020

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The objective of our study was to characterize and analyze the associations between OSA (obstructive sleep apnea) and other clinical variables in adult patients referred for sleep evaluation by polysomnography at a referral center in Beirut, Lebanon, in terms of sociodemographic features, symptoms presentation and comorbidities, and evaluate the burden of comorbidities associated with this disease. All individuals with suspected Sleep Apnea referred (January 2010-September 2017) for a one-night polysomnography were included. Demographics, self-reported symptoms and comorbidities were documented. The relationship between OSA severity and the presence of symptoms and comorbidities were evaluated using multivariate logistic regression. Overall, 663 subjects were assessed. Of these, 57.3% were referred from chest physicians, and sleep test results were abnormal in 589 subjects (88.8%) of whom 526 patients (89.3%) fulfilled diagnostic criteria for OSA; 76.3% were men and women were on average older. OSA was severe in 43.2% and more severe in men. Almost all patients were symptomatic with~2-4 symptoms per patient and women presented with symptoms that are more atypical. Comorbidities were significantly higher in women. In the multivariate analysis, age, male sex, obesity, symptoms of snoring, excessive daytime somnolence and witnessed apneas were associated with OSA severity. Only age and obesity were associated with self-reported diagnosis of hypertension and diabetes. This is the first study in Lebanon to explore the characteristics of patients with polysomnography-diagnosed OSA. High prevalence of severe OSA and low referral rates in the medical community support promoting awareness for an earlier diagnosis and more personalized approach in this country.

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Section: Discussionsupporting

confidence: 88%

Epidemiological characteristics of obstructive sleep apnea in a hospital-based historical cohort in Lebanon

et al. 2020

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“…A review article exploring this topic found that studies were done in countries such as Dubai, United Arab Emirates found up to 22% of participants are at risk for OSA (Table 1). 41,42…”

Section: Differences In Ethnicitymentioning

confidence: 99%

Obstructive sleep apnea and obesity: implications for public health

Jehan¹,

Zizi²,

Pandi‐Perumal³

et al. 2017

SMDIJ

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Obstructive sleep apnea (OSA) is a global disease with a rising incidence along with its comorbidities, especially with metabolic syndrome. One of the main components contributing to sleep apnea is obesity; as well as diabetes mellitus type 2 (T2DM), hypercholesterolemia, and hypertension. OSA is a condition that requires management and the disease can be treated by using CPAP therapy. The awareness of this global issue is rising, and health care systems are providing preventive measures, diagnosis and the treatment options. The major preventable risk factors to decrease obesity are the awareness of lifestyle modification (eating behaviors, smoking, drinking alcohol, etc.) and understanding the importance of exercise. If these lifestyle modifications are widely applied, then not only will the consequences of obesity and sleep apnea be reduced, but also the incidence of cardiovascular disease will decrease greatly. Public awareness of the importance of weight loss by lifestyle modification or bariatric surgery to improve the quality of life is needed. These preventive actions, screening measures, and treatment strategies for obesity and OSA can significantly reduce the incidence of obesity, as well as OSA and the related comorbidities such as cardiovascular disease, atherosclerosis, and depression. Finally, health care costs will also be reduced.

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“…In Asian population, a BMI greater than 23kg/m 2 is used to distinguish overweight status and greater than 28 kg/m 2 to denote obesity. Vats et al, 50 argue that obesity is a growing problem in the Middle East, but the scarcity of sleep centres limits data collection. 50 In a comparison of White Europeans to South Asians, White Europeans had greater rates of OSA due to greater rates of obesity and central adiposity in White Europeans.…”

Section: Prevalence and Screeningmentioning

confidence: 99%

“…Vats et al, 50 argue that obesity is a growing problem in the Middle East, but the scarcity of sleep centres limits data collection. 50 In a comparison of White Europeans to South Asians, White Europeans had greater rates of OSA due to greater rates of obesity and central adiposity in White Europeans. 51,52 In a study of Korean patients having polysomnography without a history of T2DM, those with the highest rate of T2DM or IFG(impaired fasting glucose) had a mean BMI of 27kg/m 2 .…”

Section: Prevalence and Screeningmentioning

confidence: 99%