PMID- 24910109 OWN - NLM STAT- MEDLINE DCOM- 20150922 LR - 20141230 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 7 IP - 1 DP - 2015 Jan TI - Prevalence and associated factors of obstructive sleep apnea in hospitalized patients with type 2 diabetes in Beijing, China 2. PG - 16-23 LID - 10.1111/1753-0407.12180 [doi] AB - BACKGROUND: The aim of the present study was to assess the prevalence and risk factors associated with obstructive sleep apnea (OSA) in hospitalized patients with type 2 diabetes mellitus (T2DM) in China. METHODS: Patients with T2DM who were hospitalized in four facilities in Beijing were invited to participate in the study. In all, 337 patients were enrolled consecutively, and 210 (62.3%) completed the study. Data from 472 patients in a non-consecutive expanding study were analyzed for the association study. A portable monitoring device was used to detect the presence of OSA. The apnea-hypopnea index (AHI) and the lowest level of oxygen saturation during the night were recorded to evaluate the severity of OSA. Logistic regression analysis was used to estimate the odds ratio (OR) for OSA for risk factors. RESULTS: The prevalence of OSA was 66.7%. The prevalence of moderate to severe OSA (AHI >/=15/h) was 20.0%. The multi-adjusted OR (95% confidence interval) estimating OSA corresponding to a 1-year increase in age was 1.06 (1.04, 1.08), whereas that to a 1-kg/m(2) increase in body mass index (BMI) was 1.18 (1.11, 1.26). The lowest oxygen saturation was associated with proliferative diabetic retinopathy (PDR) and cerebral infarction; the multivariate adjusted OR (95% CI) corresponding to a 1% increase in lowest oxygen saturation were 0.95 (0.92, 0.99) and 0.97 (0.94, 0.99), respectively. CONCLUSION: A high prevalence of OSA was observed in this sample of patients with T2DM in China. Age and BMI were associated with the presence of OSA. The lowest oxygen saturation was independently associated with the presence of PDR and cerebral infarction. CI - (c) 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd. FAU - Zhang, Rui AU - Zhang R AD - Department of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China. FAU - Guo, Xiaohui AU - Guo X FAU - Guo, Lixin AU - Guo L FAU - Lu, Juming AU - Lu J FAU - Zhou, Xianghai AU - Zhou X FAU - Ji, Linong AU - Ji L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140906 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Body Mass Index MH - China/epidemiology MH - Diabetes Complications/*epidemiology/etiology MH - Diabetes Mellitus, Type 2/complications/*physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Risk Factors MH - Sleep Apnea, Obstructive/*epidemiology/etiology MH - Young Adult OTO - NOTNLM OT - cerebral infarction OT - obstructive sleep apnea OT - proliferative diabetic retinopathy OT - type 2 diabetes OT - 关键词:脑梗死,阻塞性睡眠呼吸暂停,增殖期糖尿病视网膜病变,2型糖尿病 EDAT- 2014/06/10 06:00 MHDA- 2015/09/24 06:00 CRDT- 2014/06/10 06:00 PHST- 2014/04/14 00:00 [received] PHST- 2014/07/11 00:00 [revised] PHST- 2014/05/24 00:00 [accepted] PHST- 2014/06/10 06:00 [entrez] PHST- 2014/06/10 06:00 [pubmed] PHST- 2015/09/24 06:00 [medline] AID - 10.1111/1753-0407.12180 [doi] PST - ppublish SO - J Diabetes. 2015 Jan;7(1):16-23. doi: 10.1111/1753-0407.12180. Epub 2014 Sep 6.