Oropharyngeal Crowding Closely Relates to Aggravation of OSA

Eiki Ito, Satoru Tsuiki, Keiko Maeda, Isa Okajima, Yuichi Inoue

    研究成果: Article

    4 引用 (Scopus)

    抄録

    Background Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillomandibular enclosure size closely related to the severity of OSA. Methods A total of 703 male Japanese subjects were enrolled; theywere classified into obese (BMI ≥ 30 kg/m2; n = 158) and nonobese (BMI < 30 kg/m2; n = 545) groups. Using lateral cephalometric analysis, we measured the tongue size (TG), lower face cage (LFC), and TG/LFC ratio (ie, oropharyngeal crowding) to evaluate the state of upper airway crowding. The correlations between these cephalometric measurements and BMI, age, and the apnea-hypopnea index (AHI) were evaluated. Results In obese subjects, the TG/LFC ratio, BMI, and TG positively correlated with AHI, whereas, in nonobese subjects, age, BMI, and TG/LFC significantly correlated with AHI. Subsequent stepwise multiple linear regression analysis revealed that the variables associated with AHI differed between obese and nonobese OSA subjects, although BMI and TG/LFC were significantly associated with AHI in both groups. In particular, the contribution of TG/LFC to AHI was larger than that of BMI in the obese group. Conclusions Oropharyngeal crowding is a local anatomic factor that independently relates to the severity of OSA in both obese and nonobese patients; the more crowded the upper airway, the more severe the OSA.

    元の言語English
    ページ(範囲)346-352
    ページ数7
    ジャーナルChest
    150
    発行部数2
    DOI
    出版物ステータスPublished - 2016 8 1

    Fingerprint

    Tongue
    Apnea
    Cephalometry
    Maxilla
    Mandible
    Linear Models
    Obesity
    Fats
    Regression Analysis

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine
    • Critical Care and Intensive Care Medicine
    • Cardiology and Cardiovascular Medicine

    これを引用

    Ito, E., Tsuiki, S., Maeda, K., Okajima, I., & Inoue, Y. (2016). Oropharyngeal Crowding Closely Relates to Aggravation of OSA. Chest, 150(2), 346-352. https://doi.org/10.1016/j.chest.2016.03.005

    Oropharyngeal Crowding Closely Relates to Aggravation of OSA. / Ito, Eiki; Tsuiki, Satoru; Maeda, Keiko; Okajima, Isa; Inoue, Yuichi.

    :: Chest, 巻 150, 番号 2, 01.08.2016, p. 346-352.

    研究成果: Article

    Ito, E, Tsuiki, S, Maeda, K, Okajima, I & Inoue, Y 2016, 'Oropharyngeal Crowding Closely Relates to Aggravation of OSA', Chest, 巻. 150, 番号 2, pp. 346-352. https://doi.org/10.1016/j.chest.2016.03.005
    Ito E, Tsuiki S, Maeda K, Okajima I, Inoue Y. Oropharyngeal Crowding Closely Relates to Aggravation of OSA. Chest. 2016 8 1;150(2):346-352. https://doi.org/10.1016/j.chest.2016.03.005
    Ito, Eiki ; Tsuiki, Satoru ; Maeda, Keiko ; Okajima, Isa ; Inoue, Yuichi. / Oropharyngeal Crowding Closely Relates to Aggravation of OSA. :: Chest. 2016 ; 巻 150, 番号 2. pp. 346-352.
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    abstract = "Background Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillomandibular enclosure size closely related to the severity of OSA. Methods A total of 703 male Japanese subjects were enrolled; theywere classified into obese (BMI ≥ 30 kg/m2; n = 158) and nonobese (BMI < 30 kg/m2; n = 545) groups. Using lateral cephalometric analysis, we measured the tongue size (TG), lower face cage (LFC), and TG/LFC ratio (ie, oropharyngeal crowding) to evaluate the state of upper airway crowding. The correlations between these cephalometric measurements and BMI, age, and the apnea-hypopnea index (AHI) were evaluated. Results In obese subjects, the TG/LFC ratio, BMI, and TG positively correlated with AHI, whereas, in nonobese subjects, age, BMI, and TG/LFC significantly correlated with AHI. Subsequent stepwise multiple linear regression analysis revealed that the variables associated with AHI differed between obese and nonobese OSA subjects, although BMI and TG/LFC were significantly associated with AHI in both groups. In particular, the contribution of TG/LFC to AHI was larger than that of BMI in the obese group. Conclusions Oropharyngeal crowding is a local anatomic factor that independently relates to the severity of OSA in both obese and nonobese patients; the more crowded the upper airway, the more severe the OSA.",
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    AU - Inoue, Yuichi

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    N2 - Background Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillomandibular enclosure size closely related to the severity of OSA. Methods A total of 703 male Japanese subjects were enrolled; theywere classified into obese (BMI ≥ 30 kg/m2; n = 158) and nonobese (BMI < 30 kg/m2; n = 545) groups. Using lateral cephalometric analysis, we measured the tongue size (TG), lower face cage (LFC), and TG/LFC ratio (ie, oropharyngeal crowding) to evaluate the state of upper airway crowding. The correlations between these cephalometric measurements and BMI, age, and the apnea-hypopnea index (AHI) were evaluated. Results In obese subjects, the TG/LFC ratio, BMI, and TG positively correlated with AHI, whereas, in nonobese subjects, age, BMI, and TG/LFC significantly correlated with AHI. Subsequent stepwise multiple linear regression analysis revealed that the variables associated with AHI differed between obese and nonobese OSA subjects, although BMI and TG/LFC were significantly associated with AHI in both groups. In particular, the contribution of TG/LFC to AHI was larger than that of BMI in the obese group. Conclusions Oropharyngeal crowding is a local anatomic factor that independently relates to the severity of OSA in both obese and nonobese patients; the more crowded the upper airway, the more severe the OSA.

    AB - Background Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillomandibular enclosure size closely related to the severity of OSA. Methods A total of 703 male Japanese subjects were enrolled; theywere classified into obese (BMI ≥ 30 kg/m2; n = 158) and nonobese (BMI < 30 kg/m2; n = 545) groups. Using lateral cephalometric analysis, we measured the tongue size (TG), lower face cage (LFC), and TG/LFC ratio (ie, oropharyngeal crowding) to evaluate the state of upper airway crowding. The correlations between these cephalometric measurements and BMI, age, and the apnea-hypopnea index (AHI) were evaluated. Results In obese subjects, the TG/LFC ratio, BMI, and TG positively correlated with AHI, whereas, in nonobese subjects, age, BMI, and TG/LFC significantly correlated with AHI. Subsequent stepwise multiple linear regression analysis revealed that the variables associated with AHI differed between obese and nonobese OSA subjects, although BMI and TG/LFC were significantly associated with AHI in both groups. In particular, the contribution of TG/LFC to AHI was larger than that of BMI in the obese group. Conclusions Oropharyngeal crowding is a local anatomic factor that independently relates to the severity of OSA in both obese and nonobese patients; the more crowded the upper airway, the more severe the OSA.

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    KW - sleep apnea

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