High incidence of sleep apnea syndrome in a male diabetic population

https://doi.org/10.1016/0168-8227(91)90032-9Get rights and content

Abstract

In order to study the possible relationship between sleep apnea syndrome (SAS) and diabetes mellitus, we first examined the prevalence of SAS among 12787 general patients (6554 males and 6233 females) who visited Katsumata Hospital at Nagoya, Japan. Among them, thirty-five males and five females were diagnosed as having SAS. The male patients were statistically analysed by the corrected Mantel-Haenszel χ-square test taking the body type into account, and it was found that the prevalence of SAS was significantly high both in a diabetic population and in a hypertensive one. Among 40 SAS patients of both sexes, 34 were given a glucose tolerance test (GTT) with oral administration of 75 g glucose. Thirteen showed a diabetic pattern, 12 a borderline pattern and only 9 had a normal pattern. All 13 diabetic patients had non-insulin-dependent type diabetes (NIDDM). The present results showed that SAS has a close relationship not only to hypertension but also to NIDDM.

References (13)

  • A. Kales et al.

    Sleep apnea in a hypertensive population

    Lancet November

    (1984)
  • K. Katsumata et al.

    Incidence of sleep apnea syndromes in general patients at a hospital for internal medicine

    Nagoya J. Med. Sci.

    (1986)
  • S. Mondini et al.

    Abnormal breathing patterns during sleep in diabetes

    Ann. Neurol.

    (1985)
  • J.R. Catterall et al.

    Breathing, sleep and diabetic autonomic neuropathy

    Diabetes

    (1984)
  • M.J. Tobin et al.

    Breathing abnormalities during sleep

    Arch. Intern. Med.

    (1983)
  • A. Rechtschaffen et al.

    A manual of standardized terminology and techniques on scoring system for sleep stage of human subjects

    (1968)
There are more references available in the full text version of this article.

Cited by (78)

  • How can I manage anaesthesia in obese patients?

    2020, Anaesthesia Critical Care and Pain Medicine
  • The association between sleep and diabetes outcomes – A systematic review

    2020, Diabetes Research and Clinical Practice
    Citation Excerpt :

    Forty-one articles (n = 41) presented results of the prevalence of different sleep disorders in patients with diabetes (Fig. 2). The majority of studies measured the prevalence of sleep apnea disorders in diabetes (n = 25) [16–40], followed by restless leg syndrome (n = 11) [10,41–50], and periodic limb movement (n = 2) [51,52]. Three studies (n = 3) [52–54] did not specify the type of sleep disorder.

  • Epidemiology of sleep-related complaints associated with sleep-disordered breathing in Bangkok, Thailand

    2010, Sleep Medicine
    Citation Excerpt :

    The next logical step would be to investigate polysomnographic data and correlate it to these subjective findings to investigate whether the symptoms that prompt the Western population to suspect and formally evaluate potential sleep-disordered breathing are similarly applicable to the Eastern population. The association between cardiovascular and endocrine diseases with snoring and EDS in our population is remarkably consistent with other epidemiologic studies from other populations [47–51]. Unlike Caucasian populations, we found a greater prevalence of cardiovascular disease in the general female population.

  • Endocrine Physiology in Relation to Sleep and Sleep Disturbances

    2010, Principles and Practice of Sleep Medicine: Fifth Edition
View all citing articles on Scopus
View full text