High Negative Predictive Value of Normal Body Mass Index for Obstructive Sleep Apnea in the Lateral Sleeping Position

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
Łukasz MokrosPiotr Białasiewicz

Abstract

Obesity is a major risk factor for obstructive sleep apnea (OSA). Patients who are not obese and who have OSA usually present with a low apnea-hypopnea index (AHI) in the lateral sleeping position. Hence, sleep-disordered breathing (SDB) seems more dependent on body mass index (BMI) in the lateral sleeping position than the supine sleep position. This makes obesity a better predictor of SDB in the lateral sleeping position. The objective of this study was to find a negative predictive value of normal BMI for SDB in relation to sleep positions, thus defining a group of patients who could be treated by positional intervention, and prioritizing the use of polysomnography diagnostics. This study comprises a retrospective and prospective part run on groups of 1,181 and 821 consecutive patients, respectively. All had been referred to the university-based sleep laboratory because of suspected OSA and underwent polysomnography. In the retrospective study, areas under the receiver operating characteristic curves for normal BMI at AHI ≥ 5 and AHI ≥ 15 events/h were found to be larger in the lateral sleeping positing than supine: 0.79 versus 0.69 and 0.80 versus 0.68, respectively (P < .05). Comparable results were obtained in the prospec...Continue Reading

Citations

Aug 21, 2018·Frontiers in Neurology·Agata GabryelskaPiotr Białasiewicz
Jan 9, 2020·Scientific Reports·Agata Gabryelska, Piotr Białasiewicz
Jun 12, 2020·Sleep & Breathing = Schlaf & Atmung·Agata GabryelskaPiotr Białasiewicz
May 2, 2019·Scientific Reports·Wojciech KuczyńskiPiotr Białasiewicz
Mar 7, 2021·International Journal of Environmental Research and Public Health·Wojciech KuczyńskiAdam Białas
May 1, 2021·Journal of Clinical Medicine·Marta Stelmach-MardasMarcin Mardas
May 1, 2021·Medicina·Karolina CharčiūnaitėRolandas Zablockis
Jan 13, 2022·Sleep & Breathing = Schlaf & Atmung·Wojciech KukwaMarcel Młyńczak

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