Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 26:17:5523-5534.
doi: 10.2147/IJGM.S489904. eCollection 2024.

The Usefulness of New Body Indices in Determining the Risk of Cardiovascular Disease in Cases with Obstructive Sleep Apnea Syndrome

Mihrican Yeşildağ  1 , Zühal Şentürk  1 , Taha Tahir Bekci  1 , İbrahim Guney  2
Affiliations

The Usefulness of New Body Indices in Determining the Risk of Cardiovascular Disease in Cases with Obstructive Sleep Apnea Syndrome

Mihrican Yeşildağ et al. Int J Gen Med. .

Abstract

Purpose: Obstructive Sleep Apnea Syndrome (OSAS) is considered a notable independent risk factor for cardiometabolic disorders. The current study aimed to investigate the efficacy of new anthropometric indices, A Body Shape Index (ABSI) and the Body Roundness Index (BRI), in assessing cardiovascular risk (CVR) and cardiovascular disease (CVD) among OSAS patients and to compare them with traditional indices.

Materials and methods: The records of 281 patients who consulted our sleep center were retrospectively reviewed. Patients were categorized according to OSA severity using AHI values. They were also classified based on cardiovascular conditions (CVR and CVD). ABSI, BRI, and traditional indices [such as body mass index (BMI), neck circumference (NC)] of the patient groups were evaluated.

Results: Of the 281 patients recruited, 218 (77.6%) were diagnosed with OSAS. The distribution of cardiovascular conditions among the OSAS patients was: CVD (20%), CVR (39.8%), and control (40.2%). The new index BRI (Odds ratio-OR: 2.641, 95% CI: 1.24-5.62) has shown better predictive ability for CVR compared to traditional measures, while NC (OR: 1.320, 95% CI: 1.09-1.60) was the only predictor of CVD. Additionally, the BRI had a higher AUC value (0.656) than traditional indices in terms of diagnostic performance in distinguishing CVR. Another new index ABSI was not found to be significant in evaluating cardiovascular conditions.

Conclusion: BRI, one of the new indices, is a useful anthropometric parameter in the CVR assessment of OSAS patients, offering better predictive ability than traditional measurements.

Keywords: abdominal obesity; anthropometric indices; body roundness index; cardiovascular disease; cardiovascular risk; obstructive sleep apnea syndrome.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
ROC analysis for CVR in patients with OSAS.
See this image and copyright information in PMC

References

    1. Marin JM, Carrizo SJ, Vicente E, Agusti AGN. Long -term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365(9464):1046–1053. doi:10.1016/S0140-6736(05)71141-7 - DOI - PubMed
    1. Doherty LS, Kiely JL, Swan V, McNicholas WT. Long-term effects of nasal continuous positive airway pressure therapy on cardiovascular outcomes in sleep apnea syndrome. Chest. 2005;127(6):2076–2084. doi:10.1378/chest.127.6.2076 - DOI - PubMed
    1. Romero-Corral A, Caples SM, Lopez-Jimenez F, Somers VK. Interactions between obesity and obstructive sleep apnea: implications for treatment. Chest. 2010;137(3):711–719. doi:10.1378/chest.09-0360 - DOI - PMC - PubMed
    1. Adams KF, Schatzkin A, Harris TB, et al. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med. 2006;355(8):763–778. doi:10.1056/NEJMoa055643 - DOI - PubMed
    1. Chen Z, Yang G, Offer A, et al. Body mass index and mortality in China: a 15-year prospective study of 220 000 men. Int J Epidemiol. 2012;41(2):472–481. doi:10.1093/ije/dyr208 - DOI - PubMed

LinkOut - more resources