Clinical Implications of Mandible and Neck Measurements in Non-Obese Asian Snorers: Ansan City General Population-Based Study
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Objectives. Anthropometric abnormalities of the mandible and neck may contribute to snoring in non-obese Asians. The study evaluated the clinical implications of mandible and neck measurements in non-obese Asian snorers. Methods. The external mandible and neck measurements (neck circumference, two lengths of neck, mandibular body angle,and lengths of mandibular ramus and body) were compared between snorers and non-snorers in a sample of 2,778 non-obese Koreans (1,389 males, 1,389 females) aged 40 to 69 years (mean, 48.47±7.72 years). Results. The overall prevalence of snoring was 64.7% (899/1,389) and 48.3% (671/1,389) in non-obese male and female subjects, respectively. In non-obese males, snorers had significantly a greater neck circumference (P<0.0001) and shorter mandibular body length (P=0.0126) than non-snorers. In non-obese females, snorers had significantly greater neck circumferences (P=0.0165), compared with non-snorers. However, there were no statistically significant differences in other variables between non-snorers and snorers. Conclusion. Anthropometric abnormalities of the mandible and neck, including thick neck circumference in both genders and small mandible size in males, may be relevant contributing factors to snoring in non-obese Asian snorers.
Abstract
Objectives. Anthropometric abnormalities of the mandible and neck may contribute to snoring in non-obese Asians. The study evaluated the clinical implications of mandible and neck measurements in non-obese Asian snorers. Methods. The external mandible and neck measurements (neck circumference, two lengths of neck, mandibular body angle,and lengths of mandibular ramus and body) were compared between snorers and non-snorers in a sample of 2,778 non-obese Koreans (1,389 males, 1,389 females) aged 40 to 69 years (mean, 48.47±7.72 years). Results. The overall prevalence of snoring was 64.7% (899/1,389) and 48.3% (671/1,389) in non-obese male and female subjects, respectively. In non-obese males, snorers had significantly a greater neck circumference (P<0.0001) and shorter mandibular body length (P=0.0126) than non-snorers. In non-obese females, snorers had significantly greater neck circumferences (P=0.0165), compared with non-snorers. However, there were no statistically significant differences in other variables between non-snorers and snorers. Conclusion. Anthropometric abnormalities of the mandible and neck, including thick neck circumference in both genders and small mandible size in males, may be relevant contributing factors to snoring in non-obese Asian snorers.
참고문헌 (20)
- Phillips B, "Sleep apnea: prevalence of risk factors in a general population", South Med J, 82(9), pp.1090~1092 (1989)
- Gislason T, "Epidemiological aspects of snoring and hypertension", J Sleep Res, 4(S1), pp.145~149 (1995)
- Rauscher H, "Systemic hypertension in snorers with and without sleep apnea", Chest, 102(2), pp.367~371 (1992)
- Schmidt-Nowara WW, "Snoring in a Hispanic-American population. Risk factors and association with hypertension and other morbidity", Arch Intern Med, 150(3), pp.597~601 (1990)
- Lugaresi E, "Some epidemiological data on snoring and cardiocirculatory disturbances", Sleep, 3(3), pp.221~224 (1980)
- Jennum P, "Risk of ischemic heart disease in self-reported snorers. A prospective study of 2,937 men aged 54 to 74 years: the Copenhagen Male Study", Chest, 108(1), pp.138~142 (1995)
- Zaninelli A, "Snoring and risk of cardiovascular disease", Int J Cardiol, 32(3), pp.347~351 (1991)
- Neau JP, "Habitual snoring as a risk factor for brain infarction", Acta Neurol Scand, 92(1), pp.63~68 (1995)
- Young T, "Excess weight and sleep-disordered breathing", J Appl Physiol, 99(4), pp.1592~1599 (2005)
- Namysłowski G, "Sleep study in patients with overweight and obesity", J Physiol Pharmacol, 56(Suppl 6), pp.59~65 (2005)
- Fogel RB, "Sleep. 2: pathophysiology of obstructive sleep apnoea", hypopnoea syndrome, 2004, pp.59(2), 159~163
- Sakakibara H, "Cephalometric abnormalities in non-obese and obese patients with obstructive sleep apnoea", Eur Respir J, 13(2), pp.403~410 (1999)
- Ong KC, "Comparison of the severity of sleep-disordered breathing in Asian and Caucasian patients seen at a sleep disorders center", Respir Med, 92(6), pp.843~848 (1998)
- Li KK, "Obstructive sleep apnea syndrome: a comparison between Far-East Asian and white men", Laryngoscope, 110(10), pp.1689~1693 (2000)
- Kim J, "Prevalence of sleepdisordered breathing in middle-aged Korean men and women", Am J Respir Crit Care Med, 170(10), pp.1108~1113 (2004)
- Andersson L, "Cephalometric analysis of permanently snoring patients with and without obstructive sleep apnea syndrome", Int J Oral Maxillofac Surg, 20(3), pp.159~162 (1991)
- Lam B, "Craniofacial profile in Asian and white subjects with obstructive sleep apnoea", Thorax, 60(6), pp.504~510 (2005)
- Ferguson KA, "The relationship between obesity and craniofacial structure in obstructive sleep apnea", Chest, 108(2), pp.375~381 (1995)
- Shelton KE, "Mandible enclosure of upper airway and weight in obstructive sleep apnea", Am Rev Respir Dis, 148(1), pp.195~200 (1993)
- Miles PG, "Craniofacial structure and obstructive sleep apnea syndrome: a qualitative analysis and meta-analysis of the literature", Am J Orthod Dentofacial Orthop, 109(2), pp.163~172 (1996)