Screening the frequency of obstructive sleep apnea syndrome on obesity patients in family medicine

Obesity is a chronic disease can be defined as considerable increase of adipose tissue to lead negative consequences. Obesity-related diabetes, metabolic syndrome, dyslipidemia, hypertension, osteoarthritis and obstructive sleep apnea syndrome are common. Obstructive sleep apnea syndrome is the one of respiratory sleep disorders with highest incidence in society. Obstructive sleep apnea syndrome is important because of being seen commonly and also because of the diseases it caused. In our study, we get 314 (F:280, M:34) obese patients whose body mass indexes are equal or greater than 30 and 133 (F:97, M:36) control group cases whose body mass indexes are less than 30. Exclusion criteria include COPD, asthma, congestive heart failure, diabetes, and metabolic disease states such as chronic active smoking is located in the absence of regular drug use history. Berlin Questionnaire, the Pittsburgh Sleep Quality Scale, the Epworth Sleepiness Scale and APNEIC test were administered to all cases. Socio-demographic characteristics of the patients with anthropometric measurements and biochemical laboratory tests are done. Between the obese group and control group of normal weight Obstructive Sleep Apnea Syndrome risks in Berlin Test (obese Group: 71% high risk; control group: 11.3% high risk; p <0.001) were observed. With APNEIC Test (obese group: 33.8% high risk, the highest risk of 7%; control group: 9% higher risk of 0.8% the highest risk; p <0.001) significant differences were found. With Pittsburgh Sleep Quality Scale: 50.1% of obese patients and also 50.4% of the control group patients were observed to have poor sleep quality both (p = 0.512). When it was evaluated with Epworth Sleepiness Scale (obese group: 23.6% high risk, control group: 23.1% high risk, p = 0.615), no significant difference in risk were detected between two groups. As a result, obese individuals have a higher risk for obstructive sleep apnea syndrome in comparison ton on-obese individuals. Especially in first step family medicine practice, although it is the gold Standard diagnostic test in identifying patients' risk for obstructive sleep apnea syndrome; taking into consideration of difficulty of the use of polysomnography, Berlin and APNEIC tests can be advised because of easier use and higher predictive values. Despite being used of Pittsburgh and Epworth to evaluate sleep quality, no clinical benefit was observed in use for evaluation of obstructive sleep apnea syndrome. Keywords: Obesity, Obstructive Sleep Apnea Syndrome, Berlin Questionnaire, Pittsburgh Sleep Quality Scale, Epworth Sleepiness Scale, APNEIC Test.